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- October 16, 2014
Issue Brief: Update on Private Enforcement of the Medicaid Act
Read moreOver the years, Medicaid beneficiaries have asserted claims under the Supremacy Clause of the U.S. Constitution and 42 U.S.C. § 1983 in litigation to enjoin state violations of the Medicaid Act. This Fact Sheet will summarize the history of § 1983 and Supremacy Clause enforcement, provide current point-in-time assessments…
- October 14, 2014
Health Advocate: EPSDT Screening: Including Sexuality Education in Health Education
Read moreUnder Medicaid and some Children's Health Insurance Programs (CHIP), youth are eligible to receive the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit, which includes coverage for medical screening. Federal law requires each screen to include five required components. One component is age-appropriate health education, which should include…
- September 29, 2014
Q&A on the ACA’s Contraceptive Coverage Requirement
Read moreThe Affordable Care Act (ACA) requires many health insurance plans to provide coverage for certain preventive health services, including contraception, without cost-sharing. These requirements are providing millions of individuals with new or improved access to evidence-based preventive health care without the significant barriers associated with cost-sharing. This Q&A addresses…
- September 29, 2014
County Organized Health System Medi-Cal Plans
Read moreIn certain counties, Medi-Cal managed care is operated by a single County Organized Health System (COHS). In COHS counties, a single plan serves all Medi-Cal beneficiaries who are enrolled in managed care. Unlike other Medi-Cal managed care plans, COHS plans are not required to obtain Knox Keene licensure for…
