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- December 13, 2024
Know Your Appeal Rights for the California Children’s Services Program
Read moreThe CCS Program can often be challenging to navigate for families with children with complex health needs. CCS children and their families who experience delays, denials, reductions, discontinuances or other changes to their CCS benefits have the right to appeal, including CCS children with Medi-Cal who have the additional…
- December 9, 2024
State of the States (November 2024): Efforts to Expand Access to Doula Care in Medicaid and Private Insurance
Read moreAs 2024 draws to a close, a slim majority of states – 27 total plus Washington DC – have either already implemented or are in the process of implementing Medicaid coverage for doula care. There has also been a dramatic increase in interest in expanding access to doula care in the private insurance…
- December 2, 2024
NHeLP Comments on Mandatory Medicaid and Children’s Health Insurance Program (CHIP) Core Set Reporting
Read moreThese comments respond to a CMS proposed rule that would require annual reporting on a core set of measures for Medicaid and CHIP children, as well as a core measure set for adult behavioral health. NHeLP supports efforts to strengthen data collection and quality reporting in the Medicaid and…
- November 7, 2024
Medi-Cal Services & Supports for Californians Transitioning Out of Incarceration
Read moreIn California, roughly one million adults and youth involuntarily enter or are released from a California public carceral system annually. At least 80 percent of individuals who are incarcerated in California are eligible for Medi-Cal and would benefit from Medicaid-covered services. In 2021, California rolled out the California Advancing…
- October 4, 2024
Fact Sheet: Medi-Cal Coverage of Transcranial Magnetic Stimulation (TMS)
Hector Hernandez-Delgado Fact SheetRead moreTranscranial magnetic stimulation (TMS) is an evidence-based device and procedure used in the treatment of major depresisve disorder (MDD) and is an important mental health service covered by the Medi-Cal program. This fact sheet summarizes the history and evidence of TMS as well as the coverage status among Medicare,…
- August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Read moreAlthough Medical Care Advisory Committees (MCACs) have been federally required for nearly forty years, some states have seriously underutilized this opportunity to monitor and improve their Medicaid programs. In May 2024, the Centers for Medicare & Medicaid Services (CMS) updated regulations implementing MCACs. New requirements for the renamed Medicaid…