Historically, many behavioral health providers have operated on a cash-pay basis out of necessity. But as reimbursement options continue to increase for mental health and substance abuse treatment, that no longer has to be the case. Parity requirements have brought commercial payers more substantially into the mix, while opportunities for providers to be reimbursed by […]
The U.S. government says federal grant dollars awarded for opioid and other substance abuse treatment can’t be spent on marijuana. The news comes as the opioid crisis continues to rage on in states across the country — more and more of which now allow the use medical and recreational marijuana. While the drug is illegal […]
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. […]
For behavioral health providers, working with commercial payers can be easier said than done. Those relationships are often fraught with coverage disputes and low reimbursements, prompting many providers to opt to remain out of network for self-preservation. However, that often means higher costs for the patients who require their services. For behavioral health providers willing […]
Telehealth is often lauded as the answer to a common problem plaguing many sectors within the health care industry: a shortage of qualified workers. That’s especially true in behavioral health care, where treatment doesn’t always require a physical examination. In fact, behavioral health care often dominates the telemedicine field. Take Michigan, for example: NPR reported […]
Democratic presidential candidate Kamala Harris has unveiled a new plan to reform mental health treatment. If passed, it could lead to new opportunities and higher reimbursement rates for behavioral health providers. The plan aims to double the number of mental health treatment beds nationwide, remove the institutions for mental disease (IMD) exclusion, increase the availability […]
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 […]
U.S. employees are far more likely to go out of network and see lower reimbursement for behavioral health services than for physical health services. Despite a nationwide push for parity, those equality gaps are widening, according to a new study. The report — published by Seattle-based actuarial and consulting firm Milliman Inc. and commissioned by […]
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 […]
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