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- January 29, 2015
Q&A: CMS Guidance on EPSDT Services for Children with ASD in Medicaid
Read moreUnder longstanding Medicaid law, the state Medicaid agency must cover particular treatments "including intensive behavioral services" if they are coverable Medicaid services, necessary to correct or ameliorate a child's ASD, and no alternative, equally effective treatment is appropriate for the child. A recent CMS guidance letter and FAQ discuss…
- 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
Read 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…
