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
Notice of Class Action Settlement for Dual Eligibles
External SourceFor full publication text, download document.
- July 23, 2013
Medicare Drug Coverage Under Part A, Part B, and Part D
dfitzgeraldBeneficiaries in traditional Medicare can obtain drugs from various parts of the program. This brief and table explains the…
- July 23, 2013
CMS Guidance on Formulary Changes During the Plan Year
dfitzgeraldThis guidance sets limits on plans changing their formulary during a plan year.
- July 23, 2013
CMS Final Guidance Medicare Part D Formulary Plan Review
dfitzgeraldThis 2007 final guidance outlines how CMS will review Medicare Part D prescription drug benefit plans to ensure their…
- July 23, 2013
CMS Part D Drugs — Part D Excluded Drugs
External SourceThis chart lists commonly requested drugs and whether they are included or excluded on Medicare's Part D formulary.
- July 23, 2013
Medicare Parts B-D Prescription Drug Flashpoints Table
dfitzgeraldThis table provides a quick and easy reference guide for the most frequent B/D coverage determination scenarios facing Part…
- July 23, 2013
When Your Client Cannot Get Prescription Medications: Flowchart of Part D Appea
External SourceThis flowchart developed by NHeLP and the National Senior Citizens Law Center guides advocates through the appeals, exceptions and…
- July 23, 2013
Q&A: Medicare Part D for Dual Eligibles
dfitzgeraldQuestion: My client is a retiree over the age of 65. She continues to get health care benefits…
- July 23, 2013
Q&A: EPSDT and the Medicare Prescription Drug Benefit
dfitzgeraldIndividuals dually eligible for Medicare and Medicaid receive their prescription drug coverage through Medicare Part D. This Q&A addresses…
- July 23, 2013
Q&A: Dual Eligibles and Medicare Part D Prescription Drugs
dfitzgeraldThis Q&A addresses questions about the implementation of the Medicare Part D prescription drug benefit and its interaction with…
- July 23, 2013
Final Medicare Prescription Drug Regulations
External SourceThis fact sheet describes the regulations and background around the Medicare Part D. prescription drug benefit
- April 16, 2013
NHeLP’s 5 Ways Health Reform Helps Older Adults and Individuals with Disabilities
Leo Cuello and David MachledtHealth reform improves both Medicaid and Medicare, programs that are critical for older adults and persons with disabilities. NHeLP?s…
- April 11, 2013
Health Advocate: Major Changes for Individuals Who Are Dually Eligible
David MachledtThis issue of the Health Advocate provides background on individuals eligible for both Medicare and Medicaid (?dual eligible beneficiaries?)…