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- November 20, 2024
Know Your Rights: Affordable Care Act Protections From Discrimination in Sexual, Reproductive, and Transgender Health Care
Read moreThe National Health Law Program has partnered with our friends at the National Asian Pacific American Women's Forum (NAPAWF) to offer the public "Know Your Rights" fact sheets on Section 1557 of the Affordable Care Act's protections against discrimination in sexual, reproductive, and gender-affirming care. The fact sheet is available…
- November 7, 2024
Medicaid Eligibility for Incarcerated Individuals in California
Read moreHistorically, Medicaid has prohibited federal payments for health care services for adults and youth who are incarcerated. This federal law is known as the “inmate exclusion.” The federal law restricting Medicaid funds from paying for Medicaid services while an individual is in a carceral setting must not be confused…
- October 4, 2024
Fact Sheet: Medi-Cal Coverage of Transcranial Magnetic Stimulation (TMS)
Hector Hernandez-Delgado Fact SheetRead moreTranscranial magnetic stimulation (TMS) is an evidence-based device and procedure used in the treatment of major depresisve disorder (MDD) and is an important mental health service covered by the Medi-Cal program. This fact sheet summarizes the history and evidence of TMS as well as the coverage status among Medicare,…
- September 23, 2024
Reproductive Justice Values for Universal Health Care Reform
Read moreThe Medicaid and Reproductive Justice (RJ) Collaborative is comprised of Advocates for Youth, In Our Own Voice: National Black Women’s Reproductive Justice Agenda, National Asian Pacific American Women's Forum, National Health Law Program, National Latina Institute for Reproductive Justice, and Unite for Reproductive & Gender Equity. Together, we have…
- September 12, 2024
Overview of Key Home and Community-Based Services (HCBS) Provisions in the Medicaid Access Rule
Read moreThe Medicaid Act requires that state payments for Medicaid are sufficient to provide at least equivalent access to care for Medicaid beneficiaries as the general population in any given geographic area. Over the years, CMS has tried to enforce payment adequacy via increased monitoring and other requirements, but these…
- August 14, 2024
Medi-Cal Intensive Care Coordination (ICC) & Intensive Home Based Services (IHBS): Access Standards and Beneficiary Rights
Carly Myers and Kim Lewis Fact SheetRead moreSome county mental health plans (MHPs) have policies and practices on ICC and IHBS that do not comply with state law and policy, such as imposing additional eligibility criteria or requiring prior authorization for ICC. This factsheet reviews the correct legal standards for ICC and IHBS access and outlines…