The Centers for Medicare and Medicaid (CMS) released a new guidance to State Medicaid Directors, opening the door to a larger pool of providers to offer care to beneficiaries and adding a new nurse advice line. As part of the guidance, a new group of behavioral health providers, including master’s level social workers, marriage and […]
CMS
The Centers for Medicare and Medicaid Services (CMS) has approved a $7.5 billion waiver for New York, allowing the state to integrate primary, behavioral health, and health-related social services over the next three years. One of the main goals of the waiver is to help boost population health and equity outcomes for high-risk Medicaid enrollees, […]
The Centers for Medicare & Medicaid Services (CMS) is prioritizing whole-person health and behavioral health care in its finalized physician payment rule for 2024. Specifically, the new rule – released Wednesday – allows marriage and family therapists (MFTs) and mental health counselors (MHCs), including substance use disorder (SUD) counselors, to enroll in Medicare for the […]
The U.S. Centers for Medicare & Medicaid Services (CMS) announced that it will raise the total estimated Medicare spending for inpatient psychiatric facilities by 2.3% next year. This means that total payments to inpatient psychiatric facilities (IPF) are projected to increase by $70 million in fiscal year 2024. CMS will also update Medicare’s payment rate […]
Thursday night, the U.S. Centers for Medicare & Medicaid Services (CMS) dropped a new proposed rule that would allow Medicare to cover intensive outpatient programs (IOPs) for mental health and substance use disorder (SUD) treatment. The proposed changes could open the door for IOP providers to work with the Medicare population and give patients a […]
The Centers for Medicare & Medicaid Services’ (CMS) proposed 2024 Medicare Physician Fee Schedule could expand behavioral health coverage, boost care coordination and increase rates for providers. Specifically, the proposed changes would allow marriage and family therapists (MFTs) and mental health counselors (MHCs), including substance use disorder counselors, to enroll in Medicare and bill for […]
The Centers for Medicare & Medicaid Services (CMS) is rolling out a new demonstration that could help expand access to substance use disorder (SUD) services by allowing state Medicaid plans to cover incarcerated individuals before release. Specifically, the demonstration allows state Medicaid programs to cover a package of pre-release services up to 90 days before […]
The Centers for Medicare & Medicaid Services (CMS) has finalized a new rule that would add mental health facilities and substance use disorder treatment centers to the list of essential community providers (ECPs), in an effort to expand access to behavioral health services. This new rule, which is part of the Notice of Benefit and […]
The U.S. Centers for Medicare & Medicaid Services (CMS) on Wednesday finalized a new rule aimed at expanding access to behavioral health services and integration for seniors and individuals with disabilities. Specifically, the new rule adds clinical psychologists and licensed clinical social workers to CMS’ list of evaluated specialties. It also requires most Medicare Advantage […]
A bipartisan group of U.S. House representatives have introduced a new bill aimed at increasing access to mental health services for seniors Dubbed the Increasing Mental Health Options Act of 2022, the legislation seeks to ensure that Medicare beneficiaries have access to psychologists and can receive mental health services regardless of their care setting. Currently […]
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