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- September 12, 2024
Overview of Key Home and Community-Based Services (HCBS) Provisions in the Medicaid Access Rule
Read moreThe Medicaid Act requires that state payments for Medicaid are sufficient to provide at least equivalent access to care for Medicaid beneficiaries as the general population in any given geographic area. Over the years, CMS has tried to enforce payment adequacy via increased monitoring and other requirements, but these…
- August 14, 2024
Medi-Cal Intensive Care Coordination (ICC) & Intensive Home Based Services (IHBS): Access Standards and Beneficiary Rights
Carly Myers and Kim Lewis Fact SheetRead moreSome county mental health plans (MHPs) have policies and practices on ICC and IHBS that do not comply with state law and policy, such as imposing additional eligibility criteria or requiring prior authorization for ICC. This factsheet reviews the correct legal standards for ICC and IHBS access and outlines…
- June 3, 2024
Addressing Language Access for Reproductive Telehealth Care
RHITES, COLOR Latina, Frontera Fund, and National Health Law Program (NHeLP) Fact SheetRead moreRHITES latest factsheet created in partnership with COLOR Latina, Frontera Fund and the National Health Law Program dives deeper into how folks with limited English proficiency (LEP) face systemic inequities when trying to access health care, including unique challenges to benefiting from telehealth services. Highlights include: ➡️ About one…
- May 30, 2024
North Carolina Tailored Plan Network Adequacy: Acute Care Hospitals Update
Daniel Young Fact SheetRead moreNorth Carolina is launching Tailored Plans on July 1, 2024 to manage the behavioral health and physical health services for beneficiaries in need of enhanced services for a mental health disorder, substance use disorder, intellectual/developmental disability (I/DD), or traumatic brain injury (TBI). A Tailored Plan’s provider network is critical…
- April 30, 2024
Medicaid Continuous Coverage Unwinding: Messaging and Outreach Resources
Read moreState Medicaid agencies are beginning to unwind the Medicaid continuous coverage provisions enacted in early 2020 to adapt to the COVID-19 pandemic. With some states having begun terminations of coverage as early as April 1, 2023, advocates have an important role to play in messaging and outreach to prepare…
- April 24, 2024
Know Your Appeal Rights for the California Children’s Services Program
Read moreThe CCS Program can often be challenging to navigate for families with children with complex health needs. CCS children and their families who experience delays, denials, reductions, discontinuances or other changes to their CCS benefits have the right to appeal, including CCS children with Medi-Cal who have the additional…
