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July 13, 2023
Comments on Proposed Medicaid Access Rule
Jennifer Lav, Wayne Turner, David Machledt, Abigail Coursolle, Dania Douglas, Charly Gilfoil, Jasmine Young, and Madeline Morcelle Comments
CMS proposed changes and additions to regulations enforcing the "equal access" provision of Medicaid. These changes would strengthen opportunities for enrollees' input and oversight of state Medciaid programs, would help promote access to Medicaid services, would improve quality of care, and promoting transparency and adequate payment for fee-for-service Medicaid.…
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June 8, 2023
[Webinar] Managed Care
David Machledt and Daniel Young Student Webinars
A broad overview of the managed health care delivery system, what managed care is, why it’s attractive to states, the incentives managed care organizations have to cut services, and why that creates a need for accountability. This session will also cover critical policy issues including proposed changes to managed…
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May 17, 2023
Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights
Abigail Coursolle and Nancy Lam Issue Brief
Medi-Cal covers Specialty Mental Health Services (SMHS) for beneficiaries who need them. In California, County Mental Health Plans (MHPs) are responsible for providing SMHS to Medi-Cal beneficiaries of all ages. This issue brief analyzes the legal requirements that require MHPs to ensure Medi-Cal beneficiaries’ access to SMHS and maintain…
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May 3, 2023
NHeLP Summary of Proposed Access and Managed Care Rules
Sarah Somers Fact Sheet
Last week, the Centers for Medicare and Medicaid Services (CMS) released two proposed rules intended to improve access to care, quality and health outcomes, and address health equity issues. The first, Medicaid Program: Ensuring Access to Services (Access Rule), addresses in Medicaid fee-for-service, managed care, and HCBS program. The…
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April 17, 2023
What Makes Medicaid, Medicaid? Access
Abigail Coursolle, Wayne Turner, David Machledt, and Carly Myers Issue Brief
Medicaid is designed to include many protections that ensure that beneficiaries get more than a coverage card. Medicaid ensures that beneficiaries have access to a range of services specifically designed for their needs. In this fourth paper in our "What Makes Medicaid, Medicaid?" series, NHeLP experts explain the provisions…
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April 17, 2023
What Makes Medicaid, Medicaid?
Wayne Turner Issue Brief, Fact Sheet
With the passage of the Affordable Care Act (ACA) in 2010, and the implementation of Medicaid expansions and Marketplaces in 2014, the U.S. significantly expanded access to health insurance coverage. Architects of the ACA rightly viewed Medicaid as an essential piece of the universal coverage puzzle. Indeed, Medicaid is…
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Comments on Proposed Medicaid Access Rule

[Webinar] Managed Care

Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights

NHeLP Summary of Proposed Access and Managed Care Rules

What Makes Medicaid, Medicaid? Access