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January 29, 2015
Q&A: CMS Guidance on EPSDT Services for Children with ASD in Medicaid
dfitzgerald Issue Brief
Under 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…
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January 22, 2015
Medicaid Managed Care Model Provisions, Issue 5
Catherine McKee and dfitzgerald Issue Brief
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December 19, 2014
Lessons from CA: Ensuring Medi-Cal Plans Provide Services to Children
dfitzgerald Issue Brief
In 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…
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December 5, 2014
Comparison of Medi-Cal Benefits and Covered California Essential Health Benefits
Michelle Lilienfeld and Shyaam Subramanian Issue Brief
Covered 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…
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December 5, 2014
Q&A Relatives as Paid Providers
Elizabeth Edwards Issue Brief
Many 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…
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December 4, 2014
Q&A: Abstention Update
Jane Perkins and Sarah Somers Issue Brief
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