Each year, the National Health Law Program (NHeLP) spends the month of April celebrating the lifesaving program that is Medicaid. Medicaid provides quality health care to more than 80 million people in the nation. Below is a curated selection or resources and cases we believe highlight our advocacy over the past year.
- July 23, 2013
NHeLP Comments: Medicaid Program; State Plan Home and Community-Based Services, 5-Year Period for Waivers, Provider Payment Reassignment, and Setting Requirements for Community First Choice
Andy DiAntonioComment letter to CMS on home and community-based services (HCBS) emphasis the promotion of self-directed HCBS, person-centered services and…
- July 23, 2013
Model Medicaid Managed Care Contract Provisions — Complaint and Grievance Proc
Andy DiAntonioThis model complaint procedure supercedes earlier versions from August 1998, October 1997 and March 1997. This process is intended…
- July 23, 2013
Model Managed Care Complaint Process (revised May ’99)
Jane PerkinsThis model complaint procedure supercedes earlier versions. This process is intended for use in state-based managed care programs, particularly…
- July 23, 2013
HCFA Letter Regarding Due Process Notices In Medicaid/CHIP Programs
Andy DiAntonioOn June 28, 1999, the Health Care Financing Administration sent a letter to the Missouri Department of Social Services…
- July 23, 2013
Summary of Final Rules on Medicaid Managed Care Sanctions
Sarah SomersA review of the changes contained in the sanctions provisions of the final with comment period regulations. This memo…
- July 23, 2013
Comments on Final SCHIP Regulations
Sarah SomersThese are comments on the final regulations implementing Title XXI of the Social Security Act. Title XXI, which authorizes…
- July 23, 2013
Circuit Courts Hold Private Citizens Can Enforce the Medicaid Act
Andy DiAntonioCircuit Courts Hold Private Citizens Can Enforce the Medicaid Act The Sixth and Fourth Circuit Courts of Appeal have…
- July 23, 2013
Fourth Circuit Allows Medicaid Case to Proceed
Andy DiAntonioOn May 9th, the Fourth Circuit Court of Appeals became the first circuit court to decide a novel…
- July 23, 2013
The New Federalism: Strict construction v. Ahistorical literalism
Jane PerkinsThis memo provides background on the Eleventh Amendment, sovereign immunity, and the Ex parte Young exception; and summarizes past…
- July 23, 2013
Gonzaga University v. Doe: Supreme Court Tightens Scope of Rights Enforceable U
External SourceThis paper describes the Supreme Court holding that one provision of the Federal Educational Rights and Privacy Act (FERPA)…
- July 23, 2013
Q & A: Are Children in Juvenile Detention Eligible for Medicaid?
Andy DiAntonioQuestion: A juvenile court judge who is concerned about health care services for children in state custody has…
- July 23, 2013
EPSDT Case Docket – Behavioral and Mental Health
Jane PerkinsThis docket summarizes published, reported, and unreported federal and state court cases that discuss the Medicaid EPSDT program as…
- July 23, 2013
Fifth Circuit Issues Good Opinion on Sovereign Immunity
Andy DiAntonioOn August 11, in a 2-1 opinion, the Fifth Circuit affirmed a district court decision that state officers,…
- July 23, 2013
States Ignore Due Process Protections – 1.6 Million Medicaid Beneficiaries At Risk
Andy DiAntonioRecent changes in federal law, including the Personal Responsibility and Work Opportunities Reconciliation Act (PRWORA) and the Contract with…
