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June 28, 2021
Closing The Medicaid Coverage Gap: Preventing a Separate and Unequal Result
Madeline Morcelle Article
Expanding Medicaid is an urgent moral, anti-racist, health equity, reproductive justice, and economic imperative. Yet today, policymakers in twelve states refuse to do so—a discriminatory political choice intertwined with racism in policymaking. The result is the Medicaid coverage gap: an estimated 4.4 million people with low incomes—nearly all of…
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June 16, 2021
Primer: State Plan Amendments v. Section 1115 Waivers
Catherine McKee and Jane Perkins Fact Sheet
Tension 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.…
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June 15, 2021
State Approaches to Improving Reproductive and Sexual Health
Priscilla Huang Issue Brief
NHeLP 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…
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June 11, 2021
Demanding Ascertainable Standards: Medicaid as a Case Study
Jane Perkins Issue Brief, Article
State 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…
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June 11, 2021
Helping Families Obtain Durable Medical Equipment and Supplies Through The California Children’s Services (CCS) Program
Alicia Emanuel and Michelle Lilienfeld Issue Brief
This advocates issue brief provides the framework for accessing Durable Medical Equipment and medical supplies through the California Children's Services (CCS) program, including: a program overview, existing guidance on how to access services in Whole Child Model and traditional counties, considerations when children have Medi-Cal and/or other health coverage,…
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June 10, 2021
NHeLP AHRQ Comments
Elizabeth Edwards, David Machledt, Skyler Rosellini, and Liz McCaman Taylor Comments, Issue Brief
In 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,…
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Closing The Medicaid Coverage Gap: Preventing a Separate and Unequal Result

Primer: State Plan Amendments v. Section 1115 Waivers

State Approaches to Improving Reproductive and Sexual Health

Demanding Ascertainable Standards: Medicaid as a Case Study

Helping Families Obtain Durable Medical Equipment and Supplies Through The California Children’s Services (CCS) Program

NHeLP AHRQ Comments