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- February 9, 2015
Top 3 Takeaways: Burr-Hatch-Upton Plan to Replace the ACA
Read moreOn February 4, 2015, three Republican legislators released a plan to replace the Affordable Care Act (ACA). The Burr-Hatch-Upton plan (BHU) is titled the Patient Choice, Affordability, Responsibility, and Empowerment Act. After reading the legislators' summary of the proposal, NHeLP identified three key takeaways, which are outlined in our…
- January 29, 2015
Lessons from CA: The Seamless Transition from Marketplace to Medicaid
Read moreThe Affordable Care Act anticipated that consumers would have to transition from different forms of coverage, such as from Medicaid to marketplace coverage, as their eligibility changed. As a result, the law required that coverage programs coordinate to ensure a seamless transition without burdening enrollees. This month's Lessons from…
- January 29, 2015
Health Consumer Alliance Letter on Medi-Cal and Covered CA Transitions
Read moreDownload the document for full publication text.
- January 29, 2015
Covered CA Notice for Transitioning Enrollees 2nd Notice
Read moreDownload the document for full publication text.
- January 29, 2015
Q&A: CMS Guidance on EPSDT Services for Children with ASD in Medicaid
Read moreUnder longstanding Medicaid law, the state Medicaid agency must cover particular treatments "including intensive behavioral services" if they are coverable Medicaid services, necessary to correct or ameliorate a child's ASD, and no alternative, equally effective treatment is appropriate for the child. A recent CMS guidance letter and FAQ discuss…
- January 22, 2015
Order Granting Preliminary Injunction in Rivera v. Douglas
Read moreJanuary 20 Alameda County Superior Court ruling that if California is unable to determine whether an applicant is eligible for Medi-Cal (Medicaid) within 45 days, it must grant that applicant temporary health benefits. This is an important victory for low-income Californians who have been waiting for Medi-cal determinations.