CMS Issues Vaccination Guidance for Behavioral Health Care Workers

The Centers for Medicare and Medicaid (CMS) issued guidance Tuesday on an interim final rule mandating COVID-19 vaccinations for workers at federally-funded health care facilities. The vaccination guidance pertains to the final rule issued by the Biden administration in November, which mandated all workers at CMS-funded facilities to have the COVID jab by January 4, […]

CMS Announces New Support for Mental Health and SUD Crisis Intervention Teams

The Centers for Medicare and Medicaid Services revealed new support for states to get behavioral health crisis intervention services to those experiencing mental health- or addiction-related crises in real-time. The American Rescue Plan Act of 2021, which became law in March, grants CMS new authority to provide states with additional funding and tools to enhance […]

What the Biden Administration Is Doing Help the Behavioral Health Workforce Crisis

The Biden-Harris administration has bolstered programs meant to overcome the educational costs of getting into the behavioral health workforce in an effort to lessen the staffing pains felt sector-wide. Late in November, the White House hyped $1.5 billion in executive branch spending — $1 billion of which came from the American Rescue Plan Act, passed […]

Medicare’s Telehealth Decision Will Lead to Sweeping Changes for All of Behavioral Health

Recently announced changes to Medicare telebehavioral health coverage will impact the entire industry whether providers contract with the program or not. The move from the Centers for Medicare & Medicaid Services (CMS) marks an acceleration of telehealth on top of staking out a point-of-no-return for the industry’s progression toward digital adoption. CMS announced at the […]

Addiction Treatment Operators Convicted for Allegedly Orchestrating $112M Fraud Scheme

In an alleged scheme of massive proportions, two Florida brothers were convicted Thursday on federal charges of billing fraud at addiction treatment centers they operated. The ruling came from a South Florida jury after a seven-week trial, in which brothers Jonathan and Daniel Markovich were accused of fraudulently billing $112 million in services at two […]

CMS, OSHA Set Deadlines for Mandatory COVID-19 Vaccinations

The Biden administration on Thursday handed down a deadline for health care providers to get their workers vaccinated. This comes at a time in the behavioral health industry where many providers struggle to fully staff up their operations in the face of a massive health care staff shortage. Some industry insiders believe new federal rules […]

Former Execs, PE Firm Settle Mental Health Fraud Case for $25 Million

Former executives of the South Bay Mental Health Center (SBMHC), headquartered in Massachusetts, and their private equity (PE) backers have settled a Medicaid fraud suit filed in 2018 by the Massachusetts Attorney General (AG) for a record $25 million. To date, this is the largest publicly disclosed government health care fraud settlement involving PE oversight […]

Government Proposes a Path to Address Significant Unmet Mental Health Needs, Which Further Came to Light With the COVID-19 Pandemic

On July 7, 2021, the U.S. Department of Health and Human Services (“HHS”) Secretary Xavier Becerra renewed the COVID-19 public health emergency declaration (the “COVID-19 Emergency Declaration”). It is expected that the COVID-19 Emergency Declaration will be renewed throughout 2021. HHS also renewed another public health emergency declaration on July 7, 2021, that most likely […]

Biden to Require COVID-19 Vaccination for All Federally Funded Health Facilities

The Biden administration announced plans Thursday to boost COVID vaccinations nationwide, which includes employees of health facilities that receive federal funding. The plans — which are aimed at containing the spread of the delta variant — will require all staff at federally funded facilities to be vaccinated. Those facilities include major hospitals that receive Medicare […]

Former SUD Treatment Provider CEO Sentenced for $18M Claim Scheme

The former president and CEO of a California addiction treatment center was sentenced to 84 months in federal prison on charges of administering a fraudulent claim scheme, which cost the state more than $18.5 million. Richard Ciampa, of the Los Angeles suburb of Commerce, was also ordered to pay more than $17.6 million in restitution […]