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- October 24, 2016
Health Advocates Urge CHIP Extension
External Source and dfitzgerald LetterRead moreNHeLP 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…
- June 30, 2016
Q&A: Recoupment Following an Adverse Medicaid Appeal
Read moreLegal 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…
- 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.