Despite the push by federal courts to block Medicaid work requirements nationwide, states continue to pursue restrictions that would tie health coverage to employment for certain beneficiaries. In fact, on Thursday, South Carolina became the 11th state to have such requirements approved by the Centers for Medicare and Medicaid Services (CMS) — much to the […]
Category: Medicaid
As 2020 approaches, behavioral health providers are staring down the barrel of financial and regulatory uncertainty. While they may not know exactly what to expect, policy experts at the National Council for Behavioral Health are optimistic about the behavioral health landscape in the year ahead. “[A government shutdown] seems extremely unlikely this year,” Rebecca Farley […]
From coast to coast, the workforce shortage is hurting behavioral health providers, leaving many stumped as to how to fix the problem, which has been affecting access to care and providers’ business operations for years. But industry leaders and advocates in Illinois have a plan: They’re hoping for the development of a unique state-wide workforce […]
The Certified Community Behavioral Health Clinic (CCBHC) Demonstration Program is one step closer to being extended and expanded. On Friday, the Senate Finance Committee announced it has reached an agreement to extend the CCBHC program by two years and add an additional 11 states to the program. However, the plan is not yet set in […]
Behavioral health providers in one state have come out on top in a battle to remove prior authorization requirements for opioid use disorder (OUD) treatment. The Michigan Department of Health and Human Services (MDHHS) announced this week it would do away with prior authorization requirements for medication-assisted treatment (MAT) drugs in Medicaid plans, effective immediately. […]
Certified community behavioral health clinics (CCBHCs) will continue to receive funding through at least Dec. 20, thanks to a temporary government spending bill President Donald Trump signed Thursday. National Council for Behavioral Health president and CEO Chuck Ingoglia lauded the move as life-saving for the thousands of people who rely on CCBHCs for care. “CCBHCs […]
As the need for behavioral health services continues to grow, so do the number of companies trying to creatively meet the demand. For some, that means introducing new technology and remote monitoring solutions in an effort to improve outcomes. For others, it means repurposing existing models of care in new ways — which is the […]
For years, federal rules have prevented Medicaid from paying for patients to stay in inpatient psychiatric treatment facilities with more than 16 beds, which are known as institutions for mental diseases (IMDs). The rule is known as the IMD exclusion. But in recent years, that’s started to change. Now, states can work around the IMD […]
The Centers for Medicare & Medicaid Services (CMS) proposed a new rule Tuesday designed to increase oversight of Medicaid supplemental payments by creating new reporting requirements. While it’s not yet clear what the changes would mean for the behavioral health care industry, Medicaid is one of the largest financing sources in the space. It accounted […]
A first-of-its-kind Medicaid demonstration project aimed to improve care for beneficiaries with serious mental illness (SMI) and/or serious emotional disturbance (SED) has been approved in Washington, D.C. The Centers for Medicare & Medicaid Services (CMS) announced the approval of D.C.’s Section 1115 Medicaid waiver Wednesday. It quite literally waives federal rules that typically prevent Medicaid […]