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Archives
- June 7, 2022
Medicaid, Child Welfare & Institutional Care: Qualified Residential Treatment Programs
Read moreA landmark foster care reform law, the Family First Prevention Services Act, was intended to ensure that children are able to live in family-like settings and reduce reliance on unnecessary institutional care. In doing so, the new law put a spotlight on a longstanding Medicaid law and policy that…
- May 16, 2022
Medicaid Coverage of Advanced Practice Prescribing for Reproductive & Sexual Health Medications
Read moreAdvanced practice providers (APPs) are licensed health care practitioners, other than physicians, who may practice independently and bill directly under state law. Public health research supports making a variety of reproductive and sexual health medications available through APPs. There are two primary state policy levers that impact access to…
- May 3, 2022
Scope of Practice and Medicaid: State Flexibility to Cover Advanced Practice Care
Read moreAdvanced practice providers (APPs) are licensed health care practitioners, other than physicians, who may practice independently and bill directly under state law. Public health research supports making a variety of services available through APPs. There are two primary state policy levers that impact Medicaid enrollees’ access to advanced practice…
- April 8, 2022
More Transparency Needed to Ensure Medicaid Beneficiaries Have Access to Necessary Off-Label Prescription Drugs
Read moreUnder federal law, state Medicaid programs are required to cover (with a few exceptions) outpatient prescription drugs for “medically accepted indications.” Medically accepted indications are both those that are included on the drug’s label by the FDA as part of the approval process, and certain “off-label” uses.Medicaid programs are…
- February 9, 2022
Eliminating Barriers to Medication-Assisted Treatment in Medicaid
Read moreFew individuals with opioid use disorder currently have access to medication-assisted treatment, a highly effective overdose prevention treatment. As the single largest payer of OUD treatment, Medicaid has an important role to play in reducing barriers and increasing access. In this issue brief, we identify persiting barriers to MAT coverage…
- January 6, 2022
Section 1115 Waivers: Stop the Ten-Year Approvals
Read moreIn 2017, the Centers for Medicare & Medicaid Services issued a policy announcing its intent to “approve the extension of routine, successful, non-complex” section 1115 waivers for a period of up to 10 years. Thereafter, CMS extended a number of projects for 10 years. This issue brief explains how…
