The Importance of National Coverage Standards in Medicaid

Executive Summary

Currently federal Medicaid law ensures that beneficiaries can access health services that reflect standards of care, write Legal Director Jane Perkins and Staff Attorney Catherine McKee in this fact sheet. States must provide “core services when medically necessary,” but proposals to cut or cap Medicaid funding “threaten federal coverage protections and in turn, the ability of consumers to receive services that meet standards of care.”

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