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- January 6, 2025
Best Practices for Medicaid Secret Shopper Survey Implementation
Read moreNetwork adequacy has long been a challenge in Medicaid managed care. According to one 2023 survey, 1 in 3 Medicaid enrollees report that in the past year an in-network provider they needed to see did not have available appointments. To address these challenges, the 2024 Managed Care Access final…
- December 18, 2024
Medicaid coverage of sexual health services
Rory Peters, Wayne Turner, and Fabiola De Liban Fact SheetRead moreThis factsheet describes how Medicaid covers sexual health services. It follows the World Health Organization’s definition of sexual health, which is “the state of physical, emotional, mental and social well-being in relation to sexuality.” It then outlines the different types of sexual health services that can be covered under…
- December 18, 2024
Per Capita Caps vs. Block Grants in Medicaid
Read moreWhat is the difference between per capita caps and block grants in Medicaid? Both are tools long championed by Medicaid detractors as ways to supposedly improve the Medicaid guarantee. In this updated one-page fact sheet, NHeLP explains that the differences are minor, but both would produce similar results — either tool would cost…
- December 18, 2024
What Is a Per Capita Cap and How Would It Impact Medicaid?
Read moreA per capita cap is a financing mechanism to dramatically cut Medicaid funding. NHeLP explains how a per capita cap would work. And how it would cost states billions of dollars and slash health care services for older adults, persons with disabilities, pregnant people, low-income children, and other vulnerable…
- December 18, 2024
What Is a Block Grant and How Would It Impact Medicaid?
Mara Youdelman Fact SheetRead more - December 16, 2024
A Quick and Easy Method of Screening for Medicaid Eligibility under the Pickle Amendment: 2025 Update
Read moreWith help from Gordon Bonnyman from the Tennessee Justice Center, National Health Law Program provides the 2025 updated "A Quick and Easy Method of Screening for Medicaid Eligibility under the Pickle Amendment," a screening tool and chart to determine if clients may be Medicaid eligible under the Pickle Amendment.…