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- July 2, 2014
Sexuality Education in Health Care Delivery for Medicaid and CHIP-Eligible Youth
Read moreThis issue brief discusses the health education component of the EPSDT medical screens required for Medicaid and some CHIP-eligible youth, focusing on sexuality education. As discussed within the brief, the medical screening that youth receive has not sufficiently included sexuality education. This issue brief includes recommendations to ensure that…
- July 1, 2014
Coverage of Pregnant Women in California
Read moreThis chart shows pregnant women's current and future financial eligibility thresholds for Medi-Cal and advance premium tax credits in California.
- June 27, 2014
Q&A Deference
Read moreAdvocates may wish to argue that courts should defer to agency interpretations in proposed, but not final, regulation. This Q&A provides a basic overview of deference and discusses court decisions addressing the extent to which courts should defer to proposed regulations.
- June 27, 2014
Lessons from CA: Pregnant Women’s Coverage Options
Read moreThe ACA made many positive changes in health coverage for pregnant women. Many women now qualify for both pregnancy-related Medicaid and financial assistance in the Marketplace. In this month's, Lessons from California, we highlight how NHeLP worked with California advocates to provide comprehensive Medi-Cal coverage for pregnant women, including…
- June 24, 2014
Promoting Community Living: Updates on HCBS & the ACA
Read moreThe Affordable Care Act (ACA) significantly expands Home and Community-based Services (HCBS) in the Medicaid program. Four HCBS programs - two brand new - promote and fund policies that help beneficiaries access needed services in the community and facilitate appropriate transitions from nursing homes to integrated settings. (1) Two…
- June 16, 2014
External Quality Review: An Overview
Read morePart of the overall quality strategy mandated by the Medicaid Act and regulations requires states to include annual independent external quality reviews (EQRs) in each managed care contract. This approach requires an independent organization to validate state selected performance measures, perform site visits and "otherwise evaluate the performance of…
