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- December 4, 2014
Q&A: Abstention Update
Read moreQ&A: Abtention Update This short issue brief discusses the latest developments in abstention cases affecting Medicaid beneficiaries, including a decision by the U.S. Supreme Court.
- November 20, 2014
Lessons from CA: Marketplace Renewals
Read moreIn this month's Lessons from California, we review the annual renewal process for Covered California's (California's state marketplace) enrollees and where it differs from the renewal process in the federally facilitated marketplace (FFM). As this is the first renewal period for all marketplaces, best practices will become clearer for…
- November 4, 2014
Due Process in Duals Demonstrations: A Closer Look at New York
Read moreNew York is one of several states working to better integrate care and services for individuals dually eligible for Medicare and Medicaid through a duals demonstration. In addition to integrating care, New York is working to integrate the Medicare and Medicaid appeals processes for individuals participating in its duals…
- October 30, 2014
Medicaid and Medicare: Aging, Access and Affordability
Read moreAffordability is a cornerstone of any efficient and effective health care system. Discussions of healthcare affordability often center on the premiums - the upfront monthly cost of purchasing insurance. But equally important are the back-end deductibles, copays and coinsurance associated with actually accessing services. Cost sharing is especially important…
- October 29, 2014
Lessons from CA: Covering Behavioral Health Treatment in Medi-Cal
Read moreIn this month's Lessons from California, we highlight how NHeLP is working with advocates in California to ensure the state is following the federal guidelines from CMS on providing Behavioral Health Treatment to children with Autism Spectrum Disorders and that children receive the treatment they need under Medi-Cal.
- October 27, 2014
CMS’s guidance on EPSDT Services for Children with ASD
Read moreIn July, 2014, the Centers for Medicare and Medicaid Services (CMS) issued guidance clarifying that evidence-based treatments for children with autism spectrum disorders (ASD), including behavioral and communication approaches to treatment, are eligible for federal financial participation under three State Plan authorities. CMS explained that states are obligated to cover…
