Providers Beware: Behavioral Health Fraud Investigations, Recoveries on the Rise

Most behavioral health providers agree it’s a good thing: The federal government continues to funnel more money into behavioral health initiatives, such as fighting the opioid epidemic and funding certified community behavioral health clinics (CCBHC). But as providers find themselves with more federal dollars, they’re also more likely to face increased scrutiny over their practices, […]

Behavioral Health Leaders Urge Congress to Expand CCBHC Medicaid Demonstration

Dozens of behavioral health organizations are urging Congress to expand the Certified Community Behavioral Health Clinic (CCBHC) Medicaid demonstration, which is set to expire May 22.  In a letter released Tuesday, 60 stakeholders asked lawmakers to extend the demonstration for the eight states currently participating and expands the program to nearly a dozen more states. […]

President Trump’s Budget Would Boost CCBHC, Opioid Funding — But Hurt Medicaid 

The Trump administration released its proposed budget for fiscal year 2021 Monday. On the behavioral health front, the budget aims to expand and extend the Certified Community Behavioral Health Clinic (CCBHC) Medicaid demonstration, significantly boosting funding to that program and a variety of others focused on mental health and the opioid epidemic. It also promises […]

Community Health Workers Save Money, Improve Outcomes By Tackling Social and Behavioral Needs

By addressing social determinants of health and coordinating care, community health workers help save Medicaid payers significant amounts of money, while also leading to better overall outcomes for patients, a new study asserts. The findings could reasonably be applied to behavioral health providers. By offering preventative care to address social factors, the study suggests organizations […]

CCBHC Funding Helps Behavioral Health Combat Workforce Shortages

Nearly three years into the Certified Community Behavioral Health Clinic (CCBHC) Medicaid demonstration and about a year and a half into the first round of CCBHC expansion grant program, behavioral health stakeholders continue to advocate for the wider roll out of the CCBHC model. And in January, the industry recorded a win on that front. […]

Medicaid Block Grant Option Could Hurt Behavioral Health Providers — But Not Anytime Soon

The Centers for Medicare and Medicaid Services (CMS) has unveiled a new option for states to receive their federal Medicaid expansion funding as a capped lump sum. Behavioral health stakeholders worry the proposed waiver program could hurt safety net providers and the patients they serve, but operators won’t see changes anytime soon — if at […]

Quartet Health Collaborates with Blue Cross NC for Value-Based Behavioral Health Payment Model

Quartet Health, a technology platform services company for behavioral health providers, has reached an agreement with Blue Cross Blue Shield North Carolina (Blue Cross NC) to establish a new value-based payment model for the Tar Heel State insurer. The goal is to ensure people get high-quality mental health care in a timely manner while improving […]

National Council CEO Hopes to Expand CCBHC Program, Strengthen Medicaid in 2020

After years of being neglected, behavioral health issues are finally getting some attention in Washington, D.C. The Centers for Medicare and Medicaid Services (CMS) has opened new up reimbursement opportunities for behavioral health services; the Substance Abuse and Mental Health Services Administration (SAMHSA) continues to roll out additional grants; and a growing number of state […]

Medicaid Expansion Associated with Fewer Fatal Opioid Overdoses

Medicaid expansion could be credited with saving the lives of thousands from opioid overdoses, researchers assert in a new study. In fact, states that adopted Medicaid expansion between 2014 and 2016 recorded fewer opioid-related deaths than states that did not, according to results published by JAMA Network Open. Medicaid expansion was born out of the […]