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November 14, 2014
Health Advocate: Open Enrollment 2 (OE2): What to Expect
Mara Youdelman Health Advocate
The second open enrollment period begins Nov. 15, 2014. While we are leaps and bounds from the road bumps experienced during the first enrollment period, we still have work to do. This edition of the Health Advocate walks through many of the challenges and concerns as we head into…
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November 10, 2014
NHeLP Letter to CMS re: PA State Plan Benefits
Leo Cuello and Jane Perkins Letter
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October 27, 2014
CMS’s guidance on EPSDT Services for Children with ASD
Andy DiAntonio Issue Brief
In July, 2014, the Centers for Medicare and Medicaid Services (CMS) issued guidance clarifying that evidence-based treatments for children with autism spectrum disorders (ASD), including behavioral and communication approaches to treatment, are eligible for federal financial participation under three State Plan authorities. CMS explained that states are obligated to cover…
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October 27, 2014
Reducing Medicaid Emergency Department Use: Increase Accessibility, Not Copays
David Machledt Issue Brief
Emergency department care, one of the most frequently cited drivers of health care costs, has become a major target for cost sharing policies. The stereotypical "frequent flyer" who uses the emergency department (ED) for every cough and sniffle has become a powerful, but unwarranted symbol of inefficient spending driven…
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October 21, 2014
Issue Brief: Hearing Services for Children on Medicaid
Jane Perkins and Catherine McKee Issue Brief
Hearing loss affects many low-income children in the United States. Despite the proliferation of hospital-based newborn hearing screening programs, a significant number of children with possible hearing loss are not receiving prompt diagnosis and treatment. The Medicaid program, which offers low-income children a comprehensive array of preventive, diagnostic, and…
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October 14, 2014
Health Advocate: EPSDT Screening: Including Sexuality Education in Health Education
Andy DiAntonio Health Advocate
Under Medicaid and some Children's Health Insurance Programs (CHIP), youth are eligible to receive the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit, which includes coverage for medical screening. Federal law requires each screen to include five required components. One component is age-appropriate health education, which should include…
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