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- December 19, 2014
Lessons from CA: Ensuring Medi-Cal Plans Provide Services to Children
Read moreIn this month's Lessons from California, we highlight how NHeLP worked to ensure that California's Medi-Cal managed care plans provide medically necessary services to children, even when those children might be able to receive some of these services from another entity. As a result of NHeLP's advocacy, California released…
- December 18, 2014
NHeLP EPSDT Letter to California Department of Health Services
Read moreThis letter urges California's Medicaid Agency to take action to instruct Medicaid Managed Care plans that they are required under state and federal law to provide services mandated by EPSDT to enrollees under 21. NHeLP and its partners become aware that several plans were refusing to cover certain services for…
- December 11, 2014
NHeLP Matters – December 2014
Read moreWelcome to the year's final edition of NHeLP Matters. In the past 12 months, we have fought for the health care rights of low-income people and individuals with disabilities in Washington and beyond. Learn more about our work advancing reproductive health, protecting Medicaid and bringing together advocates and policy…
- November 18, 2014
EPSDT – A Guide for States: Coverage in the Medicaid Benefit for Children and Adolescents
External Source and dfitzgerald Manual/ReportRead moreThe Centers for Medicare & Medicaid Services (CMS) go-to resource for anyone interested in improving child health. The Guide was produced by CMS in collaboration with NHeLP under subcontract to the NORC at the University of Chicago. The Guide is intended to help states, health care providers and others to understand…
- October 27, 2014
CMS’s guidance on EPSDT Services for Children with ASD
Read moreIn July, 2014, the Centers for Medicare and Medicaid Services (CMS) issued guidance clarifying that evidence-based treatments for children with autism spectrum disorders (ASD), including behavioral and communication approaches to treatment, are eligible for federal financial participation under three State Plan authorities. CMS explained that states are obligated to cover…
- October 16, 2014
Issue Brief: Update on Private Enforcement of the Medicaid Act
Read moreOver the years, Medicaid beneficiaries have asserted claims under the Supremacy Clause of the U.S. Constitution and 42 U.S.C. § 1983 in litigation to enjoin state violations of the Medicaid Act. This Fact Sheet will summarize the history of § 1983 and Supremacy Clause enforcement, provide current point-in-time assessments…