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- February 1, 2023
CMS Establishes Guardrails for Section 1115 Demonstrations for Justice-Involved Individuals in California Waiver
Read moreSince Medicaid’s inception, the program has not covered services for any adult who is an “inmate of a public institution,." However, CMS recently granted a first-of-its-kind section 1115 “reentry demonstration” in California, creating a temporary, limited carve-out to the "inmate exclusion." Under the terms of the demonstration, California will…
- January 25, 2023
Medi-Cal Delivery System Changes in 2023 and 2024
Read moreThrough the combination of the ongoing implementation of the California Advancing and Innovating Medi-Cal (CalAIM) program in California and California’s reprocurement of its contracts with commercial health care service plans to deliver services to people in Medi-Cal managed care, California is making major changes to the delivery of Medi-Cal…
- December 22, 2022
An Advocate’s Guide to Medi-Cal Services
Fabiola De Liban, Amy Chen, Abigail Coursolle, Alicia Emanuel, Héctor Hernández-Delgado, T. Nancy Lam, Kimberly Lewis, Carly Myers, Alexis Robles-Fradet, Skyler Rosellini, and Jasmine Young GuideRead moreThe National Health Law Program is pleased to present our updated 2022 Advocates Guide to Medi-Cal Services. NHeLP's Medi-Cal Services Guide, first released in 2020, provides an in-depth description of some of the most important services covered in the Medi-Cal program, including prescription drug services, mental health and substance use…
- December 2, 2022
Managed Care Sanctions: An Important Tool for Accountability
Read moreThis report is part of the National Health Law Program’s ongoing work on accountability in Medicaid managed care, focusing on sanctions, which are one of the tools available to states to hold managed care organizations (MCOs) accountable for failing to meet their obligations. Our research indicates that the states…
- October 18, 2022
Model Contraceptive Equity Act: Legislative Language and Issue Brief
Read moreUpdated October 2023. This paper begins with model legislative language that can serve as a template for state advocates seeking to expand contraceptive coverage. The paper concludes with an issue brief explaining the provisions within the Model Contraceptive Equity Act and how they advance equitable access to contraceptive services…
- October 13, 2022
NHeLP Comments on California Section 1115 Demonstration Five-Year Renewal and Amendment Request: CalAIM Demonstration
Read moreIn comments to HHS, NHeLP urges the Secretary to reject California's plan to renew its Institution for Mental Diseases (IMD) waiver for Medi-Cal beneficiaries with SUD. The comments emphasize concerns with flexibilities sought by the State to allow for longer stays at IMDs for both minors and adults. In…
