Nearly four years after the 988 Suicide & Crisis Lifeline launched, states, payers and county systems still define behavioral health crisis care inconsistently, and Medicare offers limited coverage for community-based crisis stabilization services — leaving safety-net funding, Medicaid, federal block…
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CMS’ Advancing Chronic Care with Effective, Scalable Solutions model launched July 5, testing whether paying organizations for outcomes — rather than specific services — can expand access to technology-supported chronic care. Behavioral health is one of four clinical tracks, alongside…
California’s first-in-the-nation initiative requiring health insurance companies to reimburse schools for on-campus behavioral healthcare services has struggled to meet expectations five years after its launch, with schools citing billing challenges, delayed payments and limited state support, according to a KFF…
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…
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.…
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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,…
The Utah Department of HHS has placed a temporary moratorium on new substance use disorder and mental health rehabilitation provider enrollments in the state’s Medicaid program after receiving federal approval. Here are four things to know:
States with higher Medicaid reimbursement rates for psychiatrists had 24% lower overall healthcare costs and 19% lower psychiatric-specific costs among Medicaid patients with serious mental illness, according to a study published in The American Journal of Managed Care. The study…
The HHS Office of Inspector General found that Philadelphia-based Community Behavioral Health — a Pennsylvania behavioral health Medicaid managed care organization — did not comply with federal and state requirements when denying behavioral health service requests that required prior authorization. …
Behavioral health providers in South Florida said Medicaid termination notices have disrupted services for patients and affected provider operations, CBS News Miami reported June 3. Glory to God, which provides physical therapy, behavioral therapy and schooling for medically fragile children,…