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
EPSDT Update For Child Health Insurance and Medicaid Advocates
Andy DiAntonioNovember 20, 1997 Prepared by Jane Perkins, Lourdes Rivera, and Kristi Olson--National Health Law Program Abigail English…
- July 23, 2013
Model Medicaid Managed Care Contract Provisions — Third Party Beneficiaries
Andy DiAntonioNHeLP Model Medicaid recipients enrolled in managed care are the intended third-party beneficiaries of contracts…
- July 23, 2013
Model Medicaid Managed Care Contract Provisions — Member Advocates
Andy DiAntonioNHeLP Model Member Advocate Requirements -- The health plan must employ one or more member…
- July 23, 2013
Model Medicaid Managed Care Contract Provisions — A Primer on Medicaid Managed
Jane PerkinsBrief Introduction to Medicaid Managed Care ContractingTo control Medicaid expenditures and expand access to health care, states are requiring…
- July 23, 2013
Model Medicaid Managed Care Contract Provisions — Medical Necessity Definition
Andy DiAntonioIntroduction The definition of "medical necessity" raises two general issues of concern to consumers: …
- July 23, 2013
Consumer-Oriented Approaches to Problem Solving in Medicaid Managed Care
Jane PerkinsThis working paper answers some of the questions surrounding the use of ombudsprograms and member advocates in the Medicaid…
- July 23, 2013
New Childhood Lead Poisoning Report Issued (Jan. ’99)
External SourceThe General Accounting Office has just issued another report that concludes that federal health programs are not effectively…
- July 23, 2013
The 1999 Health Care Access Bill, AB 525: Testimony before the California Assem
Andy DiAntonioTestimony Presented by: Lourdes A. Rivera, Staff Attorney National Health Law Program Hearing…
- July 23, 2013
Recommendations for Making Consumers’ Voices Heard in Medicaid Managed Care
External SourceRecommendations for Making the Consumers? Voice Heardin Medicaid Managed Care: A Guide to Effective Consumer Involvement …
- July 23, 2013
Reproductive Health Services and Expansion of Religious Health Entities: Bill I
Andy DiAntonioThis paper discusses a California bill aimed at ensuring access to reproductive health services despite the expansion of religious…
- 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
Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You Whe
Andy DiAntonioMedicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You When They Deny Reproductive Health Services?July…
- July 23, 2013
Factsheet: Prescription Drug Coverage Under Medicaid (1999)
Andy DiAntonioPrepared by: Claudia Schlosberg, Staff Attorney Sareena Jerath, Law Clerk July…
- July 23, 2013
Federal Pronouncements Mark Lead Poisoning Prevention Week
Andy DiAntonioThe Child Health Law and Policy Project of the National Health Law Program Prepared by:…
- July 23, 2013
HCFA Dear State Medicaid Director Letter Provides Guidance on Olmstead Decision
External Source and Andy DiAntonioDear State Medicaid Director:The recent Supreme Court decision in Olmstead v. L.C., 119 S.Ct. 2176 (1999), provides an important…
