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September 12, 2024
Overview of Key Home and Community-Based Services (HCBS) Provisions in the Medicaid Access Rule
Jennifer Lav and David Machledt Fact Sheet
The Medicaid Act requires that state payments for Medicaid are sufficient to provide at least equivalent access to care for Medicaid beneficiaries as the general population in any given geographic area. Over the years, CMS has tried to enforce payment adequacy via increased monitoring and other requirements, but these…
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September 11, 2024
Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues
Elizabeth Edwards Guide
Medicaid home and community-based (HCBS) § 1915(c) waivers provide critical services for people with disabilities across the country. These waivers change because states often submit amendments to these waivers and the waivers also have to be renewed every few years. Each time a waiver is renewed or amended, states…
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August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Daniel Young and Wayne Turner Issue Brief
Although Medical Care Advisory Committees (MCACs) have been federally required for nearly forty years, some states have seriously underutilized this opportunity to monitor and improve their Medicaid programs. In May 2024, the Centers for Medicare & Medicaid Services (CMS) updated regulations implementing MCACs. New requirements for the renamed Medicaid…
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August 7, 2024
Case explainer: Loper Bright v. Raimondo
Jane Perkins and Sarah Somers Court Document, Cases
In Loper Bright Enterprises v. Raimondo, the Supreme Court overruled a 40-year-old precedent requiring courts to defer to agency interpretations in certain circumstances. This case explainer summarizes Loper Bright and discusses implications for implementation of the Medicaid Act.
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July 18, 2024
Report: Medicaid Coverage of Telehealth Abortion Services in Six States (IL, MN, NM, NY, RI, WA)
Cat Duffy
In 2022, the National Health Law Program started a project to comprehensively map the Medicaid coverage and reimbursement policies that impact access to telehealth medication abortion (TMAB) services. We published an in-depth report investigating the policy landscape in six states that use their own funding to provide abortion coverage…
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July 18, 2024
Q&A on Federal Authorities to Extend Pregnancy Medicaid Coverage
Madeline Morcelle Issue Brief
As the largest payer of pregnancy related care in the U.S. and payer for 65% of Black pregnant peoples’ labor and delivery care nationwide, Medicaid has a strong influence on maternal health outcomes and equity. This issue brief answers the following questions: Q.1 What are the Medicaid Act’s minimum…
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Medicaid Archive

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Overview of Key Home and Community-Based Services (HCBS) Provisions in the Medicaid Access Rule

Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues

Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement

Case explainer: Loper Bright v. Raimondo

Report: Medicaid Coverage of Telehealth Abortion Services in Six States (IL, MN, NM, NY, RI, WA)

Medicaid Archive

Never miss a thing.

Subscribe today.

Overview of Key Home and Community-Based Services (HCBS) Provisions in the Medicaid Access Rule

Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues

Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement

Case explainer: Loper Bright v. Raimondo

Report: Medicaid Coverage of Telehealth Abortion Services in Six States (IL, MN, NM, NY, RI, WA)

Q&A on Federal Authorities to Extend Pregnancy Medicaid Coverage