Medicaid, Substance Abuse

Groundbreaking Approvals for Medicaid and CHIP Coverage of Traditional Health Care

Manatt, Phelps & Phillips, LLP on 10/30/2024

On October 16, CMS approved Section 1115 demonstration amendments in four states—Arizona, California, New Mexico, and Oregon—to authorize Medicaid and Children’s Health Insurance Program (CHIP) coverage of traditional...more

Health Care Week in Review: Biden Administration Announces $100 Million for ACA Marketplace Navigators and $81.3 Million for...

Alston & Bird on 9/3/2024

Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies,...more

Substance Use Disorder Treatment Services: 2025 Physician Fee Schedule Proposed Rule Would Expand Access and Medicare Coverage

Foley & Lardner LLP on 7/30/2024

On July 10, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule Proposed Rule (Proposed Rule) for the calendar year 2025. The Proposed Rule would implement certain provisions of the...more

2024 Oklahoma legislative session in review: Healthcare edition

McAfee & Taft on 7/10/2024

By Cori H. Loomis While the healthcare industry was not a specific area of focus for this year’s Oklahoma legislative session as it has been in previous years when Medicaid reform and managed care were addressed, a number of...more

What States Should Know Before Applying to CMMI’s Innovation in Behavioral Health NOFO

Manatt, Phelps & Phillips, LLP on 7/9/2024

Summary On June 17, 2024, the Center for Medicare and Medicaid Innovation (CMMI) at the Centers for Medicare and Medicaid Services (CMS) released a notice of funding opportunity (NOFO) for Innovation in Behavioral Health...more

CMS Hosts Health Equity Conference: Key Insights and Perspectives

McDermott+ on 6/6/2024

Last week, the Centers for Medicare & Medicaid Services (CMS) held the second annual CMS Health Equity Conference. The event drew several hundred in-person attendees, including my colleague Kayla Holgash, and thousands of...more

New CMMI Innovation Models Support Digitally Enabled Care

Manatt, Phelps & Phillips, LLP on 3/11/2024

With the recent announcements of two new innovation models, the Centers for Medicare & Medicaid Services (CMS) is recognizing the role of digitally enabled care in improving access and outcomes. ...more

CMS Approves Montana’s Reentry Services, Contingency Management, and Tenancy Supports 1115 Waiver

Manatt, Phelps & Phillips, LLP on 3/7/2024

On February 26, 2024, Montana received Centers for Medicare and Medicaid Services (CMS) approval to provide contingency management, tenancy supports, and Reentry Initiative services under its Section 1115 Healing and Ending...more

[Webinar] Improving Access to Care for Pregnant and Postpartum People With Opioid Use Disorder - March 5th, 2:00 pm - 3:00 pm ET

Manatt, Phelps & Phillips, LLP on 2/14/2024

In recent years, drug-related overdoses have become a leading cause of death during pregnancy and the postpartum period, exacerbating a mounting maternal mortality crisis and underscoring the need for improved access to care...more

CMS Announces New Model for the Delivery of Integrated Behavioral and Physical Health Care

Mintz - Health Care Viewpoints on 2/6/2024

With the goal of enhancing health care quality and outcomes for individuals with moderate to severe behavioral health conditions and substance use disorders (SUD), the Centers for Medicare & Medicaid Services (CMS) recently...more

Behavioral Health: CMS Innovation Model Outlines Changes for the Delivery of Integrated Behavioral and Physical Health Care

Foley & Lardner LLP on 2/5/2024

On January 18, 2024, the Centers for Medicare & Medicaid Services (CMS) announced a new innovation model designed to improve quality of care and behavioral and physical health outcomes for Medicaid and Medicare patients with...more

CMS Announces the Innovation in Behavioral Health Model

Arnall Golden Gregory LLP on 2/1/2024

Overview - The Centers for Medicare & Medicaid Services (“CMS”) is launching a new model aimed at improving the quality of care and health outcomes for individuals with behavioral health (“BH”) problems. The model, announced...more

CMS Announces New Primary and Behavioral Health Care Integration Demonstration Model

Epstein Becker & Green on 1/26/2024

On January 18th, the Centers for Medicare & Medicaid Services (CMS) announced a new demonstration model called the Innovation in Behavioral Health (IBH) Model, which is designed to improve outcomes for adults with mental...more

Leveraging Medicaid to Support Children and Youth Living With Complex Behavioral Health Needs - Framework and Strategies

Manatt, Phelps & Phillips, LLP on 11/3/2023

Executive Summary - The COVID-19 pandemic exacerbated the already-growing mental health and substance use disorder (SUD) (behavioral health) crisis gripping children and youth in the United States. It has spurred federal,...more

[Webinar] Leveraging Medicaid to Support Children and Youth Living With Complex Behavioral Health Needs - November 8th, 1:00 pm -...

Manatt, Phelps & Phillips, LLP on 10/12/2023

The COVID-19 pandemic exacerbated the serious and growing mental health and substance use disorder crisis gripping children and youth in the United States. The situation is particularly serious for young people who are stuck...more

Provider Charged with Receiving and Paying Millions in Kickbacks in Connection with Sober Homes

Cozen O'Connor on 9/25/2023

On Friday, September 15th, the United States Attorney’s Office for the District of Massachusetts (United States) and the Massachusetts Attorney General’s Office (Massachusetts) filed a joint complaint in the United States...more

Access to Care for Justice-Involved Pregnant People With a Substance Use Disorder

Manatt, Phelps & Phillips, LLP on 9/11/2023

There is a critical need to increase access to evidence-based care for justice-involved pregnant people with a substance use disorder (SUD)—and connect them to continued coverage and care upon release—according to national...more

[Event] 2023 Healthcare Enforcement Compliance Conference - November 5th - 7th, Washington, DC

Health Care Compliance Association (HCCA) on 8/8/2023

Hear directly from the enforcement community - Want to gain insight into properly monitoring, detecting, investigating, and managing violations? Join us at HCCA’s Annual Healthcare Enforcement Compliance Conference to...more

Health Care Week in Review: PAHPA Reauthorization Bills Receive House and Senate Markups

Alston & Bird on 7/24/2023

Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies,...more

[Webinar] Medicaid Coverage Opportunities for Justice-Involved Populations: CMS Guidance and States’ Approaches - July 13th, 3:00...

Manatt, Phelps & Phillips, LLP on 6/23/2023

Individuals leaving incarceration have disproportionately higher rates of physical and behavioral health diagnoses and are at higher risk for injury and death compared with people who have not been incarcerated. Race...more

[Webinar] Access to Care for Justice-Involved Pregnant People With a Substance Use Disorder - May 1st, 2:00 pm - 3:00 pm ET

Manatt, Phelps & Phillips, LLP on 4/17/2023

In a new webinar, Manatt Health, the American Medical Association (AMA) and a panel of stakeholders will share key lessons for states seeking to innovate and expand access to evidence-based care for pregnant people with a...more

Medicaid › Substance Abuse