Four substance use disorder (SUD) treatment facilities owned by Crossroads Treatment Centers have allegedly knowingly submitted false and fraudulent claims to Medicaid from 2016 to mid-2023. The company is now set to pay $863,934 in a civil settlement with the U.S. and the Commonwealth of Virginia. “Submitting false claims to Medicaid undermines the integrity of […]
Prominent Democratic lawmakers released the Health Over Wealth Act Thursday — legislation meant to beef up the regulation of private equity investment in health care. The bill text specifically names “mental health or behavioral health” providers and opioid treatment programs (OTPs). Among several other requirements, it would require that private equity firms obtain licenses from […]
Inaccurate health plan directories, also known as ghost networks, can block patients from much-needed behavioral health care, drive up health care prices and keep providers from reaching potential clients. Regulations like the No Surprises Act that mandate more accurate health plan directories have largely failed, according to a new study published in BMC Health Services […]
The Biden administration has launched a new initiative focused on building a multi-state social worker licensure compact. The grant program could help boost behavioral health access by reducing the application burden for social workers. This could be key as the behavioral health industry faces a notoriously tight labor market. State licensure compacts allow providers to […]
A federal court has partially halted the Federal Trade Commission’s (FTC) near-total ban on noncompete agreements. On July 3, the U.S. District Court for the Northern District of Texas enjoined the final rule’s implementation, but only for the plaintiffs named in the case. The rule is set to take effect on Sept. 4, 2024, pending […]
The U.S. Centers for Medicare & Medicaid Services (CMS) included multiple behavioral health updates in two proposed payment rules released on Wednesday. Intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs) will likely see rate changes as part of the CMS proposed payment rates for hospital outpatient and Ambulatory Surgical Center services. IOPs and PHPs […]
As fentanyl proliferates the illicit drug market and opioid-related overdoses surge, access to the life-saving medication methadone is more critical than ever. Efforts to increase access to take-home methadone have paid off, and the Substance Abuse and Mental Health Services Administration (SAMHSA) cemented COVID-era flexibilities earlier this year. For substance use disorder (SUD) treatment providers […]
The U.S. Supreme Court has handed the behavioral health industry a bag of uncertainty with the elimination of the decade’s old Chevron doctrine. The removal of the Chevron doctrine, a high-profile legal decision, makes it easier for behavioral health providers to poke holes in state and federal rules that rely on regulatory agencies’ interpretations of […]
Five U.S. states are now allowed to provide incarcerated people with coverage for substance use disorder (SUD) care and other services before their release. Medicaid traditionally does not provide SUD treatment to otherwise eligible people who are incarcerated in jails, prisons or youth correctional facilities. Now, the U.S. Department of Health and Human Services (HHS) […]
The U.S. Department of Labor has submitted its final rule that overhauls parity regulations for a final review at the White House, a last stop before its public release. It’s not clear when the rule will be released. If published as previously proposed, the new rule would revamp provisions implementing the Paul Wellstone and Pete […]
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