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- January 8, 2024
Comments on the Notice of Benefit and Payment Parameters for 2025
Mara Youdelman, Wayne Turner, Jasmine Young, Charly Gilfoil, Elizabeth Edwards, Alexis Robles-Fradet, Michelle Yiu, Sarah Somers, Miriam Delaney Heard, Abigail Coursolle, Héctor Hernández-Delgado, and Dania Douglas Comments, Regulations and LawsRead moreComments on the Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO-OP) Program; and Basic Health Program.
- September 28, 2023
NHeLP Comments on US Pharmacopeia Drug Classification Update Draft for 2024
Read moreUnder federal rules, health plans subject to the Essential Health Benefits must cover a minimum of one drug per U.S. Pharmacopeia (USP) class and category. However, the USP classification system used for EHB was designed for Medicare Part D, and falls short on covering pediatric formulations, drugs used for…
- September 25, 2023
NHeLP Comments on Updating Pennsylvania’s EHB Benchmark Plan
Read moreThe Pennsylvania Insurance Department solicited public comments as it considers updating the commonwealth's Essential Health Benefits (EHB) benchmark plan. In these comments, NHeLP discusses the legal framework of state EHB benchmark selection, identifying opportunities for Pennsylvania to add or improve benefits through the EHB updating process.
- September 7, 2023
Comments on Proposed Short-Term Limited Duration Insurance Rule
Read moreNHeLP submitted comments generally in support of the proposed rule on short-term limited-duration insurance (STLDI) plans by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department. The proposed changes will help promote access to high quality, affordable, comprehensive coverage by limiting short-term…
- July 13, 2023
Comments on Proposed Medicaid Access Rule
Jennifer Lav, Wayne Turner, David Machledt, Abigail Coursolle, Dania Douglas, Charly Gilfoil, Jasmine Young, and Madeline Morcelle CommentsRead moreCMS proposed changes and additions to regulations enforcing the "equal access" provision of Medicaid. These changes would strengthen opportunities for enrollees' input and oversight of state Medciaid programs, would help promote access to Medicaid services, would improve quality of care, and promoting transparency and adequate payment for fee-for-service Medicaid.…
- July 13, 2023
Renewal Tips of the Day: July 2023
Alicia Emanuel, Elizabeth Edwards, Charly Gilfoil, Sarah Grusin, Miriam Delaney Heard, Cassandra LaRose, Skyler Rosellini, Wayne Turner, Michelle Yiu, Mara Youdelman, and Kimberly Lewis Issue Brief, Article, Fact Sheet, GuideRead moreThe NHeLP Medicaid Continuous Coverage Unwinding Team started sending out a Medicaid Renewal Tip of the Day in March 2023. This document brings those tips together and organizes by subject. As the unwinding period continues, we will continue to update this document. In the interim, advocates can always find…
