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.
- November 19, 2020
California Policy Needs During COVID and Beyond: Due Process
Skyler RoselliniMedi-Cal is a lifeline for Californians during the COVID-19 public health emergency (PHE). Among the many crucial benefits of…
- November 11, 2020
Medicaid External Quality Review: An Updated Overview
David MachledtIn 2016, the Centers for Medicare & Medicaid Services (CMS) updated Medicaid managed care regulations for the first time…
- November 10, 2020
California Policy Needs During COVID and Beyond: Reproductive and Sexual Health
Amy ChenCOVID-19 has changed the landscape for reproductive and sexual health care services, delivery, and access. As has been the…
- July 16, 2020
Amicus: Bellin v. Zucker, U.S. Court of Appeals, Second Circuit
Litigation TeamThe National Health Law Program, along with the Center for Medicare Advocacy and Justice in Aging, filed this brief…
- December 18, 2019
Advocate Fact Sheet: Evaluating Mental Health Plans’ Provision of Medi-Cal Specialty Mental Health Services
Héctor Hernández-DelgadoMedi-Cal beneficiaries in California receive mental health services through two separate managed care systems. Medi-Cal Managed Care Plans (MCPs)…
- October 21, 2019
Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised October, 2019)
Abigail CoursolleFederal and state law and the state and federal Constitutions require that enrollees in Medi-Cal managed care plans receive notice,…
- April 8, 2019
National Health Law Program Comments on HHS Safe Harbor Rule for Outpatient Prescription Drugs
Wayne Turner and Hayley PenanThe U.S. Department of Health and Human Services (HHS) proposed new regulations that would remove safe harbor protections for…
- March 15, 2019
Advocate Fact Sheet: Monitoring Plan’s Provision of Mental Health services to Medi-Cal Beneficiaries
Abigail CoursolleCalifornia has two managed care plans that are responsible for providing mental health care to beneficiaries of Med-Cal, the…
- January 16, 2019
National Health Law Program Comments Regarding Proposed Rule Changes on Medicaid Managed Care and CHIP
Jane Perkins and Sarah SomersThe National Health Law Program in comments to the U.S. Department of Health and Human Services urges it to…
- November 2, 2018
Navigating The Challenges of Medi-Cal’s Mental Health Services in California: An Examination of Care Coordination, Referrals and Dispute Resolution
Kimberly Lewis, Abigail Coursolle, Héctor Hernández-Delgado, Hayley Penan, and Alexis Robles-FradetMedi-Cal plays a crucial role in providing mental health services in California. In 2015, over 600,000 Californians – approximately…
- July 18, 2018
Medi-Cal Coverage of Transportation Services
Cathy Ren, Abigail Coursolle, and Alicia EmanuelWhile Medicaid provides certain kinds of medically assisted transportation, all states have the ability to bolster transportation services and…
- July 17, 2018
Advocates’ Guide to Accessibility in Medicaid Managed Care Grievances and Appeal
dfitzgeraldPursuant to new regulations from the U.S. Department of Health and Human Services (HHS), state Medicaid agencies are now…
- May 25, 2018
NHeLP Urges HHS to Reject Plan to Weaken Medicaid Equal Access Provisions
dfitzgeraldNational Health Law Program in comments to the U.S. Department of Health and Human Services urges the rejection of…
- October 14, 2016
Issue Brief 7: Medicaid Managed Care Final Regulations: BSS
Elizabeth EdwardsSenior Attorney Elizabeth Edwards provides analysis and guidance on the updated rule regarding managed care plans in Medicaid, and…
- October 4, 2016
Issue Brief: A Primer on Reference Pricing & VBID
David MachledtCost sharing is too often a tool that prevents low-income individuals from being able to access quality and timely…
- September 1, 2016
NHeLP Comments to PERM Regulations
Leo CuelloIn comments to the U.S. Department of Health and Human Services, NHeLP Director of Health Policy Leonardo Cuello recommends that HHS…
- September 1, 2016
NHeLP Comments to MACRA Regulations
Leo CuelloIn comments to the U.S. Department of Health and Human Services, NHeLP Director of Health Policy Leonardo Cuello recommends that HHS…
- August 31, 2016
Issue Brief 6: Medicaid Managed Care Final Regulations: Older Adults
Leo CuelloIn this issue brief, Leonardo Cuello reviews the recently finalized Medicaid managed care regulations, and how they impact access…
- July 18, 2016
Issue Brief: Why Are Medicaid Lock-in Programs Used and How Can They Be Improved
Jane PerkinsIn this Issue Brief, Legal Director Jane Perkins explains what Medicaid lock-in programs are, what are the legal requirements…
- June 23, 2016
Issue Brief 5: Medicaid Managed Care Final Regulations and Reproductive Health
Catherine McKeeIn this issue brief, NHeLP Staff Attorney Catherine McKee reviews the recently finalized Medicaid managed care regulations, and how…