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.
- June 10, 2016
Issue Brief 4: Medicaid Managed Care Final Regulations: Quality and Transparency
David Machledt and Wayne TurnerThis issue brief will review selected provisions in the final rule, Medicaid and Children's Health Insurance Program (CHIP) Programs,…
- 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 26, 2016
Issue Brief 3: Medicaid Managed Care Regulations: Network Adequacy & Access
Abbi CoursolleThis issue brief will review selected provisions in the final rule, Medicaid and Children's Health Insurance Program (CHIP) Programs,…
- May 19, 2016
Health Advocate: Medicaid Managed Care Final Regulations Released
Sarah SomersIn this month's Health Advocate, we summarize some of the major provisions in the final rule that are new…
- May 12, 2016
Issue Brief 2: Medicaid Managed Care Final Regulations Grievance & Appeals Systems
Jane PerkinsThis issue brief will review selected provisions in the final rule, Medicaid and Children's Health Insurance Program (CHIP) Programs,…
- May 6, 2016
Issue Brief 1: Medicaid Managed Care Final Regulations and Health Equity
Mara YoudelmanThis issue brief reviews selected provisions in the final rule, Medicaid and Children's Health Insurance Program (CHIP) Programs, Medicaid…
- April 26, 2016
Covered California: 2016 Benefit Designs: Cost Sharing for Prescription Drugs & Tiered Network Designs
Abbi Coursolle and Kim LewisRecommendations concerning the changes the California Covered Board will contemplate at its Board meeting this month regarding the 2016…
- April 26, 2016
Issue Brief: Highlights of the Medicaid Managed Care Final Regulations
Sarah SomersHHS issued the final Medicaid Managed Care rule on April 25, 2016. This issue brief provides initial highlights of…
- April 22, 2016
Managed Care in California Series, Issue 7: Monitoring Access in the Medi-Cal Program
Abbi CoursolleThe federal Centers for Medicare & Medicaid Services (CMS) recently approved a request by the California Department of Health…
- April 20, 2016
Health Advocate: Section 1332 Waivers for State Innovation and Medicaid
Leo Cuello and dfitzgeraldIn December 2015, CMS provided guidance on section 1332 waivers and clarified the interactions between section 1332 and Medicaid.…
- March 17, 2016
Health Advocate: HCBS State Transition Plans & Implementation Updates
David MachledtIn this month's Health Advocate, we assess CMS regulations that define the home and community-based services (HCBS) delivery system…
- 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…
- January 25, 2016
Health Advocate: 2016: Our New Year’s Resolutions
Mara YoudelmanWe're off to a roaring start in 2016 with over 8.5 million individuals enrolled in health insurance through the…
- January 20, 2016
Managed Care in California Series, Issue 6: Continuity of Care in Medi-Cal Managed Care
Abbi Coursolle and Shyaam SubramanianThere are a number of laws and policies that govern continuity of care for Medi-Cal beneficiaries; some protect access…
- January 20, 2016
NHeLP Equal Access Regulation Comments
Abbi Coursolle, Leo Cuello, and Jane PerkinsMedicaid law requires states to make payments to providers that promote quality and equal access to care for Medicaid…
- December 21, 2015
Section 1115 Waiver Chart
Jane PerkinsNHeLP State by State Section 1115 Waiver Chart.
- September 10, 2015
Ensuring that Assessment Tools are Available to Enrollees
Jane PerkinsThe amount of Medicaid services for enrollees, particularly home and community based services, is increasingly being determined through prior…
- August 14, 2015
Managed Care in California Series, Issue 4: Internal Grievances and External Review
Abbi CoursolleFederal and state law and the state and federal constitutions require that beneficiaries in Medi-Cal managed care plans receive…
- August 14, 2015
Managed Care in California Series, Issue 5: Internal Grievances and External Review for Service Denials in Covered California Plans
Abbi CoursolleFederal and state law and the Constitution ensure that enrollees in publicly-funded health care plans receive notice, grievance and…
- 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…