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- April 21, 2014
NHeLP Comments on Medicaid Program; Increased Federal Medical Assistance Percent
Read moreNHeLP believes HHS? proposed rule is well designed to ensure states are able to receive the enhanced matching funds required by the ACA for newly eligible enrollees. We commend HHS for ensuring that enhanced FMAP funding is available, as required by the ACA, for a wide array of individuals…
- April 21, 2014
The Transition of People Living with HIV/AIDS from Ryan White-Funded Care to California’s Early Medicaid Expansion Program: Lessons Learned and Looking Ahead
Read moreIn 2010, the Federal Centers for Medicare & Medicaid Services (CMS) approved a California Medicaid waiver (pursuant to § 1115 of the Social Security Act) that authorized counties to receive federal Medicaid funds for health services they provide to certain low-income individuals. In July, 2011 California took the first…
- April 14, 2014
Comments on 60-Day and 30-Day MLTSS Duals Notices
Read moreWe urge DHCS to insert a tagline on the notices or include an insert with the notice in the Medi-Cal threshold languages informing LEP beneficiaries how to obtain information in their primary language. While we appreciate that the notice directs beneficiaries to call Health Care Options if they need…
- April 10, 2014
NHeLP Comments to Health Pennsylvania 1115 Proposal
Read moreThe Pennsylvania 1115 Medicaid proposal is an extremely dangerous one. Under the guise of expanding Medicaid it would enact historic cuts to the state's Medicaid program. Second, it tries to waive core Medicaid requirements. Approval of this demonstration as requested would be a serious harm to Medicaid enrollees in…
- April 3, 2014
Q&A: EPSDT Coverage of Nutrition Services
Read moreQ&A Fact Sheet on EPSDT coverage of nutrition selection. EPSDT is a mandatory Medicaid service for children and youth under age 21. Congress clarified and strengthened the EPSDT provisions in 1989, adding, among other things, an explicit "correct or ameliorate" treatment requirement.
- April 3, 2014
Fact Sheet: Medicaid EPSDT Case Trends and Docket
Read moreThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. See 42 U.S.C. §§ 1396a(a)(10)(A), 1396a(a)(43), 1396d(a)(4)(B), 1396d(r). EPSDT is critical for children with disabilities. Over the years, however, states have not adhered to their responsibilities, and litigation has resulted.…