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May 3, 2022
Scope of Practice and Medicaid: State Flexibility to Cover Advanced Practice Care
Liz McCaman Taylor and Cathren Cohen Health Advocate, Issue Brief, NHeLP Matters
Advanced practice providers (APPs) are licensed health care practitioners, other than physicians, who may practice independently and bill directly under state law. Public health research supports making a variety of services available through APPs. There are two primary state policy levers that impact Medicaid enrollees’ access to advanced practice…
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May 2, 2022
NHeLP Comments on CMS Request for Information on Access to Coverage and Care in Medicaid & CHIP
Charly Gilfoil, Cat Duffy, Abigail Coursolle, Mara Youdelman, Wayne Turner, Jennifer Lav, Elizabeth Edwards, and David Machledt Comments
The Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) to develop and implement a comprehensive strategy to help ensure equitable access to Medicaid and the Children's Health Insurance Program (CHIP). In comments, NHeLP responds to the RFI questions on issues ranging from eligibility and…
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April 14, 2022
NHeLP comments on Oregon’s application for renewal of the Oregon Health Plan § 1115(a) Demonstration Waiver for 2022-2027
Sarah Somers and Wayne Turner Comments
In public comments, NHeLP expresses support for Oregon's decision to abandon its waiver of EPSDT. However, NHeLP strongly opposes Oregon's proposal to exclude outpatient prescription drugs approved under the FDA's accelerated approval pathway. Denying Medicaid enrollees access to effective break-through therapies would harm people with serious or life-threatening medical…
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April 8, 2022
More Transparency Needed to Ensure Medicaid Beneficiaries Have Access to Necessary Off-Label Prescription Drugs
Abigail Coursolle Issue Brief
Under federal law, state Medicaid programs are required to cover (with a few exceptions) outpatient prescription drugs for “medically accepted indications.” Medically accepted indications are both those that are included on the drug’s label by the FDA as part of the approval process, and certain “off-label” uses.Medicaid programs are…
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April 4, 2022
Asynchronous telehealth in states that cover abortions for Medicaid beneficiaries
Fabiola Carrión Fact Sheet
*Fact sheet was co-written with legal intern Allison Berquist In this fact sheet, NHeLP identifies and analyzes how the sixteen states that cover abortions for Medicaid beneficiaries have decided to cover asynchronous, store-and-forward modalities in ways that could be potentially helpful for increased abortion access.
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February 11, 2022
NHeLP letter to HHS Sec. Becerra – Re: Advancing Health Equity Through Essential Health Benefits
Wayne Turner, Héctor Hernández-Delgado, and Fabiola Carrión Letter
The Affordable Care Act (ACA) established a comprehensive set of ten Essential Health Benefits (EHB) that most health plans must cover. However, regulations allowing states to define EHB through a benchmarking process have lead to inconsistent and inadequate coverage. In this letter to HHS Secretary Xavier Becerra, NHeLP urges…
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Scope of Practice and Medicaid: State Flexibility to Cover Advanced Practice Care

NHeLP Comments on CMS Request for Information on Access to Coverage and Care in Medicaid & CHIP

NHeLP comments on Oregon’s application for renewal of the Oregon Health Plan § 1115(a) Demonstration Waiver for 2022-2027

More Transparency Needed to Ensure Medicaid Beneficiaries Have Access to Necessary Off-Label Prescription Drugs

Asynchronous telehealth in states that cover abortions for Medicaid beneficiaries

NHeLP letter to HHS Sec. Becerra – Re: Advancing Health Equity Through Essential Health Benefits