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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…
- September 11, 2024
Commenting on § 1915(c) HCBS Waivers: A Guide for Common Issues
Read moreMedicaid home and community-based (HCBS) § 1915(c) waivers provide critical services for people with disabilities across the country. These waivers change because states often submit amendments to these waivers and the waivers also have to be renewed every few years. Each time a waiver is renewed or amended, states…
- August 28, 2024
Medicaid Advisory Committees: Best Practices for Effective Stakeholder Engagement
Read moreAlthough Medical Care Advisory Committees (MCACs) have been federally required for nearly forty years, some states have seriously underutilized this opportunity to monitor and improve their Medicaid programs. In May 2024, the Centers for Medicare & Medicaid Services (CMS) updated regulations implementing MCACs. New requirements for the renamed Medicaid…
- August 7, 2024
Case explainer: Loper Bright v. Raimondo
Read moreIn Loper Bright Enterprises v. Raimondo, the Supreme Court overruled a 40-year-old precedent requiring courts to defer to agency interpretations in certain circumstances. This case explainer summarizes Loper Bright and discusses implications for implementation of the Medicaid Act.
- July 18, 2024
Q&A on Federal Authorities to Extend Pregnancy Medicaid Coverage
Read moreAs the largest payer of pregnancy related care in the U.S. and payer for 65% of Black pregnant peoples’ labor and delivery care nationwide, Medicaid has a strong influence on maternal health outcomes and equity. This issue brief answers the following questions: Q.1 What are the Medicaid Act’s minimum…
- July 11, 2024
NHeLP Letter to CCIIO on DC EHB Procedural Defect
Read moreNHeLP urges the HHS Center for Consumer Information and Insurance Oversight (CCIIO) to reject the District of Columbia's recent EHB benchmark plan update due to procedural defects. Specifically, the DC Department of Insurance, Securities and Banking and DC HealthLink announced a public comment period only days before the submission…
