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May 2, 2014
Early and Periodic Screening, Diagnosis and Treatment – Annotated Federal Document
Jane Perkins Manual/Report
This memorandum updates an August 18, 1993 memo from the National Health Law Program that annotated EPSDT-related transmittals issued by the Health Care Financing Administration (HCFA). The August 1993 memo listed federal documents issued during the 1989-1993 time period. This memo adds documents covering primarily the 1992-1994 time period.…
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March 31, 2014
Lessons from CA: Pediatric Dental Coverage in the Exchange
dfitzgerald Manual/Report
The Affordable Care Act requires that all plans in the Marketplace and non-grandfathered plans in the individual and small group markets cover pediatric dental services as an essential health benefit. In this Lessons from California, we explore the options that states have to implement these new requirements, and strategies…
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February 28, 2014
Lessons from CA: Eligibility for Former Foster Care Children
National Health Law Program (NHeLP) Manual/Report
The Affordable Care Act (ACA) requires states starting in 2014 to provide Medicaid to youth who were in foster care on their 18th birthday or later and to keep them on Medicaid until they turn 26. This Lessons from California, highlights how the state has implemented this new program…
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February 27, 2014
Overview of CMS Guidance: Application of Estate Recovery and Other §1917 Provisions to MAGI Individuals
Michelle Lilienfeld Manual/Report
On February 21st, 2014, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Directors Letter (SMDL) addressing the application of liens, adjustments and recoveries, transfer-of-assets rules, and post-eligibility income rules to individuals eligible for Medicaid under Modified Adjusted Gross Income (MAGI) eligibility rules. MAGI rules apply…
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January 14, 2014
Medicaid EPSDT Case Docket
Jane Perkins Manual/Report
The Early and Periodic Screening, Diagnostic and Treatment service (EPSDT) is a mandatory Medicaid service for children and youth under age 21. Screening forms the foundation of EPSDT. Four separate screens are required: vision (including eyeglasses), hearing (including hearing aids), dental (including restoration of teeth), and medical. The medical…
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October 31, 2013
Advocate’s Guide to the Medicaid Program
Jane Perkins, Sarah Somers, Kimberly Lewis, and Corey Davis Manual/Report, Guide
Since 1986, the Advocate's Guide to the Medicaid Program has been the leading authoritative reference on Medicaid for a quick, convenient way to understand the program. Advocates, policy makers, and others rely on the Guide to ensure that the Medicaid program is implemented as the law intends, and that…
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