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.
- September 23, 2015
Health Advocate: Nondiscrimination and the ACA
Mara YoudelmanIn this month's Health Advocate, NHeLP provides an overview of the proposed regulation implementing Section 1557 of the ACA.…
- 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 31, 2015
Step Guide to Reviewing Your State’s 2017 Essential Health Benefits Benchmark
Michelle LilienfeldIntroduced by the Affordable Care Act, Essential Health Benefits (EHB) are a set of ten health care service categories…
- August 14, 2015
Managed Care in California Series, Issue 4: Internal Grievances and External Review
Abbi Coursolle and Andy DiAntonioFederal 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 Coursolle and Andy DiAntonioFederal and state law and the Constitution ensure that enrollees in publicly-funded health care plans receive notice, grievance and…
- 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…
- July 29, 2015
Issue No. 5 – Pharmacy and Therapeutics Committees
Wayne TurnerIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service…
- July 29, 2015
Issue No. 4 – United States Pharmacopeia Classification System
Michelle LilienfeldIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service…
- July 24, 2015
Improving Coverage: Using State Law to Maximize Access to Family Planning and Abortion Services
Susan Berke Fogel and Catherine McKeeLaws and policies on coverage and access to family planning and abortion services vary significantly from state to state…
- June 30, 2015
Lessons From CA: Ensuring Medi-Cal Plans Provide Hepatitis C Treatments
Abbi Coursolle, Kim Lewis, and Andy DiAntonioIn this month's Lessons from California, we highlight the successful efforts by NHeLP and other advocates to ensure that…
- June 30, 2015
NHeLP Comments on Out-of-Pocket (OOP) Cost Comparison Tool for the Federally-Facilitated Marketplaces
Andy DiAntonioNHeLP comments on May 29, 2015 CMS Bulletin on Proposed Out-of-Pocket (OOP) Cost Comparison Tool for the Federally-facilitated Marketplaces (FFMs).…
- June 29, 2015
Health Consumer Alliance Letter to California Department of Health Services
Abbi Coursolle, Kim Lewis, and Andy DiAntonioThe HCA commends DHCS for expanding the utilization policy to increase the number of people living with hepatitis C…
- June 22, 2015
EHB Prescription Drug Standard Issue No. 3 – Mail-Order Pharmacies
Wayne Turner and Shyaam SubramanianIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service…
- 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 8, 2015
EHB Prescription Drug Standard – Exceptions Process
Michelle LilienfeldIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service…
- May 8, 2015
EHB Prescription Drug Standard – Formulary Transparency
Wayne TurnerIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service…
- March 10, 2015
Common Issues, Model Comments & State Samples for HCBS Transition Plans: A Tool for Continued Advocacy
Elizabeth EdwardsAdvocacy on State Transition Plans for compliance with the recent HCBS regulations on community settings is ongoing from comments…
- March 9, 2015
Essential Health Benefits Update and Advocacy Opportunities
Michelle LilienfeldOn February 20th, 2015, the Department of Health and Human Services issued the Notice of Benefit and Payment Parameters…
- March 6, 2015
Fact Sheet: Medicaid Managed Care Litigation
Sarah SomersThis fact sheet describes recent trends in litigation related to Medicaid managed care, highlighting selected cases. It also includes…
