Medicaid Work Requirements Could Threaten Behavioral Health Providers’ Bottom Line

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 […]

Despite Uncertainty, Policy Expert Optimistic About 2020 Behavioral Health Outlook

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 […]

State Behavioral Health Group Bets on Development Center to Help Labor Shortage

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 […]

Why Compliance Programs Are More Important Than Ever for Behavioral Health Providers

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 […]

Federal Opioid Grant Money Can’t Be Used on Marijuana

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 […]

Another State Removes Prior Authorization For Medication-Assisted Treatment

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.  […]

Contract Language Key to Successful Insurer-Behavioral Health Provider Relationships

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 […]

Where Telehealth Fails to Address Psychiatrist Shortage, Collaborative Care Can Help

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 […]

Presidential Hopeful Kamala Harris Unveils Plan for Mental Health Reform 

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 […]