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Archives
- June 16, 2021
Primer: State Plan Amendments v. Section 1115 Waivers
Read moreTension and confusion can arise over how HHS allows states to change their Medicaid programs, whether through a state plan amendment (SPA) or a Section 1115 project. To help guard against the improper use of Section 1115 waivers, advocates must know the distinctions between Section 1115 waivers and SPAs.…
- June 15, 2021
State Approaches to Improving Reproductive and Sexual Health
Read moreNHeLP conducted a 50-state review of state Medicaid websites of COVID-19 related policies related to reproductive and sexual health care. This issue brief describes some of the temporary Medicaid and other health care policies and practices states put in place during the pandemic to facilitate the coverage and delivery…
- June 11, 2021
Demanding Ascertainable Standards: Medicaid as a Case Study
Read moreState Medicaid agencies and their contractors are increasingly relying on preset guidelines or assessment tools or both to make coverage decisions. Problems arise when the use of these tools results in program enrollees and advocates being refused access to the standards and procedures that govern the operation of the…
- June 10, 2021
NHeLP AHRQ Comments
Read moreIn these comments, NHeLP responds to a request for information from AHRQ regarding the use of clinical algorithms that have the potential to introduce racial/ethnic bias into healthcare delivery. Using our long history of litigation and advocacy on issues that involve the use of automated decision-making systems, including algorithms,…
- May 25, 2021
Addressing Health Equity in Medicaid Managed Care
Read moreAdvocates have long pushed states and CMS to improve Medicaid data collection and reporting on health disparities with little to show for it. It is now long past time for the agency, Congress, and other health policymakers to fulfill that principle with real and urgent action. This brief provides…
- May 20, 2021
Primer: State Plan Amendments v. Section 1115 Waivers
Read moreTension and confusion can arise over how HHS allows states to change their Medicaid programs, whether through a state plan amendment (SPA) or a Section 1115 project. To help guard against the impoper use of Section 1115 waivers, advocates must know the distinctions between Section 1115 waivers and SPAs.…
