Medicaid Guidelines For Behavioral Health Services

Listing Websites about Medicaid Guidelines For Behavioral Health Services

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Behavioral Health Services Medicaid

(Just Now) WEBMedicaid is the single largest payer for mental health services in the United States and is increasingly playing a larger role in the reimbursement of substance use disorder services. Individuals with a behavioral health disorder also utilize significant health care …

https://www.medicaid.gov/medicaid/benefits/behavioral-health-services/index.html

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Medicaid Coverage of Behavioral Health Services in 2022: …

(2 days ago) WEBMedicaid plays a key role in covering and financing care for people with behavioral health conditions.Nearly 40% of the nonelderly adult Medicaid population …

https://www.kff.org/mental-health/issue-brief/medicaid-coverage-of-behavioral-health-services-in-2022-findings-from-a-survey-of-state-medicaid-programs/

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Quality of Behavioral Health Care in Medicaid and …

(7 days ago) WEBuse disorders. CMS uses this Behavioral Health Core Set to measure and assess progress on improving behavioral health care in Medicaid and CHIP. This Chart Pack …

https://www.medicaid.gov/medicaid/quality-of-care/downloads/2021-behavioral-health-chart-pack.pdf

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State Policies Expanding Access to Behavioral Health Care …

(6 days ago) WEBOn KFF’s 21 st annual Medicaid budget survey, all responding states reported at least one initiative to expand behavioral health care in Medicaid in state …

https://www.kff.org/mental-health/issue-brief/state-policies-expanding-access-to-behavioral-health-care-in-medicaid/

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2022 Core Set of Behavioral Health Measures for …

(Just Now) WEBTo support CMS’s efforts to improve behavioral health in Medicaid and CHIP, CMS identified a core set of 20 behavioral health measures for voluntary reporting by state …

https://www.medicaid.gov/medicaid/quality-of-care/downloads/2022-bh-core-set.pdf

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Medicaid Behavioral Health: CMS Guidance Needed to …

(2 days ago) WEBRequired to provide a broad range of behavioral health services—mental health and substance use services—CCBHCs are reimbursed by state Medicaid …

https://www.gao.gov/products/gao-21-104466

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BEHAVIORAL HEALTH - National Association of Medicaid …

(2 days ago) WEB1. Remove barriers to behavioral health services for children and their caregivers. • Eliminate or add flexibility to requirements that children have a behavioral health …

https://medicaiddirectors.org/wp-content/uploads/2021/03/Medicaid-Forward-Behavioral-Health-Report.pdf

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State Approaches to Behavioral Health Measures in Medicaid

(Just Now) WEBPerformance measurement is a pillar of state quality improvement and oversight. It is often factored into plan payment, and it supports public reporting.In …

https://nashp.org/state-approaches-to-behavioral-health-measures-in-medicaid-managed-care/

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Medicaid Handbook: Interface with Behavioral Health …

(8 days ago) WEBThis handbook reviews Medicaid and its role in financing services and treatment for mental illness and substance use disorders. It discusses services included in state Medicaid …

https://store.samhsa.gov/product/medicaid-handbook-interface-behavioral-health-services/sma13-4773

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CMS Behavioral Health Strategy CMS

(Just Now) WEBThe CMS Behavioral Health Strategy focuses on three key areas: 1) substance use disorders prevention, treatment and recovery services, 2) ensuring …

https://www.cms.gov/cms-behavioral-health-strategy

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Innovation in Behavioral Health (IBH) Model: Participation …

(Just Now) WEBThe IBH Model will test a value-based payment approach that is aligned in Medicaid and Medicare and enables specialty behavioral health (BH) practices to integrate BH care with physical health (PH) care and health-related social needs (HRSNs) for adult beneficiaries with moderate to severe BH conditions. CMS will award up to eight cooperative

https://www.cms.gov/files/document/ibh-state-medicaid-fs.pdf

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CMS to Mandate State Reporting of Behavioral Health Quality Data

(9 days ago) WEBA proposed rule released late Thursday, if finalized, would make it mandatory for states to report behavioral health measures on the Core Set of Adult …

https://bhbusiness.com/2022/08/18/cms-to-mandate-state-reporting-of-behavioral-health-quality-data/

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WEBProvider Services Medicaid: 1-800-682-9091 DDD: 1-800-682-9091 MLTSS: 1-855-777-0123 FIDE-SNP: 1-855-955-5590 Authorization is required for many behavioral …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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Medicaid Coverage for Adult Behavioral Health Peer Support …

(7 days ago) WEBProvide an overview of Medicaid coverage for behavioral health peer support services in Connecticut and other states. Summary A 2022 survey of Medicaid officials across the …

https://www.cga.ct.gov/2024/rpt/pdf/2024-R-0036.pdf?t=1714399602844

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HMH Palisades Medical Center-Outpatient Counseling Center-NB

(4 days ago) WEBPalisades Medical Center - Outpatient Mental Health Services - North Bergen. Behavioral Health Facility 7101 Kennedy Boulevard North Bergen, NJ 07047. …

https://www.hackensackmeridianhealth.org/en/locations/hmh-palisades-medical-center-outpatient-counseling-center-nb

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State Policies Expanding Access to Behavioral Health Care in …

