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- August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Read moreAlthough 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…
- December 7, 2023
Letter to CMS and FTC: Misleading Advertising by Medicare Advantage Plans to Medicaid/Medicare Enrollees; Request for Immediate Relief Against UnitedHealthcare; Broader Nationwide Investigation and Relief Needed
Read moreIn this letter to the Centers for Medicare and Medicaid Services and the Federal Trade Commission, Disability Rights Connecticut, the National Health Law Program, the National Disability Rights Network, and the Center for Medicare Advocacy request that the agencies immediately intervene regarding misleading advertising that is being directed at…
- 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 19, 2022
NHeLP Letter to CCIIO Director, Ellen Montz – Re: Request for Modifications to the Federal Prescription Drug and Maternity Care Essential Health Benefit Standards
Read moreDespite improvements in coverage of Essential Health Benefits (EHB) since the enactment of the Affordable Care Act, significant gaps remain in access to care in various categories of service. In this follow-up letter to leadership at the Center for Consumer Information and Insurance Oversight (CCIIO), NHeLP urges the Department…