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- May 5, 2015
Medicaid Assessments for Long-Term Supports & Services (LTSS)
Read moreLong-term care needs assessments serve a vital role in Medicaid. For individuals with disabilities and older adults, needs assessments are used to determine eligibility for both institutional and home and community-based services (HCBS). The assessment process establishes the type and extent of an individual's care needs, which inform the…
- April 30, 2015
Lessons from CA: Ending Restrictions on Access to Reproductive Health Services
Read moreIn this month's Lessons from California, we highlight the successful efforts by NHeLP and other advocates to ensure that the California Attorney General imposed robust conditions on the sale of six Daughters of Charity hospitals to a secular system to restore and expand reproductive health services at the hospitals…
- April 16, 2015
Q&A: Person Centered Planning Changes
Read moreDue to regulatory changes and guidance issued over the past year, states should have evaluated and likely changed their person-centered planning process for home and community-based services. This Q&A focuses less on the regulatory changes and more on the important features of the current requirements for person-centered planning and…
- April 9, 2015
Fact Sheet – IRS Updated Guidance on HCBS Difficulty of Care Payments
Read moreLast year, the IRS announced that payments received by in-home, individual care providers under Medicaid Home and Community Based (HCBS) waiver programs can be treated as "difficulty of care" payments and excluded from the care provider's gross income. In a recently updated Q&A, the IRS clarifies that payments from…
- March 31, 2015
Lessons from CA: Hospital Presumptive Eligibility
Read moreIn this month's Lessons from California, we highlight the successful efforts by NHeLP and other advocates to reverse an illegal California policy to deny HPE coverage to individuals who are currently income eligible for HPE, but were denied coverage because they had previously applied and were determined eligible for…
- March 16, 2015
Fact Sheet: Accountable Care Organizations in Medicaid
Read moreAccountable Care Organizations (ACOs) are entities that agree to provide coordinated care to enrollees and are eligible for incentive payments if they improve health and reduce costs. ACOs have been used in Medicare for several years but, until recently, much less so in Medicaid. That is beginning to change.…