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November 25, 2024
Improving HCBS Waivers through Public Comment
Elizabeth Edwards and David Machledt Webinar
This webinar trains advocates how to navigate, analyze, and comment on 1915(c) waivers, the most common form of Medicaid HCBS programs. States must regularly renew and amend 1915(c) waivers, and give stakeholders the opportunity to provide input and suggest changes. Our expert presenters shared our recently published commenters' guide…
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September 12, 2024
Overview of Key Home and Community-Based Services (HCBS) Provisions in the Medicaid Access Rule
Jennifer Lav and David Machledt Fact Sheet
The Medicaid Act requires that state payments for Medicaid are sufficient to provide at least equivalent access to care for Medicaid beneficiaries as the general population in any given geographic area. Over the years, CMS has tried to enforce payment adequacy via increased monitoring and other requirements, but these…
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September 11, 2024
Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues
Elizabeth Edwards Guide
Medicaid home and community-based (HCBS) § 1915(c) waivers provide critical services for people with disabilities across the country. These waivers change because states often submit amendments to these waivers and the waivers also have to be renewed every few years. Each time a waiver is renewed or amended, states…
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July 9, 2024
NHeLP Statement for the Record on the Need to Expand Intensive Home and Community-Based Behavioral Health Services
Geron Gadd and Jennifer Lav Testimony
NHeLP submitted the following Statement for the Record in response to the Senate Committee on Finance's Hearing on "Youth Residential Treatment Facilities: Examining Failures and Evaluating Solutions." The statement highlights the need for focused expansion of quality intensive home and community-based Medicaid services, in order to meaningfully address the…
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May 30, 2024
The HCBS Settings Rule: Looking Back and Forging Ahead
David Machledt and Syd Pickern Issue Brief, Manual/Report, Guide
This report from the National Health Law Program and the Community Living Policy Center provides recommendations for the continued implementation of the 2014 Medicaid Home and Community-Based Services (HCBS) Settings Rule after the very lengthy transition phase to implement the new requirements formally ended in 2023. It is based…
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April 17, 2024
New Medicaid & CHIP Eligibility and Enrollment Rule: What Advocates Need to Know
Charly Gilfoil and Alicia Emanuel Guide
In April 2024, HHS published a final rule that seeks to reduce complexity in Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP) related to eligibility and enrollment. The rule also seeks to ensure that eligible individuals – including children, older adults, and individuals with…
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Improving HCBS Waivers through Public Comment

Overview of Key Home and Community-Based Services (HCBS) Provisions in the Medicaid Access Rule

Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues

NHeLP Statement for the Record on the Need to Expand Intensive Home and Community-Based Behavioral Health Services

The HCBS Settings Rule: Looking Back and Forging Ahead

New Medicaid & CHIP Eligibility and Enrollment Rule: What Advocates Need to Know