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- June 14, 2023
The Constitutionality of Demographic Data Collection
Read moreCollecting demographic data is legal and constitutional. Questions have arisen about the constitutionality of the collection and use of demographic data. This concern has been attributed to the Supreme Court’s 1995 decision in Adarand Constructors, Inc. v. Pena. Yet Adarand and the cases following it preclude neither the collection…
- May 30, 2023
Trends in State Medicaid Continuous Coverage Unwinding Plans
Read moreAs part of the Medicaid continuous coverage unwinding, states were required to create plans to describe how they will redetermine the eligibility of all Medicaid enrollees. This paper identifies some of the major trends affecting beneficiaries in available unwinding plans including choices that may affect coverage loss and ease…
- May 17, 2023
Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights
Read moreMedi-Cal covers Specialty Mental Health Services (SMHS) for beneficiaries who need them. In California, County Mental Health Plans (MHPs) are responsible for providing SMHS to Medi-Cal beneficiaries of all ages. This issue brief analyzes the legal requirements that require MHPs to ensure Medi-Cal beneficiaries’ access to SMHS and maintain…
- March 13, 2023
NHeLP Comments on the HHS Prior Authorization Proposed Rule (2023)
Read moreIn these comments on the Prior Authorization Proposed Rule, NHeLP urges HHS to go further to curb the abuse of prior authorization as a cost savings strategy that endangers patients’ health. NHeLP supports efforts to streamline prior authorization processing and bring greater transparency to denial rates and the clinical…
- February 19, 2023
Protecting People with Disabilities and People with Limited English Proficiency during the Unwinding of the Continuous Coverage Provision
Read moreState planning for the unwinding of the Medicaid continuous coverage provision needs to include evaluation of a state's processes, policies, and systems for disability and language access. Failing to plan and monitor for disability and language access is the very type of disregard the non-discrimination protections were intended to…
- February 2, 2023
NHeLP Comments on Essential Health Benefits (EHB) Request for Information (RFI)
Read moreNHeLP submitted comments in response to the HHS' Request for Information (RFI) regarding coverage of Essential Health Benefits (EHB) in the private health insurance market. The comments highlight the need to provide guidance to states to ensure consumers have appropriate information about EHB coverage requirements. In addition, NHeLP underscores…