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.
- 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
NHeLP Matters – March 2015
dfitzgeraldSummary of recent accomplishments of NHeLP including work to end HIV discrimination, protecting court access and Medicaid, and advancing…
- 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
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…
- 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…
- March 6, 2015
Behavioral Health: Medicaid, Managed Care and Children More Questions to Ask
dfitzgeraldNHeLP has prepared a list of questions consumers should ask as their states begin working on developing or redesigning their…
- March 4, 2015
HCA Letter to Covered California Appeals
dfitzgeraldHCA letter to Covered California on consumer barriers in the appeals process.
- March 2, 2015
NHeLP Letter on Summary of Benefits and Coverage (SBC) and Uniform Glossary
dfitzgeraldNHeLP comment letter on the Summary of Benefits and Coverage (SBC) and the Uniform Glossary. With the implementation of…
- February 28, 2015
Postpartum LARC Resource Guide
dfitzgeraldEvery woman should have affordable and timely access to all safe and effective contraceptive options, including long-acting reversible contraceptive…
- February 25, 2015
Assister and Advocate Alert: Healthcare.gov Is Incorrectly Counting Social Security Incomes for Tax Dependents
dfitzgeraldCMS has confirmed that healthcare.gov is counting Social Security income received by children and other tax dependents in computing…
- February 23, 2015
MAGI, Streamlined Applications, and Medicaid Family Planning Expansions
Erin Armstrong, External Source, and dfitzgeraldThe Affordable Care Act (ACA) requires states implement a uniform methodology for determining income - modified adjusted gross income…
- February 13, 2015
Top 10 Takeaways: CBO Report on Medicaid Spending Caps
dfitzgeraldNHeLP's Top 10 Takeaways from the November 2013 CBO report illustrating why spending caps in Medicaid are a bad…
- February 9, 2015
Top 3 Takeaways: Burr-Hatch-Upton Plan to Replace the ACA
dfitzgeraldOn February 4, 2015, three Republican legislators released a plan to replace the Affordable Care Act (ACA). The Burr-Hatch-Upton…
- January 29, 2015
Q&A: CMS Guidance on EPSDT Services for Children with ASD in Medicaid
dfitzgeraldUnder longstanding Medicaid law, the state Medicaid agency must cover particular treatments "including intensive behavioral services" if they are…
- January 26, 2015
NHeLP Comments on NAIC’s Managed Care Plan Network Adequacy Model Act
dfitzgeraldNHeLP Comments on National Association of Insurance Commissioners Managed Care Plan Network Adequacy Model Act
- January 20, 2015
2015 HHS Federal Poverty Guidelines
External SourceUpdated HHS poverty guidelines to account for last calendar year's increase in prices as measured by the Consumer Price…
- January 14, 2015
Health Advocate: Our New Year’s Resolutions
Susan Berke Fogel, Jane Perkins, and Mara YoudelmanThis edition of the Health Advocate previews what is ahead in the coming months including the continuing theme of Medicaid…
- January 13, 2015
Amicus brief of the National Health Law Program in Armstrong v. Exceptional Child Center
dfitzgeraldAmicus brief by NHeLP and advocates supporting the respondents and arguing that the history and purpose of the Medicaid…