Medicaid Resources

Model Medicaid Managed Care Contract Provisions: EPSDT Vision and Hearing Services

This resource suggests model contract provisions for coverage of vision and hearing services in Medicaid managed care.

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Regulation of Medicaid Providers

For many low-income Americans, Medicaid provides much-needed access to health care. The Network was recently contacted by a requestor who asked for information regarding the termination of a Medicaid provider by the Centers for Medicare & Medicaid Services (CMS) in cases of Medicaid fraud, and the consequences of that termination at the state level.

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Medicaid Expansion under the ACA

The Network received a question from a local health official on Medicaid expansion under the Affordable Care Act (ACA), specifically if any measures are being taken to incentivize providers to accept Medicaid.

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Issue Brief: Primary Care Provider Capacity and the Medicaid Expansion

This resource outlines the challenges Medicaid beneficiaries may face in accessing primary care providers.

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Issue Brief: Medicaid EPSDT

The Medicaid Early and Periodic Screening, Diagnostic and Treatment service (EPSDT) is a comprehensive benefit available to children and youth under age 21 who are enrolled in Medicaid. Read more about this benefit, how the service addresses screening and treatment, education about EPSDT and state reporting.

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Encouraging Breastfeeding

A local health official contacted the Network with a question about California’s Hospital Infant Feeding Act. Signed into law in October 2011, the Act requires California’s Department of Public Health to promote breastfeeding and develop model training for California hospitals.

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