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- July 23, 2013
EPSDT Policy Instructions Update
Litigation Team and Andy DiAntonio Issue BriefRead more
July 23, 2013An Advocate’s Guide to Reproductive Health in the Medicaid Program
Susan Berke Fogel, Deborah Reid, and Mara Youdelman Manual/ReportRead moreAn Advocate's Guide will familiarize readers with the basics of the Medicaid Program and highlight features that support women's reproductive health. The Guide includes a brief history and administrative structure, and eligibility standards of the Medicaid Program. It also describes the overall health and support services available in Medicaid,…
- July 23, 2013
Medicaid Managed Care Contracts: An Advocacy Checklist for People with Disabili
Read moreMedicaid Managed Care Contracts: An Advocacy Checklist for People with Disabilities The managed care contracts between the state Medicaid agency and managed care organizations have become a new and significant legal document. In business law, the period during which the parties review a contract and investigate characteristics of the…
- July 23, 2013
EPSDT Update For Child Health Insurance and Medicaid Advocates
Read moreNovember 20, 1997 Prepared by Jane Perkins, Lourdes Rivera, and Kristi Olson--National Health Law Program Abigail English and Catherine Teare--National Center for Youth Law The Medicaid program, through its Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit package, requires states to provide comprehensive preventive, acute,…
- July 23, 2013
Model Medicaid Managed Care Contract Provisions — Medical Necessity Definition
Read moreIntroduction The definition of "medical necessity" raises two general issues of concern to consumers: What benefits are covered? (E.g., are they limited to diagnosis and treatment, or do they also include preventive care? Are experimental services excluded? Does the definition recognize and mandate the…