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- December 3, 2020
NHeLP Comments on HHS Regulations Rule (aka SUNSET Rule)
Read moreIn the Regulations Rule, HHS seeks to retroactively impose a mandatory expiration date on an estimated 18,000 duly promulgated regulations. Even long-standing rules would be automatically rescinded unless they survive a complex process of assessment and review. Programs like Medicaid and the Children's Health Insurance Program (CHIP) could be…
- November 19, 2020
California Policy Needs During COVID and Beyond: Due Process
Read moreMedi-Cal is a lifeline for Californians during the COVID-19 public health emergency (PHE). Among the many crucial benefits of Medi-Cal, beneficiaries have strong due process protections including the right to written notices, an appeal of denials, and a hearing. These protections ensure that beneficiaries have meaningful rights to challenge…
- November 11, 2020
Medicaid External Quality Review: An Updated Overview
Read moreIn 2016, the Centers for Medicare & Medicaid Services (CMS) updated Medicaid managed care regulations for the first time in over a decade. This included several new requirements for the External Quality Review (EQR) process. This issue brief reviews the updated EQR process and points out where States can…
- November 10, 2020
California Policy Needs During COVID and Beyond: Reproductive and Sexual Health
Read moreCOVID-19 has changed the landscape for reproductive and sexual health care services, delivery, and access. As has been the case across the board, the COVID-19 pandemic has laid bare racial and socioeconomic inequities, and in many cases exacerbated them. At the same time, the challenges raised by the pandemic…
- July 16, 2020
Amicus: Bellin v. Zucker, U.S. Court of Appeals, Second Circuit
Litigation Team Court Document, CasesRead moreThe National Health Law Program, along with the Center for Medicare Advocacy and Justice in Aging, filed this brief in the Second Circuit in support of the plaintiff. Rosalind Bellin receives Medicaid in New York and needs in-home long term care services to live in her home safely. She…
- December 18, 2019
Advocate Fact Sheet: Evaluating Mental Health Plans’ Provision of Medi-Cal Specialty Mental Health Services
Read moreMedi-Cal beneficiaries in California receive mental health services through two separate managed care systems. Medi-Cal Managed Care Plans (MCPs) are responsible for providing non-specialty mental health services and County Mental Health Plans (MHPs) are responsible for providing specialty mental health services (SMHS). This bifurcated system often serves as a…
