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… results in Medicaid.
  • November 1, 2016

    Lessons from California

    Abbi Coursolle

    Decades after being ordered by a state appeals court to adhere to Medicaid law, California's Medicaid agency, Medi-Cal, starting in 2017 will be required by state law to ensure it is providing transportation services to Medicaid beneficiaries, writes Staff Attorney Abbi Coursolle in this month's Lessons from California. Coursolle…

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  • October 27, 2016

    Health Advocate: Oral Health Update

    In this month's Health Advocate, Senior Attorney Michelle Lilienfeld examines the status of oral health of our most vulnerable populations. Beyond coverage issues, Lilienfeld explores some of the other barriers preventing children and adults living on limited incomes from accessing quality oral health care services. For instance, many dental…

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  • October 24, 2016

    Health Advocates Urge CHIP Extension

    External Source and

    NHeLP joins other national health care and children's advocacy groups urging Congress to extend the Children's Health Insurance Program (CHIP). CHIP was first enacted in 1997 to provide funding to states to reduce the numbers of  uninsured  children, focusing on low income children in working families who don't have…

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  • October 14, 2016

    Issue Brief 7: Medicaid Managed Care Final Regulations: BSS

    Senior Attorney Elizabeth Edwards provides analysis and guidance on the updated rule regarding managed care plans in Medicaid, and how it relates to new requirements around beneficiary support systems (BSS). Edwards explains that the updated rule, adopted this year by the U.S. Department of of Health and Human Services…

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  • October 4, 2016

    Issue Brief: A Primer on Reference Pricing & VBID

    Cost sharing is too often a tool that prevents low-income individuals from being able to access quality and timely health care services. Health care experts, however, are exploring other mechanisms, such as Value-Based Insurance Design (VBID) and its Reference Pricing ways to address shortcomings of cost sharing. VBID, at…

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  • September 1, 2016

    Q&A: Adequacy of Medicaid Fee-For-Service Payments Final Rule

    The federal Centers for Medicare & Medicaid Services (CMS) have issued final regulations establishing a process for states to comply with the Medicaid Act's requirements that payments be sufficient to ensure adequate provider participation in the program. This Q&A discusses those requirements and provides tips for advocates who want…

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