Higher co-pays and fees for Medicaid beneficiaries? Organizations ask for clarity

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Props to the 79 organizations who prepared an excellent letter to Secretary Sebelius in response to the request for comments on Proposed Rule “Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing”

In a nutshell, the proposed rule could potentially saddle Medicaid beneficiaries with higher co-pays and fees. The rule gives states the choice in what Medicaid benefits to cover, so long as the packages include coverage in the 10 Essential Health Benefit categories outlined in the health law. "

Of particular note to the Children's Mental Health Network in the letter to Secretary Sebelius was the section on "Definition of Medically Frail." From the letter:

Remember, states have choice in what Medicaid benefits to cover, so long as the packages include coverage in the 10 Essential Health Benefit categories outlined in the health law. Frankly, it is up to us to make sure that decision-makers are aware of the choices that work best for youth with serious emotional challenges and their families.

Read the letter here. A "must read" for Network faithful.

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