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 […]

SUD Treatment Providers Split on Buprenorphine Flexibilities Nixed by Biden

At Landmark Recovery’s nine inpatient recovery centers across the U.S., patients battling opioid use disorder (OUD) only get access to buprenorphine for short stints, usually as a detox medication. But Senior Medical Director Melvin Pohl would like to start offering the drug as part of long-term treatment, with patients being referred to community providers who […]

IMD Waivers Improve Access to Inpatient — and Outpatient — SUD Treatment

Substance use disorder (SUD) treatment providers in certain states serve Medicaid beneficiaries better than others. It all depends on whether they operate in a state with a waiver allowing them to bypass the Institutions for Mental Diseases (IMD) exclusion, according to new research published in the February issue of Health Affairs. Not only do providers […]

Behavioral Health Industry Saw ‘Marked Uptick’ in FCA Settlements in FY 2020

Whistleblower lawsuits filed under the False Claims Act (FCA) were up last fiscal year, with the increase hitting the behavioral health industry especially hard. Those are just a couple takeaways from Bass, Berry & Sims’ recent 2020 Healthcare Fraud & Abuse Review. The law firm publishes the report annually to document health care fraud and […]

New Funding Allows for Massive Expansion of CCBHCs

The number of certified community behavioral health clinics (CCBHCs) nationwide just skyrocketed thanks to a slew of newly released grants from the Substance Abuse and Mental Health Services Administration (SAMHSA). This week SAMHSA awarded CCBHC grants to 134 clinics, bringing the total number of CCBHCs nationwide up to 340 — an increase of nearly 50% […]

Behavioral Health ‘Band-Aid’ Helps One State Tackle Supply-Demand Mismatch

The supply-demand mismatch in behavioral health frequently prevents patients across the country from getting the help they need. Oftentimes, there just aren’t enough providers to keep up with the demand. Fixing that problem is easier said than done, but the state of Massachusetts is working on it with its Expedited Psychiatric Inpatient Admissions initiative (EPIA). […]

Behavioral Health Practice Pays $100K to Settle Fraud Allegations

A Connecticut private behavioral health practice and its owner have agreed to pay more than $100,000 to settle state and federal fraud allegations, the U.S. Department of Justice (DOJ) announced Monday. Behavioral Management LLC of North Haven and its owner, Neil Quatrano, have entered into a civil settlement agreement following allegations that the company submitted […]

Biden Administration Officially Nixes Trump-Era MAT Prescribing Flexibilities

The Biden administration has officially nixed a last-minute effort by the Trump administration to let most doctors prescribe the medication-assisted treatment (MAT) drug buprenorphine. While sources tipped the Washington Post off to the news earlier this week, the announcement officially came Wednesday. “On January 14, 2021, HHS announced forthcoming Practice Guidelines for the Administration of […]