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- December 5, 2014
Q&A Relatives as Paid Providers
Read moreMany states allow parents or other legally responsible relatives to become paid providers of Medicaid-funded home and community based services for their children or other relatives. State policies on this issue vary and often differ by program and population served. This Q&A provides an overview of the federal program…
- November 14, 2014
Health Advocate: Open Enrollment 2 (OE2): What to Expect
Read moreThe second open enrollment period begins Nov. 15, 2014. While we are leaps and bounds from the road bumps experienced during the first enrollment period, we still have work to do. This edition of the Health Advocate walks through many of the challenges and concerns as we head into…
- November 10, 2014
NHeLP Letter to CMS re: PA State Plan Benefits
Leo Cuello and Jane Perkins LetterRead moreIn this letter to CMS NHeLP recommends that CMS not approve reductions to Pennsylvania's Medicaid state plan benefit pursuant to the approval of Pennsylvania's Medicaid Expansion.
- October 29, 2014
Lessons from CA: Covering Behavioral Health Treatment in Medi-Cal
Read moreIn this month's Lessons from California, we highlight how NHeLP is working with advocates in California to ensure the state is following the federal guidelines from CMS on providing Behavioral Health Treatment to children with Autism Spectrum Disorders and that children receive the treatment they need under Medi-Cal.
- October 27, 2014
Reducing Medicaid Emergency Department Use: Increase Accessibility, Not Copays
Read moreEmergency department care, one of the most frequently cited drivers of health care costs, has become a major target for cost sharing policies. The stereotypical "frequent flyer" who uses the emergency department (ED) for every cough and sniffle has become a powerful, but unwarranted symbol of inefficient spending driven…
- October 16, 2014
Issue Brief: Update on Private Enforcement of the Medicaid Act
Read moreOver the years, Medicaid beneficiaries have asserted claims under the Supremacy Clause of the U.S. Constitution and 42 U.S.C. § 1983 in litigation to enjoin state violations of the Medicaid Act. This Fact Sheet will summarize the history of § 1983 and Supremacy Clause enforcement, provide current point-in-time assessments…