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- May 17, 2023
Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights
Read moreMedi-Cal covers Specialty Mental Health Services (SMHS) for beneficiaries who need them. In California, County Mental Health Plans (MHPs) are responsible for providing SMHS to Medi-Cal beneficiaries of all ages. This issue brief analyzes the legal requirements that require MHPs to ensure Medi-Cal beneficiaries’ access to SMHS and maintain…
- March 13, 2023
NHeLP Comments on the HHS Prior Authorization Proposed Rule (2023)
Read moreIn these comments on the Prior Authorization Proposed Rule, NHeLP urges HHS to go further to curb the abuse of prior authorization as a cost savings strategy that endangers patients’ health. NHeLP supports efforts to streamline prior authorization processing and bring greater transparency to denial rates and the clinical…
- February 19, 2023
Protecting People with Disabilities and People with Limited English Proficiency during the Unwinding of the Continuous Coverage Provision
Read moreState planning for the unwinding of the Medicaid continuous coverage provision needs to include evaluation of a state's processes, policies, and systems for disability and language access. Failing to plan and monitor for disability and language access is the very type of disregard the non-discrimination protections were intended to…
- February 2, 2023
NHeLP Comments on Essential Health Benefits (EHB) Request for Information (RFI)
Read moreNHeLP submitted comments in response to the HHS' Request for Information (RFI) regarding coverage of Essential Health Benefits (EHB) in the private health insurance market. The comments highlight the need to provide guidance to states to ensure consumers have appropriate information about EHB coverage requirements. In addition, NHeLP underscores…
- January 30, 2023
NHeLP Comments on Patient Protection and Affordable Care Act;
Read moreIn these comments on the NBPP 2024 Proposed Rule, NHeLP addresses a number of issues to protect health care consumers and expand access to health care coverage in the Affordable Care Act Marketplaces, Medicaid, and the Children's Health Insurance Program (CHIP). These include standards for brokers, outreach activities by…
