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- August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Read moreAlthough Medical Care Advisory Committees (MCACs) have been federally required for nearly forty years, some states have seriously underutilized this opportunity to monitor and improve their Medicaid programs. In May 2024, the Centers for Medicare & Medicaid Services (CMS) updated regulations implementing MCACs. New requirements for the renamed Medicaid…
- August 14, 2024
Medi-Cal Intensive Care Coordination (ICC) & Intensive Home Based Services (IHBS): Access Standards and Beneficiary Rights
Carly Myers and Kim Lewis Fact SheetRead moreSome county mental health plans (MHPs) have policies and practices on ICC and IHBS that do not comply with state law and policy, such as imposing additional eligibility criteria or requiring prior authorization for ICC. This factsheet reviews the correct legal standards for ICC and IHBS access and outlines…
- July 15, 2024
Coalition Letter on California’s Essential Health Benefits Benchmarking
Read moreCalifornia is currently in the process of evaluating the State's Essential Health Benefits benchmark plan. In response to a request for comment from the Department of Managed Health Care, NHeLP and a coalition of statewide health advocacy organizations submitted a letter explaining why the benchmarking process presents an opportunity…
- July 11, 2024
NHeLP Letter to CCIIO on DC EHB Procedural Defect
Read moreNHeLP urges the HHS Center for Consumer Information and Insurance Oversight (CCIIO) to reject the District of Columbia's recent EHB benchmark plan update due to procedural defects. Specifically, the DC Department of Insurance, Securities and Banking and DC HealthLink announced a public comment period only days before the submission…
- May 22, 2024
Crosswalk Between Coverage of Behavioral Health Services in Medi-Cal and Private Plans in California
Read moreCalifornia is currently undergoing efforts to align coverage of behavioral health services in Medi-Cal (the State's Medicaid program) with coverage in private plans. To inform those efforts, this resource compares mental health and substance use disorder coverage requirements imposed, in state and federal law, on Medi-Cal with coverage requirements…
- April 1, 2024
Comments on Arkansas IMD and Reentry Demonstration Proposal
Read moreIn comments to the Department of Health and Human Services, the National Health Law Program urges HHS to reject Arkansas’ request to obtain federal financial participation (FFP) for expenditures for Medicaid services in institutions for mental disease (IMDs) and in prisons, jails, and youth correctional facilities.
