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- May 29, 2015
Lessons From CA: Essential Health Benefits
Read moreIntroduced by the Affordable Care Act, the Essential Health Benefits (EHBs) are a set of ten health care service categories that non-grandfathered health plans in the individual and small group markets must cover. States are in the process of making important decisions about the EHBs, therefore this is a…
- May 14, 2015
Survey of Medicaid Managed Care Contracts: EPSDT Vision and Hearing Services
Read moreAn estimated 25 percent of all school children in the United States have some type of vision problem significant enough to affect daily life and school performance. Similarly, despite the proliferation of hospital-based newborn hearing screening programs, a significant number of children with possible hearing loss are not receiving…
- May 8, 2015
EHB Prescription Drug Standard – Exceptions Process
Read moreIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice…
- May 8, 2015
EHB Prescription Drug Standard – Formulary Transparency
Read moreIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice…
- March 10, 2015
Common Issues, Model Comments & State Samples for HCBS Transition Plans: A Tool for Continued Advocacy
Read moreAdvocacy on State Transition Plans for compliance with the recent HCBS regulations on community settings is ongoing from comments on draft and final plans to implementation issues and plan revisions. This document identifies common issues in transition plans, model comments for those issues, and a compilation of comments from…
- March 9, 2015
Essential Health Benefits Update and Advocacy Opportunities
Read moreOn February 20th, 2015, the Department of Health and Human Services issued the Notice of Benefit and Payment Parameters for 2016 final rule (Final Rule 2016), which among changes in other areas, finalized changes to the Essential Health Benefits (EHB) standard. This fact sheet provides an overview of 1)…
