Reports of abuse and neglect have increasingly rang alarm bells about the lack of oversight of children in residential behavioral health facilities. A new report from the Office of Inspector General (OIG) found that almost one-third of states fail to collect the information that could identify patterns of maltreatment among foster children in residential facilities. […]
Office of Inspector General
New government findings add details to the lack of availability of behavioral health services for America’s poor and elderly. The Office of Inspector General (OIG) for the U.S. Health and Human Services Department found that about one-third of behavioral health providers in selected counties serve patients in the Medicare, Medicare Advantage, or Medicaid programs. “Despite […]
The Centers for Medicare and Medicaid have fallen short in ensuring several states comply with Medicaid managed care mental health and substance use disorder parity requirements. That’s according to a new audit by the Office of Inspector General (OIG), which evaluated eight states with Medicaid managed care contracts. Four of the states in the review, […]
Despite an “urgent” need for Medicare beneficiaries to receive treatment for opioid use disorder (OUD), a low percentage receive potentially life-saving medication-assisted treatment (MAT) for the condition. Approximately 52,000 Medicare enrollees experienced an opioid overdose in 2022, according to a report from the Office of Inspector General (OIG). However, only 18% of Medicare patients with […]
About one-third of Medicaid enrollees with opioid use disorder (OUD) did not receive medication as a part of their treatment. New data from the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services (HHS) found that “a significant number of enrollees with opioid use disorder may not be receiving this […]
Medicaid Investigators Recovered $98M Through Fraud and Abuse Cases from Behavioral Health Providers
The behavioral health industry saw $98.4 million in Medicaid funding clawed back through civil and criminal actions in federal fiscal 2021, according to a new report released by the Office of Inspector General (OIG) of the Health and Human Services Department. In total, Medicaid Fraud Control Units (MFCUs) recovered about $1.7 billion — $856.6 million […]
Much of the nation’s behavioral health care has gone virtual since the beginning of the pandemic. And while it has been a convenient way to ensure that care goes uninterrupted, there is still room for improvement for states to strengthen their telehealth capacities for Medicaid enrollees. That was what the Office of Inspector General (OIG) […]
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