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… results in Services.
- July 23, 2013
Executive Summary to NHeLP and HCA Comments on California Health Benefit Exchan
Abbi Coursolle and Kim Lewis CommentsRead more - July 23, 2013
NHeLP and HCA Comments on California Health Benefit Exchange Health Plan Polici
Abbi Coursolle and Kim Lewis CommentsRead more - July 23, 2013
Responding to Medicaid Coverage Exclusions and Monetary Caps: A Review of Recen
Read moreQ: Our state Medicaid agency implemented a coverage policy that excludes certain items of medical equipment and places a monetary cap on the amount it pays for some other services. As justification, the State is relying on federal Medicaid regulations, 42 C.F.R. § 440.230(a), which allows states to…
- July 23, 2013
Reviewing Your State’s Essential Health Benefits (EHB) Benchmark Plan Selection
Read moreOn November 20th, the Department of Health and Human Services (HHS) released the Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation proposed rule (?Rule?), which outlines the policies and standards for coverage of EHBs in the individual and small group markets.1 HHS defines EHB based on…
- July 23, 2013
NHeLP Amicus Brief on Medi-Cal Reimbursement Rates: Managed Pharmacy Care v. Sebelius
Byron Gross and Jane Perkins Court DocumentRead more