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- March 16, 2023
Protect Medicaid Funding series
National Health Law Program (NHeLP) Fact SheetRead moreIn an updated series of fact sheets called Protect Medicaid Funding, NHeLP provides succinct analysis of the policy proposals that if enacted would jeopardize the health and financial security of the tens of millions of low-income individuals who depend on the Medicaid guarantee every year. Medicaid helps people live…
- March 13, 2023
NHeLP Comments on the HHS Prior Authorization Proposed Rule (2023)
Read moreIn these comments on the Prior Authorization Proposed Rule, NHeLP urges HHS to go further to curb the abuse of prior authorization as a cost savings strategy that endangers patients’ health. NHeLP supports efforts to streamline prior authorization processing and bring greater transparency to denial rates and the clinical…
- February 24, 2023
Medi-Cal Dyadic Services Advocates and Consumer-Facing Factsheets
Read moreEffective January 1, 2023, Medi-Cal covers dyadic services for the entire family based on the Medicaid eligibility of a child (aged 0-20). To inform advocates and families this important new Medi-Cal benefit, NHeLP publishes a set of advocate-facing and consumer-facing factsheets on Medi-Cal Dyadic Services. Dyadic Services Factsheet (Consumers)…
- February 2, 2023
NHeLP Comments on Essential Health Benefits (EHB) Request for Information (RFI)
Read moreNHeLP submitted comments in response to the HHS' Request for Information (RFI) regarding coverage of Essential Health Benefits (EHB) in the private health insurance market. The comments highlight the need to provide guidance to states to ensure consumers have appropriate information about EHB coverage requirements. In addition, NHeLP underscores…
- January 25, 2023
Medi-Cal Delivery System Changes in 2023 and 2024
Read moreThrough the combination of the ongoing implementation of the California Advancing and Innovating Medi-Cal (CalAIM) program in California and California’s reprocurement of its contracts with commercial health care service plans to deliver services to people in Medi-Cal managed care, California is making major changes to the delivery of Medi-Cal…
- December 22, 2022
An Advocate’s Guide to Medi-Cal Services
Fabiola Carrión, Amy Chen, Abigail Coursolle, Alicia Emanuel, Héctor Hernández-Delgado, T. Nancy Lam, Kimberly Lewis, Carly Myers, Alexis Robles-Fradet, Skyler Rosellini, and Jasmine Young GuideRead moreThe National Health Law Program is pleased to present our updated 2022 Advocates Guide to Medi-Cal Services. NHeLP's Medi-Cal Services Guide, first released in 2020, provides an in-depth description of some of the most important services covered in the Medi-Cal program, including prescription drug services, mental health and substance use…