Health Services Administration and Medicaid - Health Care Compliance Brief

Health Services Administration

Medicaid

Prior Authorization Insurance Requirements: A Barrier to Accessing Lifesaving Treatment for Opioid Use Disorder?

Bill of Health

AUGUST 22, 2022

For example, prescribers of buprenorphine must obtain a waiver from the Substance Abuse and Mental Health Services Administration (SAMHSA) prior to writing prescriptions to treat OUD, and those practitioners who wish to treat more than 30 patients are mandated to undertake training.

Medicaid

Medicaid Medicaid COVID-19 Health Services Administration

SAMHSA and ONC Invest $20M in Behavioral Health IT Initiative

HIT Consultant

FEBRUARY 6, 2024

– The strategic collaborative effort, aligned with the HHS Roadmap for Behavioral Health Integration and the President’s call to action on mental health and substance abuse, aims to bridge the existing gap between behavioral health and physical healthcare IT systems.

Health Services Administration

Health Services Administration Medicaid Medicaid Medicare

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Trending Sources

HHS Announces New Funding to Boost Behavioral Health Services

Healthcare Compliance Blog

MAY 18, 2022

The program is funded by the Centers for Medicare & Medicaid Services (CMS), and will establish a Center of Excellence for Building Capacity in Nursing Facilities to Care for Residents with Behavioral Health Conditions (Center for Excellence).

Nursing Homes

Nursing Homes Nurses Health Services Administration Medicaid

Payor-Led Initiatives to Strengthen Mental Health Resources

Healthcare Law Blog

MARCH 20, 2023

The Kaiser Family Foundation surveyed forty-four state Medicaid officials about strategies to address behavioral health workforce shortages and found the following four categories to be most critical. [6] 2] See, e.g., The Behavioral Health Care Affordability Problem , Center for American Progress (May 26, 2022). [3] PhD, et al.,

Medicaid

Medicaid Medicaid Licensing ACA

Comprehensive Guide to Medication-Assisted Treatment (MAT) Billing

Medisys Compliance

MARCH 19, 2024

References: Billing for Medication-Assisted Treatment for Opioid Use Disorder: Current Procedural Terminology (CPT) Codes and Other Considerations: Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment for Opioid Use Disorder: Billing and Coding Guide: American Society of Addiction Medicine (ASAM) The CPT (..)

Medical Billing Outsourcing

Medical Billing Outsourcing Medical Billing Health Services Administration Public Health

Expanded Medicare Telehealth Coverage for Opioid Use Disorder Treatment Services Furnished by Opioid Treatment Programs

Healthcare Law Today

NOVEMBER 9, 2022

Starting January 1, 2023, Medicare will cover telehealth-based treatment services delivered by federally-accredited opioid treatment programs (OTPs), commonly referred to as “methadone clinics.”

Medicare

Medicare Medicare COVID-19 Telemedicine

HHS is prioritizing consumer experience, data exchange, explainable AI

Healthcare It News

APRIL 28, 2023

Department of Health and Human Services, who outlined the ways HHS is tailoring its approach to better serve consumers with increased cross-departmental and interdepartmental cooperation. "If you've seen one Medicaid program, you've seen one Medicaid program.

US Department of Health and Human Services

US Department of Health and Human Services Medicaid Medicaid Governance

Five Opportunities to Use the Law to Address Persistent OUD Treatment Gaps

Bill of Health

NOVEMBER 15, 2023

See e.g., California’s 1115 waiver (pages 1-9 have an overview of prerelease services). “If… w e can reform jails and prisons from places of withdrawal and abstinence to treatment and recovery, we need to better connect their populations with the outside world.

Governance

Governance Public Health Telemedicine Medicaid

Key Healthcare Provisions of the Consolidated Appropriations Act, 2023

Healthcare Law Blog

JANUARY 6, 2023

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. Medicaid & CHIP Adjustments. Medicaid Improvement Fund. The Act provides for nearly $1.7

COVID-19

COVID-19 Medicaid Medicaid Medicare

HIPAA Continuity of Care

HIPAA Journal

MAY 12, 2023

Update to CMS Interoperability and Patient Access Final Rule In 2020, the Centers for Medicare and Medicaid Services (CMS) published the Interoperability and Patient Access Final Rule.

HIPAA

HIPAA Compliance Health Services Administration Medicare

Medical Device Cybersecurity Provisions Included in Omnibus Appropriations Bill

HIPAA Journal

DECEMBER 22, 2022

billion in funding for the Department of Health and Human Services, increasing HHS funds by a further $9.9 Funding for the Centers for Medicare and Medicaid Services will increase by $100 million, the National Institutes of Health will receive an additional $2.5 The bill proposes $120.7 billion from last year.

FDA

FDA Governance COVID-19 Medicaid

President Biden Signs End-of-Year Legislation Including Telehealth, Medicare & Medicaid, Mental Health, Pandemic Preparedness, and Other Health Care Provisions

C&M Health Law

JANUARY 25, 2023

Acute Care Hospital at Home Program and Rural Health Section 4140 of the Act extends the Acute Hospital Care at Home program for two years, through December 31, 2024. These requirements would also apply to state Medicaid fee-for-service programs. The FFCRA authorized increased federal funding to states through a 6.2

Medicaid

Medicaid Medicaid Medicare Medicare

HIPAA Updates and HIPAA Changes in 2023

HIPAA Journal

JANUARY 9, 2023

In November 2022, OCR and the Substance Abuse and Mental Health Services Administration (SAMHSA) issued a Notice of Proposed Rulemaking (NPRM) which sees both Part 2 and HIPAA changes to better align these regulations. The CMS has also expanded telehealth to include all Medicare and Medicaid beneficiaries.

HIPAA

HIPAA COVID-19 COVID-19 Vaccine Compliance

Prior Authorization Insurance Requirements: A Barrier to Accessing Lifesaving Treatment for Opioid Use Disorder?

SAMHSA and ONC Invest $20M in Behavioral Health IT Initiative

Trending Sources

HHS Announces New Funding to Boost Behavioral Health Services

Payor-Led Initiatives to Strengthen Mental Health Resources

Comprehensive Guide to Medication-Assisted Treatment (MAT) Billing

Expanded Medicare Telehealth Coverage for Opioid Use Disorder Treatment Services Furnished by Opioid Treatment Programs

HHS is prioritizing consumer experience, data exchange, explainable AI

Five Opportunities to Use the Law to Address Persistent OUD Treatment Gaps

Key Healthcare Provisions of the Consolidated Appropriations Act, 2023

HIPAA Continuity of Care

Medical Device Cybersecurity Provisions Included in Omnibus Appropriations Bill

President Biden Signs End-of-Year Legislation Including Telehealth, Medicare & Medicaid, Mental Health, Pandemic Preparedness, and Other Health Care Provisions

HIPAA Updates and HIPAA Changes in 2023

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