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- July 23, 2013
Issue Brief: Appeal Rights and Medicaid Benefit Reductions
Read moreFor full publication text, download document.
- July 23, 2013
EPSDT Policy Instructions Update
Litigation Team Issue BriefRead moreFor full publication text, download document.
- July 23, 2013
An Advocate’s Guide to Reproductive Health in the Medicaid Program
Susan Berke Fogel, Deborah Reid, and Mara Youdelman Manual/ReportRead moreAn Advocate's Guide will familiarize readers with the basics of the Medicaid Program and highlight features that support women's reproductive health. The Guide includes a brief history and administrative structure, and eligibility standards of the Medicaid Program. It also describes the overall health and support services available in Medicaid,…
- July 23, 2013
Issue Brief: Obtaining Information About Medicaid Prescription Drug Denials Prepared by the NHeLP Sunshine and Accountability Project
Read moreFor full publication text, download document.
- July 23, 2013
Model Medicaid Managed Care Contract Provisions — Medical Necessity Definition
Read moreIntroduction The definition of "medical necessity" raises two general issues of concern to consumers: What benefits are covered? (E.g., are they limited to diagnosis and treatment, or do they also include preventive care? Are experimental services excluded? Does the definition recognize and mandate the…
- July 23, 2013
NHeLP Comments: Medicare + Choice Interim Final Regulations Pertaining to Repro
Read moreNHeLP's comments on the Medicare + Choice Interim Final Regulations, focused on reproductive health and advance directives, urge for comprehensive benefits, transparency, and adequate external review processes.