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October 21, 2014
Issue Brief: Hearing Services for Children on Medicaid
Jane Perkins and Catherine McKee Issue Brief
Hearing loss affects many low-income children in the United States. Despite the proliferation of hospital-based newborn hearing screening programs, a significant number of children with possible hearing loss are not receiving prompt diagnosis and treatment. The Medicaid program, which offers low-income children a comprehensive array of preventive, diagnostic, and…
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October 16, 2014
Issue Brief: Update on Private Enforcement of the Medicaid Act
Jane Perkins Issue Brief
Over the years, Medicaid beneficiaries have asserted claims under the Supremacy Clause of the U.S. Constitution and 42 U.S.C. § 1983 in litigation to enjoin state violations of the Medicaid Act. This Fact Sheet will summarize the history of § 1983 and Supremacy Clause enforcement, provide current point-in-time assessments…
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October 3, 2014
EPSDT 2013 Oral Health Performance – Selected Measures
Jane Perkins Issue Brief
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September 30, 2014
Lessons from CA: Contraceptive Coverage
dfitzgerald Issue Brief
In this month's Lessons from California, we highlight landmark legislation, the Contraceptive Coverage Equity Act (SB 1053, Mitchell), the state just enacted that requires that Medi-Cal managed care organizations (MCO) and most private insurers cover all FDA-approved methods and strictly limits MCO medical management techniques. These important new state…
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September 29, 2014
Q&A on the ACA’s Contraceptive Coverage Requirement
dfitzgerald Issue Brief
The Affordable Care Act (ACA) requires many health insurance plans to provide coverage for certain preventive health services, including contraception, without cost-sharing. These requirements are providing millions of individuals with new or improved access to evidence-based preventive health care without the significant barriers associated with cost-sharing. This Q&A addresses…
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September 29, 2014
County Organized Health System Medi-Cal Plans
dfitzgerald Issue Brief
In certain counties, Medi-Cal managed care is operated by a single County Organized Health System (COHS). In COHS counties, a single plan serves all Medi-Cal beneficiaries who are enrolled in managed care. Unlike other Medi-Cal managed care plans, COHS plans are not required to obtain Knox Keene licensure for…
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