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- August 14, 2024
Medi-Cal Intensive Care Coordination (ICC) & Intensive Home Based Services (IHBS): Access Standards and Beneficiary Rights
Carly Myers and Kim Lewis Fact SheetRead moreSome county mental health plans (MHPs) have policies and practices on ICC and IHBS that do not comply with state law and policy, such as imposing additional eligibility criteria or requiring prior authorization for ICC. This factsheet reviews the correct legal standards for ICC and IHBS access and outlines…
- July 15, 2024
Coalition Letter on California’s Essential Health Benefits Benchmarking
Read moreCalifornia is currently in the process of evaluating the State's Essential Health Benefits benchmark plan. In response to a request for comment from the Department of Managed Health Care, NHeLP and a coalition of statewide health advocacy organizations submitted a letter explaining why the benchmarking process presents an opportunity…
- July 11, 2024
NHeLP Letter to CCIIO on DC EHB Procedural Defect
Read moreNHeLP urges the HHS Center for Consumer Information and Insurance Oversight (CCIIO) to reject the District of Columbia's recent EHB benchmark plan update due to procedural defects. Specifically, the DC Department of Insurance, Securities and Banking and DC HealthLink announced a public comment period only days before the submission…
- June 3, 2024
Addressing Language Access for Reproductive Telehealth Care
RHITES, COLOR Latina, Frontera Fund, and National Health Law Program (NHeLP) Fact SheetRead moreRHITES latest factsheet created in partnership with COLOR Latina, Frontera Fund and the National Health Law Program dives deeper into how folks with limited English proficiency (LEP) face systemic inequities when trying to access health care, including unique challenges to benefiting from telehealth services. Highlights include: ➡️ About one…
- May 30, 2024
North Carolina Tailored Plan Network Adequacy: Acute Care Hospitals Update
Daniel Young Fact SheetRead moreNorth Carolina is launching Tailored Plans on July 1, 2024 to manage the behavioral health and physical health services for beneficiaries in need of enhanced services for a mental health disorder, substance use disorder, intellectual/developmental disability (I/DD), or traumatic brain injury (TBI). A Tailored Plan’s provider network is critical…
- May 22, 2024
Crosswalk Between Coverage of Behavioral Health Services in Medi-Cal and Private Plans in California
Read moreCalifornia is currently undergoing efforts to align coverage of behavioral health services in Medi-Cal (the State's Medicaid program) with coverage in private plans. To inform those efforts, this resource compares mental health and substance use disorder coverage requirements imposed, in state and federal law, on Medi-Cal with coverage requirements…
