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- September 25, 2023
NHeLP Letter to CCIIO on Legal Authorities and Regulatory Changes for Essential Health Benefits
Read moreIn this letter to the HHS Center for Consumer Information and Insurance Oversight (CCIIO), NHeLP urges changes in regulations governing Essential Health Benefits (EHB). As NHeLP points out, nothing in the Affordable Care Act precludes HHS from adding adult oral health as part of the department's statutory responsibility to…
- September 18, 2023
EPSDT’s Legal Landscape & Implementation History
Amanda Avery and Jane Perkins Court Document, Health Advocate, Regulations and Laws, Fact Sheet, Case ExplainerRead moreThis Fact Sheet provides essential information to help advocates become EPSDT experts. After giving an overview to EPSDT, we focus on: (1) legislative milestones; (2) notable federal agency guidance; and (3) precedent-setting cases from the judiciary. Next, we provide a snapshot of states’ performance implementing EPSDT, using government reports…
- August 29, 2023
Resources for California Foster Youth: Sexual, Reproductive, and Mental Health Medi-Cal Services
Read moreCurrent and former foster youth in the Medi-Cal program have access to a broad array of reproductive, sexual, and mental health services. Working with the National Center for Youth Law, the National Health Law Program has developed a suite of infographics and factsheets aimed at helping foster youth better understand…
- August 1, 2023
Institutions for Mental Diseases (IMD) Exclusion and Substance Use Disorders: Lay of the Land
Read moreThe Medicaid Act prohibits the use of federal funding for services provided in Institutions for Mental Diseases (IMDs). In response to the overdose epidemic, two competing pathways have been implemented that allow states to circumvent the IMD exclusion: the SUPPORT Act's state plan amendment (SPA) option and the use…
- July 14, 2023
Comments on Proposed Medicaid Managed Care Access Rule
Read moreCMS proposed a major administrative rule that would increase transparency in managed care; improve monitoring and assure adequacy of payments in managed care; increase accountability, transparency, and participant input into external quality review; and help states to make information about quality measures widely available. NHeLP filed comments in support…
- July 13, 2023
Comments on Proposed Medicaid Access Rule
Jennifer Lav, Wayne Turner, David Machledt, Abigail Coursolle, Dania Douglas, Charly Gilfoil, Jasmine Young, and Madeline Morcelle CommentsRead moreCMS proposed changes and additions to regulations enforcing the "equal access" provision of Medicaid. These changes would strengthen opportunities for enrollees' input and oversight of state Medciaid programs, would help promote access to Medicaid services, would improve quality of care, and promoting transparency and adequate payment for fee-for-service Medicaid.…
