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- April 15, 2020
The Navajo Nation Responds to COVID-19
Read moreWhen COVID-19 (coronavirus) arrived in the U.S., some called it “the great equalizer,” suggesting that regardless of income, race, or any other factor, the susceptibility of contraction and risk of mortality would be the same. This perception of COVID-19 was and still is, entirely inaccurate. It is widely understood…
- April 14, 2020
Medicaid and Due Process during the COVID-19 Pandemic
Read moreThe federal government has used a variety of authorities to allow states flexibility in operating their Medicaid programs during the national and public health emergency trigged by the COVID-19 pandemic. Its primary tools are waivers and State Plan Amendments (SPAs) under section 1135, Section 1115 waivers, and Appendix K…
- April 14, 2020
Medicaid Due Process and COVID-19 – Part I
Read moreThe individual’s rights to receive notice of and challenge a decision about coverage is the foundation of the Medicaid benefit. But, even in the best of times, state Medicaid agencies and managed care plans don’t always observe these rights. Crisis situations make it more likely that rights will be…
- April 14, 2020
Essential Health Benefits (EHB) benchmarking process
Read moreThe Essential Health Benefits (EHB) benchmarking process has been significantly modified throughout the years to provide states with increasing flexibility to either make harmful cuts to coverage or improve coverage. The current benchmarking process, finalized in 2017, established a new ceiling on the generosity of benefits provided under the…
- April 13, 2020
Keep Essential Care: Direct Service Professionals
Read moreCOVID19 is having an unprecedented impact on the lives of billions of people. But a robust and effective COVID19 response must not be a vehicle for denying access to essential health care services.NHeLP is fighting to protect access to the range of critical services that people — especially low-income…
- April 6, 2020
People on Medi-Cal Can Access Behavioral Health Services During the COVID-19 Pandemic through Telehealth and Relaxed Prescribing Practices
Read moreThe spread of the COVID-19 pandemic represents a particular threat to individuals with mental health conditions and/or substance use disorders (SUD) who are particularly vulnerable to health complications if they were to contract the virus. People with “serious mental illness” have increased comorbidities with conditions associated with increased risk…