At least five states have taken steps in 2026 to restrict new Medicaid behavioral health provider enrollments as stakeholders seek to curb fraud, waste and abuse while strengthening oversight of high-risk services. The developments come as the Trump administration aims…
Ella Ruder
Sacred Circles of Healing and Wellness, a behavioral health provider in Tuba City, Ariz., was suspended from the Arizona Health Care Cost Containment System’s Medicaid program, effective June 17, 2026, according to agency documents reviewed by Becker’s. The provider, which…
The most commonly citations in Psychiatric Residential Treatment Facility surveys from 2018 through 2025 shifted between post-intervention debriefings and education and training, according to data from CMS’ Quality, Certification and Oversight Reports. The data includes survey findings for the subset…
Florence, S.C.-based McLeod Regional Medical Center opened a pediatric behavioral health crisis stabilization unit for children experiencing psychiatric emergencies. The new pediatric EmPATH — emergency psychiatric assessment, treatment and healing — unit includes 15 beds and is housed within McLeod…
Behavioral health emergency department visits across the U.S. are projected to increase by 1 million over the next decade. In response to rising demand, Philadelphia-based Penn Medicine opened a crisis response center in 2023 at Hospital of the University of…
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The Maryland Department of Health extended a temporary suspension on certain new Medicaid behavioral health provider enrollments amid efforts to address potential fraud, waste and abuse and ensure provider quality, according to a June 24 news release from the department.…
Daniel Robinson, CEO of Oak Lawn, Ill.-based ODA Solutions, was charged with one count of healthcare fraud and one count of money laundering in connection with what the Justice Department described as a scheme to defraud the Illinois Medicaid program.…
Phoenix-based Southwest Behavioral and Health Services reported a hacking and IT incident involving email systems that affected 2,316 individuals. Notification of the breach was submitted May 20, according to HHS’ breach portal. A forensic investigation determined that six employee email…
Akron (Ohio) Children’s has partnered with Sonar Mental Health to provide patients with access to 24/7 chat-based well-being support, combining trained well-being coaches with AI tools that support coach consistency, safety, quality and care coordination, according to a June 24…
Behavioral health leaders are facing a major Medicaid policy shift after CMS issued an interim final rule June 1 outlining how states must implement Medicaid work requirements beginning Jan. 1, 2027, KFF reported June 23. Under the 2025 reconciliation law,…