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- 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)…
- March 6, 2015
Behavioral Health: Medicaid, Managed Care and Children More Questions to Ask
Read moreNHeLP has prepared a list of questions consumers should ask as their states begin working on developing or redesigning their Medicaid managed care programs (Medicaid Managed Care: 20 Questions to Ask Your State, National Health Law Program). This document lists additional questions to ask when behavioral health populations are being either included…
