Most low-income teens and young adults who survive opioid overdoses don’t receive adequate treatment and resources afterward to help them combat their addictions, results of a new study show. In fact, less than one in every three Medicaid enrollees age 13 to 22 receive timely addiction treatment following an overdose of heroin or other opioids, […]
Category: Reimbursement
Opened CleanSlate Centers opens new Wisconsin location CleanSlate Centers, a Nashville-based provider of outpatient alcohol and opioid addiction treatment services, has opened a new location in LaCrosse, Wisconsin, bringing its number of facilities in the state up to 13. Overall, CleanSlate operates facilities in 11 states, nine of which are east of the Mississippi River. […]
Behavioral health clinics across the country are now able to apply for Certified Community Behavioral Health Clinic (CCBHC) expansion grants. The Substance Abuse and Mental Health Services Administration (SAMHSA) announced the funding opportunity Friday, putting $200 million worth of grants up for grabs and expanding the reach of CCBHCs. The purpose is to “increase access […]
Lawmakers in one state have introduced two new bills designed to improve and expand insurance coverage for behavioral health services. The legislation was proposed Tuesday in California, a state that frequently sets legislative trends known to catch on nationwide. The bills in question — Senate Bill 854 and Senate Bill 855 — target private insurance […]
Psychiatric hospitals that participate in Medicare will soon see changes to the way they’re surveyed for compliance. Currently, providers are surveyed twice to ensure compliance with two different sets of guidelines, or conditions of participation (CoPs). But starting in March, those surveys will be consolidated into one, the Centers for Medicare & Medicaid Services (CMS) […]
The National Association for Behavioral Healthcare (NABH) is kicking off the new decade with a new leader. Shawn Coughlin took over as president and CEO of the trade association Jan. 1, following the retirement of the organization’s long-time leader Mark Covall, who headed up NABH for the past 24 years. With Coughlin at the helm, […]
UnitedHealth Group avoided a parity fight Monday, when a California federal judge dismissed a lawsuit claiming the insurer unfairly denied a man his right to receive coverage for addiction treatment. However, the insurer isn’t in the clear just yet, according to Law 360. The class action suit, originally filed last July, stated that the lead […]
The IMD exclusion is as old is the Medicaid program itself — and so are the complaints against it. Oftentimes, those complaints come from the behavioral health providers affected by the rule. But, nationwide, loopholes in the federal exclusion are helping providers get paid to provide services they otherwise wouldn’t be reimbursed for. In fact, […]
The one-time owner of more than a dozen Los Angeles-area substance abuse treatment centers has been indicted on charges he operated a massive $175 million billing scheme. Robert Bathum, who has called himself the “Rehab Mogul,” pleaded no contest Monday in Los Angeles County Superior Court to 14 felony counts of grand theft, insurance fraud, […]
Since the Affordable Care Act first gave birth to Medicaid expansion, its success has been a matter of debate, especially when it comes to behavioral health care. Supporters tout statistics that suggest Medicaid expansion has allowed nearly 11 million more Americans to gain health care coverage. Meanwhile, opponents dispute whether Medicaid expansion has led to […]