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- November 29, 2023
NHeLP Federal Comments on California BH-Connect 1115 Waiver Submission
Abbi Coursolle CommentsRead moreIn comments to HHS, NHeLP urges the Secretary to reject California’s Section 1115 demonstration extension request to waive the Institutions for Mental Diseases (IMD) exclusion. This letter emphasizes that while NHeLP is supportive of efforts to increase access to services for Medicaid beneficiaries with mental health conditions and substance…
- 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 28, 2023
Foster Youth Access to Medi-Cal Specialty Mental Health Services in the California Counties with the Largest Foster Care Populations
Carly Myers, Alexis Robles-Fradet, Abigail Coursolle, and T. Nancy Lam Issue Brief, Manual/Report, Fact Sheet, GuideRead moreChildren and youth involved in child welfare have complex mental health needs, due in part to their compounding experiences with trauma and often inadequate access to appropriate services. In California, the State’s Medicaid program (Medi-Cal) provides a critical safety net for foster children and youth. Under Medi-Cal, County Mental…
- September 25, 2023
NHeLP Letter to CCIIO on Legal Authorities and Regulatory Changes for Essential Health Benefits
Read moreIn this letter to the HHS Center for Consumer Information and Insurance Oversight (CCIIO), NHeLP urges changes in regulations governing Essential Health Benefits (EHB). As NHeLP points out, nothing in the Affordable Care Act precludes HHS from adding adult oral health as part of the department's statutory responsibility to…
- August 1, 2023
Institutions for Mental Diseases (IMD) Exclusion and Substance Use Disorders: Lay of the Land
Read moreThe Medicaid Act prohibits the use of federal funding for services provided in Institutions for Mental Diseases (IMDs). In response to the overdose epidemic, two competing pathways have been implemented that allow states to circumvent the IMD exclusion: the SUPPORT Act's state plan amendment (SPA) option and the use…