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- February 25, 2022
Fact Sheet: Private Enforcement of the Medicaid Act Under 42 U.S.C. § 1983
Read moreThis Fact Sheet provides an overview of the history of private enforcement of the Medicaid Act pursuant to 42 U.S.C. § 1983. It then describes the current state of enforcement and explains why developments must be monitored closely in 2022.
- February 9, 2022
Eliminating Barriers to Medication-Assisted Treatment in Medicaid
Read moreFew individuals with opioid use disorder currently have access to medication-assisted treatment, a highly effective overdose prevention treatment. As the single largest payer of OUD treatment, Medicaid has an important role to play in reducing barriers and increasing access. In this issue brief, we identify persiting barriers to MAT coverage…
- February 4, 2022
Coverage of Over-the-Counter Drugs in Medicaid (Revised February 2022)
Read moreDrug coverage is an important facet of the Medicaid program. Although it is an optional benefit, all states cover outpatient prescription drugs in their Medicaid programs. States have significantly more leeway, however, in whether they cover over-the-counter (OTC) drugs. This Fact Sheet provides an overview of Medicaid rules for…
- February 1, 2022
Children’s Behavioral Health Mobile Response and Stabilization Services
Read moreMobile Response and Stabilization Services (MRSS) is a specific kind of mobile crisis service and stabilization service for children and youth with behavioral health conditions. It is an upstream intervention for children and youth that are beginning to experience an acute behavioral health issue and are in crisis. This…
- January 6, 2022
Section 1115 Waivers: Stop the Ten-Year Approvals
Read moreIn 2017, the Centers for Medicare & Medicaid Services issued a policy announcing its intent to “approve the extension of routine, successful, non-complex” section 1115 waivers for a period of up to 10 years. Thereafter, CMS extended a number of projects for 10 years. This issue brief explains how…
- December 16, 2021
NHeLP Comments on HHS SUNSET Repeal Rule
Read moreIn the HHS SUNSET final rule, HHS sought to retroactively impose a mandatory expiration date on an estimated 18,000 duly promulgated regulations. Even long-standing rules would be automatically rescinded unless they survive a complex process of assessment and review. If implemented, programs like Medicaid and the Children’s Health Insurance…