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December 1, 2025
Improving Your HCBS Waiver Through Public Comment
Elizabeth Edwards Issue Brief
This explainer, targeted toward people who use Medicaid Home and Community-Based Services (HCBS), encourages people to get involved in shaping on their state Medicaid HCBS programs through commenting on Medicaid waiver changes. It explains what makes an effective comment and where to find information about each HCBS program within…
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December 1, 2025
Strengthening the Home and Community-Based Services (HCBS) Grievance Process
David Machledt Issue Brief
In May 2024, the Centers for Medicare & Medicaid Services (CMS) finalized regulations meant to improve access to key Medicaid services for people with disabilities. Parts of the new regulations requires states to revamp how they receive and resolve issues that people using Home and Community Based Services experience…
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December 1, 2025
Medicaid Work Requirements: Mitigating Harm through Implementation
David Machledt Issue Brief
This piece provides an overview of the structure of the new Medicaid work requirement and recommends how states can choose policies that lessen the negative effects of this new requirement. Recommendations include reducing administrative burden for states and individuals through streamlined compliance procedures, ensuring that health and functional status…
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November 24, 2025
Do My Comments Really Matter? Demystifying the Public Comment Process (Updated November 2025)
Mara Youdelman and Dania Douglas Issue Brief
In this updated issue brief, NHeLP's Mara Youdelman and Dania Douglas discuss the importance of public comments in shaping policy and explains the process for submitting comments and how they impact implementation of federal regulations. Each time a federal agency wants to adopt or change regulations, it has to…
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November 20, 2025
Got Your (Work) Number: The Intersection of Medicaid Eligibility Data Sources and Work Requirements
Shandra Hartly Issue Brief
Effective data matching will be an integral part of minimizing the harm associated with OBBBA's work requirements. This resource provides a brief overview of existing ex parte verification requirements and common sources used for ex parte verification, and emphasizes that those sources should be used with care to minimize…
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September 24, 2025
Interested Parties Advisory Groups: Meaningful Stakeholder Engagement to Ensure Adequate HCBS Payment Rates and Help Strengthen the Direct Care Workforce
Jennifer Lav, Brit Vanneman, and Syd Pickern Issue Brief
NHeLP in partnership with The Community Living Policy Center (CLPC) developed the following policy brief titled, “Interested Parties Advisory Groups: Meaningful Stakeholder Engagement to Ensure Adequate HCBS Payment Rates and Help Strengthen the Direct Care Workforce." The Interested Parties Advisory Group (IPAG) requirement, established under the Medicaid Access Rule,…
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Improving Your HCBS Waiver Through Public Comment

Strengthening the Home and Community-Based Services (HCBS) Grievance Process

Medicaid Work Requirements: Mitigating Harm through Implementation

Do My Comments Really Matter? Demystifying the Public Comment Process (Updated November 2025)

Got Your (Work) Number: The Intersection of Medicaid Eligibility Data Sources and Work Requirements

Interested Parties Advisory Groups: Meaningful Stakeholder Engagement to Ensure Adequate HCBS Payment Rates and Help Strengthen the Direct Care Workforce