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.
- March 15, 2017
Medicaid Services for Children: What’s Covered?
Andy DiAntonioThis fact sheet provides information on health services covered by Medicaid's Early and Periodic, Screening, Diagnostic and Treatment (EPSDT)…
- March 14, 2017
EPSDT is Essential
Jane PerkinsNational Health Law Program Legal Director Jane Perkins in this Issue Brief provides information about Medicaid's pediatric standards of coverage…
- January 11, 2017
The Importance of National Coverage Standards in Medicaid
Jane Perkins and Catherine McKeeCurrently federal Medicaid law ensures that beneficiaries can access health services that reflect standards of care, write Legal Director…
- December 26, 2016
Protect Medicaid Funding: Substance and Opioid Use Disorders
Corey Davis and Hector Hernandez-DelgadoThe tenth issue in NHeLP's Protect Medicaid Funding series examines the vital role Medicaid plays in "preventing and treating…
- October 24, 2016
Health Advocates Urge CHIP Extension
External Source and Andy DiAntonioNHeLP joins other national health care and children's advocacy groups urging Congress to extend the Children's Health Insurance Program…
- June 30, 2016
Q&A: Recoupment Following an Adverse Medicaid Appeal
Jane PerkinsLegal Director Jane Perkins provides guidance on a question regarding Medicaid managed care plans' abilities to recoup costs of…
- June 9, 2016
Q&A: Using Assessment Tools to Decide Medicaid Coverage
Jane PerkinsThis Q&A provides case developments in efforts to ensure that state Medicaid coverage assessment tools are used in compliance…
- June 6, 2016
EPSDT in the Final Medicaid Managed Care Regulations
Jane PerkinsIn a letter to CMS the National Health Law Program asks for an amendment to the final regulations on…
- May 11, 2016
Fact Sheet: Medicaid EPSDT Litigation – Case Trends (Updated June 2, 2016)
Jane PerkinsThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. Promising…
- February 25, 2016
Health Advocate: Medicaid’s EPSDT in Schools versus the Free Care Rule
Sarah SomersIn this month's Health Advocate, we analyze clarifications to the "Free Care Rule," which no longer prevents schools from…
- August 12, 2015
Health Advocate: Essential Health Benefits Overview
Michelle LilienfeldIntroduced by the Affordable Care Act, Essential Health Benefits (EHB) are a set of ten health care service categories…
- August 11, 2015
Model Medicaid Managed Care Contract Provisions: EPSDT Vision and Hearing Services
Jane Perkins, Sarah Somers, and External SourceChildren enrolled in Medicaid are entitled to a comprehensive array of preventive and ameliorative care through the Early and…
- July 20, 2015
State Recommendations to Include Sexuality Education in Health Care Delivery
Jamille Fields and Andy DiAntonioThis brief outlines recommendations that advocates can use to encourage their states to include sexuality education in health care…
- May 29, 2015
Lessons From CA: Essential Health Benefits
Michelle LilienfeldIntroduced by the Affordable Care Act, the Essential Health Benefits (EHBs) are a set of ten health care service…
- May 14, 2015
Survey of Medicaid Managed Care Contracts: EPSDT Vision and Hearing Services
Jane Perkins, Sarah Somers, and External SourceAn estimated 25 percent of all school children in the United States have some type of vision problem significant…
- May 12, 2015
Issue Brief: Vision Services for Children on Medicaid A Review of EPSDT Services
Jane Perkins and Catherine McKeeA significant number of children in the United States are living with undiagnosed vision problems, and low-income children and…
- March 10, 2015
NHeLP Matters – March 2015
Andy DiAntonioSummary of recent accomplishments of NHeLP including work to end HIV discrimination, protecting court access and Medicaid, and advancing…
- March 9, 2015
A Guide to Oversight, Transparency, and Accountability in Medicaid Managed Care
David Machledt, Sarah Somers, and Wayne TurnerIn this publication, NHeLP attorneys have drawn upon decades of experience to support stakeholders as they embark on, or…
