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- May 15, 2023
Principles for Fairer, More Responsive Automated Decision-Making Systems
Read moreMany government agencies use automated decision-making systems (ADS) for public benefits coverage and enrollment decisions, including Medicaid. By ADS we mean, broadly, systems that use standardized logic or algorithms to assess eligibility for and access to public benefits. This includes not only sophisticated “big data” systems, such as programs…
- May 15, 2023
“Unfit” to work? How Medicaid Work Requirements Hurt People with Disabilities
Read moreNew proposals to impose harsh work requirements in the Medicaid program will cause people with disabilities to lose Medicaid coverage. This brief shows how Medicaid already supports employment opportunities for people with disabilities seeking to work -- supports that work requirements may undermine. It provides evidence showing that exemption…
- May 10, 2023
How Funding and Eligibility Cuts to Medicaid Harm Response Efforts to Public Health Crises (Updated May 2023)
Read moreCongressional Republican leadership is considering funding and eligibility cuts to Medicaid, such as work requirements, block grants, and per capita caps. Such proposals would impose new budgetary pressures on states and make it more difficult for individuals to access necessary health care programs and services. Because Medicaid is uniquely…
- May 10, 2023
EPSDT Litigation Trends and Annotated Docket
Read moreThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. Over the years, however, states have not adhered to their responsibilities, and litigation has resulted. This Fact Sheet summarizes the federal requirements for EPSDT and provides an annotated case docket.…
- 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…
- May 2, 2023
Protect Medicaid Funding Issue #12: LGBTQI+ People
Read moreAs part of our Protect Medicaid Funding series, 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 on the Medicaid guarantee every year. This fact sheet provides up-to-date information about…