Behavioral Provider Pays $273K to Settle Improper Billing Allegations

A Hartford, Connecticut-based behavioral health care practice and its owners have agreed to a civil settlement with federal and state governments to settle allegations they improperly billed Medicaid. The U.S. Department of Justice (DOJ) announced Tuesday that Maurice Stuckey and Joyce Anderson, as well as their company Today’s Youth LLC, will pay $273,000 to resolve […]

Improving Integrated Care, What It Could Mean for Behavioral Providers

More than 55% of adults with mental health issues went untreated in 2020, largely due to the supply-demand mismatch that exists in behavioral health. Integrating behavioral health care into medical settings presents an opportunity to change that — and benefit behavioral health providers — but not without policy changes.  The problem is most primary care […]

Lawyers: Biden Unlikely to Expand Parity to Include Medicare, But Other Behavioral Changes Probable

When President Joe Biden was elected, behavioral health stakeholders were hopeful he would tackle some of the industry’s most pressing issues, chiefly among them being parity.  Even though the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) requires issuers to make behavioral health coverage no more restrictive than medical coverage, payers frequently come […]

Biden Administration Outlines Plan to Increase SUD Treatment Access in First-Year Drug Policy Priorities

The Biden Administration has released its first-year drug policy priorities.  The agenda, released Thursday, includes seven main areas on which the administration says it will focus during its first year in office. Those priorities include increasing access to evidence-based SUD treatment, particularly for buprenorphine medication-assisted treatment (MAT); better enforcing behavioral health parity; improving racial equity; […]

Senators Introduce Legislation to Boost SUD Funding, Make Telehealth Flexibilities Permanent

A bipartisan group of U.S. senators has introduced legislation to increase the amount of federal funding aimed at combating the nation’s opioid epidemic, which has worsened since the onset of the coronavirus pandemic. On top of that, the new bill aims to make some COVID-19-era telehealth flexibilities permanent, among other changes. The legislation — the […]

Behavioral Providers’ Role in Shaping Post-COVID Telehealth Rules

Telehealth has been vital in helping behavioral health providers navigate the COVID-19 pandemic. Regulatory flexibilities and payer leniency are largely to thank for that, but it’s unclear which of those freedoms will remain in place post-pandemic. Behavioral stakeholders from some of the health care industry’s largest organizations believe that data and provider input should ultimately […]

Advocates Urge OIG to Make It Easier for SUD Providers to Offer Contingency Management

Substance use disorder (SUD) treatment stakeholders are asking the Office of the Inspector General (OIG) at the Department of Health and Human Services (HHS) to make it easier for providers to use contingency management to help people overcome addiction.  Contingency management uses positive reinforcement to motivate certain behaviors. In the case of SUD treatment, that […]

Father, Son Sentenced for Nationwide SUD Scam

In what is thought to be the first case of fraudulent enrollment of individuals under the Affordable Care Act (ACA), a Southern California father and son have been fined and sentenced to federal prison for falsely signing up individuals for drug treatment at rehab centers. Jeffrey White, 63, and his son, Nicholas White, 35, had […]