EPSDT

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January 11, 2017
The Importance of National Coverage Standards in Medicaid
Jane Perkins and Catherine McKee Issue Brief
Currently federal Medicaid law ensures that beneficiaries can access health services that reflect standards of care, write Legal Director Jane Perkins and Staff Attorney Catherine McKee in this fact sheet. States must provide "core services when medically necessary," but proposals to cut or cap Medicaid funding "threaten federal coverage…
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December 26, 2016
Protect Medicaid Funding: Substance and Opioid Use Disorders
Corey Davis and Hector Hernandez-Delgado Issue Brief
The tenth issue in NHeLP's Protect Medicaid Funding series examines the vital role Medicaid plays in "preventing and treating substance use disorders (SUD)," among the nation's most vulnerable people. The fact sheet also explores how austerity measures embraced by conservative lawmakers and advocates would harm the health of low-income…
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October 24, 2016
Health Advocates Urge CHIP Extension
External Source and dfitzgerald Letter
NHeLP joins other national health care and children's advocacy groups urging Congress to extend the Children's Health Insurance Program (CHIP). CHIP was first enacted in 1997 to provide funding to states to reduce the numbers of uninsured children, focusing on low income children in working families who don't have…
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June 30, 2016
Q&A: Recoupment Following an Adverse Medicaid Appeal
Jane Perkins Issue Brief
Legal Director Jane Perkins provides guidance on a question regarding Medicaid managed care plans' abilities to recoup costs of health services following an adverse Medicaid appeal. Medicaid applicants and recipients have rights to notices and administrative hearings when their claims for medical assistance are denied or not acted on…
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June 9, 2016
Q&A: Using Assessment Tools to Decide Medicaid Coverage
Jane Perkins Issue Brief
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June 6, 2016
EPSDT in the Final Medicaid Managed Care Regulations
Jane Perkins Letter
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The Importance of National Coverage Standards in Medicaid

Protect Medicaid Funding: Substance and Opioid Use Disorders

Health Advocates Urge CHIP Extension

Q&A: Recoupment Following an Adverse Medicaid Appeal

Q&A: Using Assessment Tools to Decide Medicaid Coverage

EPSDT in the Final Medicaid Managed Care Regulations