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- February 4, 2022
Coverage of Over-the-Counter Drugs in Medicaid (Revised February 2022)
Read moreDrug coverage is an important facet of the Medicaid program. Although it is an optional benefit, all states cover outpatient prescription drugs in their Medicaid programs. States have significantly more leeway, however, in whether they cover over-the-counter (OTC) drugs. This Fact Sheet provides an overview of Medicaid rules for…
- January 27, 2022
NHeLP Comments on Georgia Section 1332 State Innovation Waiver
Read moreNHeLP submitted comments during the reopened comment period regarding Georgia's Section 1332 State Innovation Waiver. NHeLP recommends that HHS withdraw its approval of this waiver because it would impose a number of unlawful conditions on coverage and access to care for the marketplace and Medicaid populations.
- December 16, 2021
NHeLP Comments on HHS SUNSET Repeal Rule
Read moreIn the HHS SUNSET final rule, HHS sought to retroactively impose a mandatory expiration date on an estimated 18,000 duly promulgated regulations. Even long-standing rules would be automatically rescinded unless they survive a complex process of assessment and review. If implemented, programs like Medicaid and the Children’s Health Insurance…
- August 26, 2021
EPSDT Trends Fact Sheet 2015 – 2019
Daniel Young Fact SheetRead moreThis Fact Sheet is a companion piece to the National Health Law Program’s publication, Children’s Health Under Medicaid. A National Review of Early and Periodic Screening, Diagnostic, and Treatment Services 2015-2019, highlighting trends in EPSDT program performance. The analysis compares states’ reported data in 2019 to what the states…
- June 29, 2021
Children’s Health Under Medicaid A National Review of Early and Periodic Screening, Diagnostic, and Treatment Services 2015 – 2019
Read moreThe Medicaid Early and Periodic Screening, Diagnostic, and Treatment program requires each state to complete a reporting form provided by the U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS). This form, known as the Form CMS-416, measures the states’ efforts to ensure that…
- June 11, 2021
Helping Families Obtain Durable Medical Equipment and Supplies Through The California Children’s Services (CCS) Program
Read moreThis advocates issue brief provides the framework for accessing Durable Medical Equipment and medical supplies through the California Children's Services (CCS) program, including: a program overview, existing guidance on how to access services in Whole Child Model and traditional counties, considerations when children have Medi-Cal and/or other health coverage,…