Medicaid

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.…

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…

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,…

Treatment-resistant depression patients cost Medicare an average of $45,994 per year — about 21% more than comparable beneficiaries with major depressive disorder whose symptoms are controlled, according to a report from Health Management Associates.  The research and consulting firm conducted…

HHS added 10 states to the Certified Community Behavioral Health Clinic Medicaid Demonstration Program, supporting President Donald Trump’s Great American Recovery Initiative, a coordinated federal effort to address addiction in the U.S. Alaska, Colorado, Hawaii, Louisiana, Maryland, Mississippi, Montana, North…

One-fourth of children treated at autism therapy clinics spend nearly eight hours a day in therapy, according to a recent investigation by The New York Times.  Here are five things to know:

Dayton, Ohio-based CareSource suspended repayment demands it previously issued to some Ohio behavioral health providers after therapists and social workers organized public opposition to the policy change, Cleveland.com reported May 25.  The organization, Ohio’s largest Medicaid managed care plan covering…