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- April 18, 2014
NHeLP Comments: Standards Related to Essential Health Benefits
Read moreComments to CMS on Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation.
- April 10, 2014
NHeLP Comments to Health Pennsylvania 1115 Proposal
Read moreThe Pennsylvania 1115 Medicaid proposal is an extremely dangerous one. Under the guise of expanding Medicaid it would enact historic cuts to the state's Medicaid program. Second, it tries to waive core Medicaid requirements. Approval of this demonstration as requested would be a serious harm to Medicaid enrollees in…
- April 3, 2014
Q&A: EPSDT Coverage of Nutrition Services
Read moreQ&A Fact Sheet on EPSDT coverage of nutrition selection. EPSDT is a mandatory Medicaid service for children and youth under age 21. Congress clarified and strengthened the EPSDT provisions in 1989, adding, among other things, an explicit "correct or ameliorate" treatment requirement.
- April 3, 2014
Fact Sheet: Medicaid EPSDT Case Trends and Docket
Read moreThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. See 42 U.S.C. §§ 1396a(a)(10)(A), 1396a(a)(43), 1396d(a)(4)(B), 1396d(r). EPSDT is critical for children with disabilities. Over the years, however, states have not adhered to their responsibilities, and litigation has resulted.…
- March 31, 2014
Lessons from CA: Pediatric Dental Coverage in the Exchange
Read moreThe Affordable Care Act requires that all plans in the Marketplace and non-grandfathered plans in the individual and small group markets cover pediatric dental services as an essential health benefit. In this Lessons from California, we explore the options that states have to implement these new requirements, and strategies…
- March 20, 2014
CA Advocates’ Letter & Policy Paper: Pediatric Dental Benefits in the Exchange
Kim Lewis and Michelle Lilienfeld LetterRead moreCA advocates' letter and policy paper urging the CA Exchange Board to adopt a pediatric dental benefit policy that assures all enrollees are able to purchase Qualified Health Plans that include pediatric dental benefits.