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- November 10, 2014
NHeLP Letter to CMS re: PA State Plan Benefits
Leo Cuello and Jane Perkins LetterRead moreIn this letter to CMS NHeLP recommends that CMS not approve reductions to Pennsylvania's Medicaid state plan benefit pursuant to the approval of Pennsylvania's Medicaid Expansion.
- October 29, 2014
Lessons from CA: Covering Behavioral Health Treatment in Medi-Cal
Read moreIn this month's Lessons from California, we highlight how NHeLP is working with advocates in California to ensure the state is following the federal guidelines from CMS on providing Behavioral Health Treatment to children with Autism Spectrum Disorders and that children receive the treatment they need under Medi-Cal.
- October 27, 2014
Reducing Medicaid Emergency Department Use: Increase Accessibility, Not Copays
Read moreEmergency department care, one of the most frequently cited drivers of health care costs, has become a major target for cost sharing policies. The stereotypical "frequent flyer" who uses the emergency department (ED) for every cough and sniffle has become a powerful, but unwarranted symbol of inefficient spending driven…
- October 16, 2014
Issue Brief: Update on Private Enforcement of the Medicaid Act
Read moreOver the years, Medicaid beneficiaries have asserted claims under the Supremacy Clause of the U.S. Constitution and 42 U.S.C. § 1983 in litigation to enjoin state violations of the Medicaid Act. This Fact Sheet will summarize the history of § 1983 and Supremacy Clause enforcement, provide current point-in-time assessments…
- September 30, 2014
Lessons from CA: Contraceptive Coverage
Read moreIn this month's Lessons from California, we highlight landmark legislation, the Contraceptive Coverage Equity Act (SB 1053, Mitchell), the state just enacted that requires that Medi-Cal managed care organizations (MCO) and most private insurers cover all FDA-approved methods and strictly limits MCO medical management techniques. These important new state…
- September 29, 2014
Q&A on the ACA’s Contraceptive Coverage Requirement
Read moreThe Affordable Care Act (ACA) requires many health insurance plans to provide coverage for certain preventive health services, including contraception, without cost-sharing. These requirements are providing millions of individuals with new or improved access to evidence-based preventive health care without the significant barriers associated with cost-sharing. This Q&A addresses…