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- 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…
- February 24, 2023
Medi-Cal Dyadic Services Advocates and Consumer-Facing Factsheets
Read moreEffective January 1, 2023, Medi-Cal covers dyadic services for the entire family based on the Medicaid eligibility of a child (aged 0-20). To inform advocates and families this important new Medi-Cal benefit, NHeLP publishes a set of advocate-facing and consumer-facing factsheets on Medi-Cal Dyadic Services. Dyadic Services Factsheet (Consumers)…
- 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…
- 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…
