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- June 8, 2023
[Webinar] Managed Care
Read moreA 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…
- May 17, 2023
Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights
Read moreMedi-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…
- May 3, 2023
NHeLP Summary of Proposed Access and Managed Care Rules
Read moreLast 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…
- April 17, 2023
What Makes Medicaid, Medicaid? Access
Read moreMedicaid 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…
- April 17, 2023
What Makes Medicaid, Medicaid?
Read moreWith 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…
- March 16, 2023
Protect Medicaid Funding series (2023)
Michelle Yiu, Emma Parker-Newton, David Machledt, Amy Chen, Madeline Morcelle, Héctor Hernández-Delgado, Catherine McKee, Mara Youdelman, Wayne Turner, Dania Douglas, and Charly Gilfoil Fact SheetRead moreA 2024 update of this series can be found here. In an updated series of fact sheets called Protect Medicaid Funding, NHeLP provides succinct analysis of the policy proposals that if enacted would jeopardize the health and financial security of the tens of millions of low-income individuals who depend…