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- December 2, 2022
Managed Care Sanctions: An Important Tool for Accountability
Read moreThis report is part of the National Health Law Program’s ongoing work on accountability in Medicaid managed care, focusing on sanctions, which are one of the tools available to states to hold managed care organizations (MCOs) accountable for failing to meet their obligations. We found that these states use…
- March 28, 2022
NHeLP’s Updated Proposed Metrics
National Health Law Program (NHeLP) Manual/ReportRead moreNHeLP's input to CMS on specific measures that it should consider including among the core measures on which states must measure and report, as updated in 2019.
- December 7, 2021
Model Contraceptive Equity Act: Legislative Language and Issue Brief
Read moreUPDATED - December 2021. Contraceptive Equity is a policy framework under which contraceptive care is easily accessible and covered at no cost in all health plans. This paper begins with the Model Contraceptive Equity Act legislative language that can serve as a template for state advocates. It concludes with…
- June 29, 2021
Children’s Health Under Medicaid A National Review of Early and Periodic Screening, Diagnostic, and Treatment Services 2015 – 2019
Read moreThe Medicaid Early and Periodic Screening, Diagnostic, and Treatment program requires each state to complete a reporting form provided by the U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS). This form, known as the Form CMS-416, measures the states’ efforts to ensure that…
- March 31, 2021
Making “Convenient Care” the Right Care for All: Improving State Oversight of Urgent Care Centers and Retail Health Clinics
Tess Solomon, Kelly Jo Popkin, Amy Chen, Lois Uttley, and Susannah Baruch Article, Guide, Manual/ReportRead moreA growing number of health care consumers are turning to urgent care centers and retail health clinics, which have rapidly proliferated across the country in recent years and are sometimes referred to as “convenient care.” Urgent care centers have played a particularly critical role in meeting the high demand…
- January 6, 2021
Meeting the Moment: Understanding EPSDT and Improving Implementation in California to Address Growing Mental Health Needs
Kimberly Lewis and Rachel Velcoff Hults Issue Brief, Fact Sheet, Guide, Manual/ReportRead moreChildren and youth across the country are facing an escalating mental health crisis. The events of 2020 have added new and complex stressors, exacerbating mental health challenges while also creating new barriers to accessing care. Unmet mental health needs have grave consequences for individuals, their families, and entire communities.…
