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- February 6, 2015
Earlier Access to Care for Uninsured Women Living with HIV and the ACA
Read moreThe Medicaid program has traditionally served as an important safety-net program for low-income women living with HIV/AIDS; however, the categorical requirements for Medicaid have excluded many individuals from coverage. The Affordable Care Act, through the Medicaid Expansion, presents the opportunity for previously ineligible low-income women living with HIV to…
- January 29, 2015
Q&A: CMS Guidance on EPSDT Services for Children with ASD in Medicaid
Read moreUnder longstanding Medicaid law, the state Medicaid agency must cover particular treatments "including intensive behavioral services" if they are coverable Medicaid services, necessary to correct or ameliorate a child's ASD, and no alternative, equally effective treatment is appropriate for the child. A recent CMS guidance letter and FAQ discuss…
- January 22, 2015
Medicaid Managed Care Model Provisions, Issue 5
Read moreOur new Medicaid Managed Care Model Provisions Series features our set of modernized model federal regulations. Each issue provides model provisions addressing problems that policymakers and advocates may use when updating existing regulations, policies and managed care contracts. In this issue, we address access to reproductive health services.
- December 19, 2014
Lessons from CA: Ensuring Medi-Cal Plans Provide Services to Children
Read moreIn this month's Lessons from California, we highlight how NHeLP worked to ensure that California's Medi-Cal managed care plans provide medically necessary services to children, even when those children might be able to receive some of these services from another entity. As a result of NHeLP's advocacy, California released…
- December 5, 2014
Comparison of Medi-Cal Benefits and Covered California Essential Health Benefits
Michelle Lilienfeld and Shyaam Subramanian Issue BriefRead moreCovered California's second open enrollment period began on November 15, 2014, and Californians must once again navigate the maze of health insurance options available through California's health insurance marketplace. Some consumers, due to changes in income for example, may have to transition from Medi-Cal coverage to private coverage in…
- December 5, 2014
Q&A Relatives as Paid Providers
Read moreMany states allow parents or other legally responsible relatives to become paid providers of Medicaid-funded home and community based services for their children or other relatives. State policies on this issue vary and often differ by program and population served. This Q&A provides an overview of the federal program…