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- May 30, 2024
The HCBS Settings Rule: Looking Back and Forging Ahead
David Machledt and Syd Pickern Issue Brief, Manual/Report, GuideRead moreThis report from the National Health Law Program and the Community Living Policy Center provides recommendations for the continued implementation of the 2014 Medicaid Home and Community-Based Services (HCBS) Settings Rule after the very lengthy transition phase to implement the new requirements formally ended in 2023. It is based…
- May 22, 2024
Crosswalk Between Coverage of Behavioral Health Services in Medi-Cal and Private Plans in California
Read moreCalifornia is currently undergoing efforts to align coverage of behavioral health services in Medi-Cal (the State's Medicaid program) with coverage in private plans. To inform those efforts, this resource compares mental health and substance use disorder coverage requirements imposed, in state and federal law, on Medi-Cal with coverage requirements…
- May 9, 2024
Questions and Answers on the 2024 Final Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557
Read moreThe Biden Administration finalized updates to the regulations implementing Section 1557 of the Affordable Care Act. Section 1557 prohibits discrimination on the basis of race, color, national origin, age, disability, or any combination thereof. This issue brief provides background on Section 1557 and analyzes the 2024 final regulations issued…
- March 19, 2024
Medicaid and CHIP Reimbursement Models for Language Services: 2024 Update
Read moreAccess to language services, such as oral interpreting or written translation services, is critical to enhancing patients’ understanding of and adherence to medical treatments, improving health outcomes, improving quality of care, reducing health care costs, and promoting health equity. Federal law—Title VI of the Civil Rights Act of 1964,…
- March 12, 2024
Pharmacy Billing for Contraception
Read moreThis white paper provides an overview of the systemic and individual payer-based barriers to full implementation of pharmacist prescribing policies. Barriers analyzed include the division of medical and pharmacy benefits, complex billing technology, the constant need for payer guidance, and lack of clarity from agencies within the U.S. Department…
