Cigna Healthcare is broadening its AI-enabled care management programs to reach more customers with emerging, complex and chronic health needs. The expanded approach is expected to support 20% more customers across areas including behavioral health, cancer, heart disease, kidney disease…
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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…
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…
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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.…
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. …