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- March 15, 2024
NHeLP, Whitman-Walker Institute, and Fenway Institute Comment on NCQA’s Changes to Cross-Cutting Quality Measures in 2025
Read moreNHeLP and partners Whitman-Walker Institute and Fenway Institute commented in support of the proposed gender-inclusive adjustment to NCQA's chlamydia screening measure in HEDIS. We commented in opposition to the proposed adjustment to race and ethnicity measurement across NCQA's HEDIS measures.
- March 12, 2024
Pharmacy Billing for Contraception
Read moreThis white paper provides an overview of the systemic and individual payer-based barriers to full implementation of pharmacist prescribing policies. Barriers analyzed include the division of medical and pharmacy benefits, complex billing technology, the constant need for payer guidance, and lack of clarity from agencies within the U.S. Department…
- February 12, 2024
Medicaid Continuous Coverage Unwinding: Messaging and Outreach Resources
Read moreState Medicaid agencies are beginning to unwind the Medicaid continuous coverage provisions enacted in early 2020 to adapt to the COVID-19 pandemic. With some states having begun terminations of coverage as early as April 1, 2023, advocates have an important role to play in messaging and outreach to prepare…
- February 12, 2024
COVID-19 Continuous Coverage and Public Health Emergency (PHE) Unwinding Resources
Read moreComprehensive list of Public Health Emergency (PHE) and continuous coverage unwinding guidance and resources for advocates. Resources have been compiled from the Centers for Medicare & Medicaid Services (CMS), other federal agencies, and advocacy organizations, including the National Health Law Program. (Updated February 2024)
- February 2, 2024
Case Update: Supplemental Complaint file in Rose v. Becerra
Read moreThis case update focuses on Rose v. Becerra, which challenges approval of a Section 1115 Medicaid project in Indiana. CMS has recently reapproved the project, which allows Indiana to continue imposing premiums on very low-income people and to waive retroactive coverage and non-emergency medical transportation. This case update provides…
- January 31, 2024
Explainer: FTC Complaint Requests Investigation into Deloitte’s Texas Medicaid Eligibility System
Read moreHundreds of thousands of Texas Medicaid enrollees have been harmed by wrongful terminations and other errors in the state’s automated eligibility system developed by contractor Deloitte Consulting LLP (Deloitte), a new complaint to the Federal Trade Commission (FTC) alleges. The complaint filed by the National Health Law Program (NHeLP),…