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- June 11, 2021
Demanding Ascertainable Standards: Medicaid as a Case Study
Read moreState Medicaid agencies and their contractors are increasingly relying on preset guidelines or assessment tools or both to make coverage decisions. Problems arise when the use of these tools results in program enrollees and advocates being refused access to the standards and procedures that govern the operation of the…
- June 10, 2021
NHeLP AHRQ Comments
Read moreIn these comments, NHeLP responds to a request for information from AHRQ regarding the use of clinical algorithms that have the potential to introduce racial/ethnic bias into healthcare delivery. Using our long history of litigation and advocacy on issues that involve the use of automated decision-making systems, including algorithms,…
- March 30, 2020
COVID-19 Changes to HCBS Using Appendix K: Approval Trends
Read moreStates have many options for adjusting their Medicaid services to best meet evolving needs under the COVID-19 pandemic. One of the important mechanisms for ensuring people with disabilities have access to the home and community-based services (HCBS) they need to stay safely at home is an Appendix K to…
- February 10, 2020
Karen Vaughn v. Jennifer Walthall, et al., 7th Circuit Court of Appeals
Read moreKaren Vaughn has lived in the community for decades with the nursing and other services she needs. In 2016 she went to the hospital for what was expected to be a short stay but then could not find the Medicaid-funded nursing services she needed to return home. Ms. Vaughn…