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- June 11, 2021
Demanding Ascertainable Standards: Medicaid as a Case Study
Read moreState Medicaid agencies and their contractors are increasingly relying on preset guidelines or assessment tools or both to make coverage decisions. Problems arise when the use of these tools results in program enrollees and advocates being refused access to the standards and procedures that govern the operation of the…
- June 10, 2021
NHeLP AHRQ Comments
Read moreIn these comments, NHeLP responds to a request for information from AHRQ regarding the use of clinical algorithms that have the potential to introduce racial/ethnic bias into healthcare delivery. Using our long history of litigation and advocacy on issues that involve the use of automated decision-making systems, including algorithms,…
- December 19, 2019
Opportunities for Public Comment on HCBS Assessment Tools
Read moreMedicaid home and community-based services (HCBS) are critical to ensuring people with disabilities and older adults are supported in their communities. State Medicaid agencies and their contractors often rely on assessment tools to make eligibility decisions, allocate services, and inform person-centered planning processes. However, these tools can be difficult to…
- June 13, 2017
Evaluating Functional Assessments for Older Adults
Read moreState Medicaid agencies and their contractors rely on functional assessment tools to make coverage and eligibility decisions for long-term services and supports (LTSS). Many states use tools developed and licensed by private entities, while others have developed and implemented their own tools. The variety of tools is staggering. One…
