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- November 7, 2024
Medicaid Eligibility for Incarcerated Individuals in California
Read moreHistorically, Medicaid has prohibited federal payments for health care services for adults and youth who are incarcerated. This federal law is known as the “inmate exclusion.” The federal law restricting Medicaid funds from paying for Medicaid services while an individual is in a carceral setting must not be confused…
- October 3, 2024
(Updated) Medicaid Principles on Telehealth
Read moreIn the Spring of 2020, the National Health Law Program released its Medicaid Principles on Telehealth. We drew from our experience influencing telehealth policies before the COVID-19 pandemic. Some of these principles have been adopted in federal and state policy since then. However, we have learned a lot in…
- September 30, 2024
[Webinar] Implementing Medicaid Secret Shopper Surveys: Tips and Methods for Better Results
Read moreMedicaid enrollees can face significant challenges trying to book a timely appointment. Provider directories from Medicaid managed care plans are often inaccurate and outdated, and network providers may stop accepting new Medicaid patients altogether. CMS recently took a big step to address these challenges by requiring annual independent secret…
- September 12, 2024
Overview of Key Home and Community-Based Services (HCBS) Provisions in the Medicaid Access Rule
Read moreThe Medicaid Act requires that state payments for Medicaid are sufficient to provide at least equivalent access to care for Medicaid beneficiaries as the general population in any given geographic area. Over the years, CMS has tried to enforce payment adequacy via increased monitoring and other requirements, but these…
- September 11, 2024
Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues
Read moreMedicaid home and community-based (HCBS) § 1915(c) waivers provide critical services for people with disabilities across the country. These waivers change because states often submit amendments to these waivers and the waivers also have to be renewed every few years. Each time a waiver is renewed or amended, states…
