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- June 22, 2015
EHB Prescription Drug Standard Issue No. 3 – Mail-Order Pharmacies
Read moreIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice of…
- May 8, 2015
EHB Prescription Drug Standard – Exceptions Process
Read moreIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice…
- May 8, 2015
EHB Prescription Drug Standard – Formulary Transparency
Read moreIntroduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice…
- July 23, 2013
Q&A: Medicaid Coverage of Outpatient Prescription Drugs
Read moreProduced by the National Health Law Program with a grant from the Training Advocacy Support Center (TASC) at the National Disability Rights Network under a contract with the Administration on Developmental Disabilities (ADD), the Center for Mental Health Services (CMHS), and the Rehabilitation Services Agency (RSA). …
- July 23, 2013
Q&A: EPSDT and the Medicare Prescription Drug Benefit
Read moreIndividuals dually eligible for Medicare and Medicaid receive their prescription drug coverage through Medicare Part D. This Q&A addresses problems that can arise where the Part D coverage needs to wrap-around with Medicaids EPSDT benefit for children.
- July 23, 2013
Factsheet: Prescription Drug Coverage Under Medicaid (1999)
Read morePrepared by: Claudia Schlosberg, Staff Attorney Sareena Jerath, Law Clerk July 1999 In 1997, the Medicaid program paid nearly $12 billion for prescription drugs. Next to physician services, it is the most frequently used benefit in the Medicaid…
