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- June 9, 2016
Q&A: Using Assessment Tools to Decide Medicaid Coverage
Read moreThis Q&A provides case developments in efforts to ensure that state Medicaid coverage assessment tools are used in compliance with federal law and constitutional due process.
- June 6, 2016
EPSDT in the Final Medicaid Managed Care Regulations
Read moreIn a letter to CMS the National Health Law Program asks for an amendment to the final regulations on Medicaid managed care to ensure that child enrollees receive the full scope of services they are entitled.
- May 11, 2016
Fact Sheet: Medicaid EPSDT Litigation – Case Trends (Updated June 2, 2016)
Read moreThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. Promising both clinical care and coordination with education, nutrition and public health, EPSDT is critical for children with limited family incomes. Over the years, however, states have not been steadfast to…
- February 25, 2016
Health Advocate: Medicaid’s EPSDT in Schools versus the Free Care Rule
Read moreIn this month's Health Advocate, we analyze clarifications to the "Free Care Rule," which no longer prevents schools from being reimbursed for services provided to children through Medicaid's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program.
- September 30, 2015
NHeLP Comments: Proposed 2017 Essential Health Benefits Benchmark Plans
Read moreNHeLP comments on the proposed 2017 Essential Health Benefits Benchmark Plans to the Centers for Medicare and Medicaid Services.
- August 12, 2015
Health Advocate: Essential Health Benefits Overview
Read moreIntroduced by the Affordable Care Act, Essential Health Benefits (EHB) are a set of ten health care service categories that certain health plans must cover. In February 2015, HHS issued a Final Rule, which finalized changes to the EHB standard. This month's Health Advocate offers an EHB overview in…