Section 1115 Medicaid waivers allow states to explore new options for providing health coverage to persons who would otherwise not be eligible and allow states to examine innovative ways to deliver care by waiving certain requirements of the Medicaid Act.
While waivers can be important tools that can help states respond to the needs of low-income individuals, they also present concerns for health advocates working to protect the rights of Medicaid enrollees and promote transparency in state waiver processes.
Sec. 1115 of the Social Security Act allows the Secretary of Health and Human Services to waive some requirements of the Medicaid Act so that states can test novel approaches to improving medical assistance for low-income people.
Under the current administration, several states are seeking waivers to impose harmful cuts and restrictions. The first set of harmful waivers have been approved for Kentucky and Arkansas, with a number of states seeking to enact similar changes to Medicaid. Learn more about Medicaid waivers and how the National Health Law Program is combating the Trump administration’s illegal use of waivers to weaken Medicaid.
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- May 21, 2020
Building A Successful Program for Medi-Cal Coverage For Doula Care: Findings From A Survey of Doulas in California
The National Health Law Program’s Doula Medicaid Project seeks to improve health outcomes for pregnant Medicaid enrollees by ensuring that all pregnant individuals enrolled in Medicaid who want access to a doula will have one. As part of this project, the National Health Law Program is proud to publish our report Building A Successful Program For Medi-Cal Coverage For Doula Care: Findings From A Survey of Doulas in California. This report is the distillation of a survey of doulas across California, as well as a series of focus groups held at four locations across the state. Based on the input of the doulas who responded to the survey and participated in the focus groups, the report concludes with a series of recommendations for how to go about creating an equitable, inclusive, and sustainable program for Medi-Cal coverage for doula care here in California. As states across the country have moved to introduce legislation relating to Medicaid coverage for doula care, we want to make sure that any such efforts prioritize the input of doulas and their experience. We hope that this report provides doulas, advocates, agencies, and other stakeholders with the information and insight needed to expand access to…
- April 8, 2020
The COVID-19 pandemic has highlighted the importance of telehealth in delivering critical health care when people are not able to receive health services and supplies in person. Consequently, the state is implementing many policy changes to make sure that Californians are receiving the health care they need. Fortunately, California already had a robust set of policies that advance telehealth for individuals with Medi-Cal, including the Medi-Cal Manual on Telehealth, which was updated in 2019. This fact sheet provides a review of existing Medi-Cal policies that facilitate telehealth delivery and coverage and new guidance issued as a result of the COVID-19 emergency in California.