Medicaid

Budget pressures are forcing many governors and legislators to find ways to trim their Medicaid expenses.  Through tightening eligibility or cutting benefits, states seek to lower their costs. Often, these changes are illegal. NSCLC seeks to protect Medicaid services (especially those which are home and community based) and the millions of low-income older adults and persons with disabilities who depend on them, through administrative advocacy and litigation.

  • Table Helps Calculate Medicaid Eligibility Under Pickle Amendment
    (11/15/12) The Social Security Administration recently announced its cost of living adjustment for Social Security and SSI benefits effective January 1. This adjustment affects the calculation of Pickle Amendment eligibility for Medicaid in 2013. This ...


  • Analysis: North Dakota Medicaid Program Improperly Limited Use of Annuities
    (6/1/2012) A federal district court in North Dakota ruled in Geston v Olson that a state Medicaid regulation related to annuities is inconsistent with federal law. Prior to reaching the underlying merits, the court ruled that the plaintiff had a right ...


  • Policy Issue Brief: CMS Notifies States of Limited MOE Flexibility in HCBS Waiver Programs
    (9/19/11) Advocates in states that may be contemplating cuts to HCBS waiver programs should be aware of the limits of the states' authority to make changes, both under the Affordable Care Act and other sources of federal law. Policy Issue Brief.  


  • Comments on Medicaid Home Health Services Requirements
    (9/8/11) In comments made to the Centers for Medicare and Medicaid Services, NSCLC says that home health services should not be limited to "homebound" persons To read NSCLC's extensive comments on proposed regulations Click Here.  


  • Issue Brief: CMS Issues Guidance on Medicaid Rules for Same Sex Partners
    (7/7/11) CMS has issued a letter to state Medicaid directors entitled "Same Sex Partners and Medicaid Liens, Transfer of Assets, and Estate Recovery." The letter identifies strategies states may employ to broaden the federal law's narrow application of...


  • Medicaid Brief Circulated with White House, Congress
    (6/16/11) A Policy Issue Brief entitled Medicaid Block Grants: Attacking the Safety Net for Low-income Older Adults got the attention of the White House and Democratic members of Congress. In the brief, NSCLC includes eight ways that block granting of ...


  • Medicaid Block Grants Mean Low Income Adults Could Lose Benefits
    (4/26/11) In a policy issue brief and news release, NSCLC says that the result of block granting Medicaid would mean taking health care coverage away from millions of low-income older adults and people with disabilities. Read the News Release. Read the...


  • NSCLC Calls for More Oversight of Assisted Living
    (11/23/10) In a policy issue brief and white paper, NSCLC says the federal government should take a more active role in oversight of assisted living facilities in light of current common practice that allows them to kick out or refuse to admit people w...


  • NSCLC Comments on Waiver Transparency
    (11/10/10) NSCLC called for more stakeholder involvement in demonstration projects in submitted comments to CMS on  Medicaid Program: Review Process for Section 1115 Demonstrations.  Read comments.


  • Analysis: Medicaid LTSS Provisions in Health Care Reform Law
    (4/7/10) NSCLC's early analysis of the impact of the new health reform law on Medicaid payment for long term services and supports, including comments on the State Balancing Incentive Program, Community Based Attendant Service Options, HCBS State Plan...