(6 days ago) WEBIn comparison, Medicaid covered 18% of the general nonelderly adult population. In total, approximately 10.3 million nonelderly adults with Medicaid had a …

https://www.kff.org/report-section/state-policies-expanding-access-to-behavioral-health-care-in-medicaid-appendices/

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2023 Core Set of Behavioral Health Measures for Medicaid …

(Just Now) WEBTo support CMS’s efforts to improve behavioral health in Medicaid and CHIP, CMS identified a core set of 18 behavioral health measures for voluntary reporting by state …

https://www.medicaid.gov/medicaid/quality-of-care/downloads/2023-bh-core-set.pdf

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CMS finalizes rules to improve Medicaid, CHIP access and payment

(5 days ago) WEBApr 22, 2024 - 05:42 PM. The Centers for Medicare & Medicaid Services April 22 finalized rules intended to improve access in both the Medicaid fee-for-service and managed care programs. The rules also align requirements in the Children’s Health Insurance Program with the Medicaid program and finalize several changes to state …

https://www.aha.org/news/headline/2024-04-22-cms-finalizes-rules-improve-medicaid-chip-access-and-payment

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MLN909432 Behavioral Health Integration Services Booklet

(7 days ago) WEBThis figure is a model of behavioral health integration that enhances usual primary care by adding 2 key services to the primary care team, particularly patients whose conditions …

https://www.cms.gov/files/document/mln909432-behavioral-health-integration-services.pdf

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CMMI’s Innovations in Behavioral Health: Promoting Physical and …

(2 days ago) WEBOn January 18, 2024, the Center for Medicare and Medicaid Innovation (CMMI) at the Centers for Medicare and Medicaid Services (CMS) announced …

https://www.jdsupra.com/legalnews/cmmi-s-innovations-in-behavioral-health-3083888/

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Geographic disparities in telemedicine mental health use by …

(8 days ago) WEBUtilization of telemedicine care for vulnerable and low income populations, especially individuals with mental health conditions, is not well understood. The goal is …

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-024-10898-0

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Barriers and facilitators to collaborative care implementation …

(8 days ago) WEBBackground Since 2015, the New York State Office of Mental Health has provided state primary care clinics with outreach, free training and technical assistance, …

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-024-10909-0

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Biden-Harris Administration Takes Historic Action to Increase …

(3 days ago) WEB“Ensuring Access to Medicaid Services” (“Access Rule”) creates historic national standards that will allow people enrolled in Medicaid and the Children’s Health …

https://www.cms.gov/newsroom/press-releases/biden-harris-administration-takes-historic-action-increase-access-quality-care-and-support-families

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Guide to Edits" Transition of Children Placed in Foster Care and …

(9 days ago) WEB29-I Health Facilities will continue to cover the cost of prescription drugs (except those that are covered under the Foster Care Drug Carve-Out list) and durable 27 medical …

https://health.ny.gov/health_care/medicaid/redesign/behavioral_health/children/guide_to_edits_for_foster_care_paper.htm

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Fact Sheet: Vice President Harris Announces Historic …

(3 days ago) WEBMedicare and Medicaid pay billions of dollars per year to ensure that 1.2 million Americans that receive care in nursing homes are cared for, yet too many nursing …

https://www.whitehouse.gov/briefing-room/statements-releases/2024/04/22/fact-sheet-vice-president-harris-announces-historic-advancements-in-long-term-care-to-support-the-care-economy/

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Apply for FY 2024 Behavioral Health Service Expansion

(7 days ago) WEBGet key funding details. We expect to award $240 million in FY 2024 and $200 million in FY 2025 to 400 health centers. You may apply for up to $600,000 in year 1, and $500,000 …

https://bphc.hrsa.gov/funding/funding-opportunities/behavioral-health-service-expansion

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Quick Reference Guide for Horizon Behavioral

(8 days ago) WEBFor Medicare primary members, Medicare must be billed first and the EOB should be later submitted to Horizon NJ Health. Horizon NJ Health Claim Appeals Department PO Box …

https://s21151.pcdn.co/wp-content/uploads/HBH_QRG_HNJH.pdf

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New Roadmap to Behavioral health from CMCS & SAMHSA

(4 days ago) WEBThe Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) in partnership with Substance Abuse and Mental Health Services Administration …

https://www.medicaid.gov/about-us/messages/entry/47613

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State Options for Medicaid Coverage of Inpatient Behavioral …

(7 days ago) WEBMost Medicaid adults who receive behavioral health treatment do so as outpatients. Twenty-six states have a Section 1115 waiver to use Medicaid funds for …

https://www.kff.org/mental-health/report/state-options-for-medicaid-coverage-of-inpatient-behavioral-health-services/

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers …

(Just Now) WEBCenters for Medicare & Medicaid Services 42 CFR Parts 438, 442, and 483 [CMS-3442-F] ever held and having "Federal guidelines in place could help the …

https://public-inspection.federalregister.gov/2024-08273.pdf

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Update to Prior Authorization Codes for Medicaid Members, …

(3 days ago) WEBWhat’s Changing: Blue Cross and Blue Shield of Texas is changing prior authorization requirements for Medicaid members to reflect new, replaced or removed codes due to updates from Utilization Management prior authorization assessment, Current Procedural Terminology (CPT®) code changes released by the American Medical …

https://www.bcbstx.com/provider/medicaid/education-and-reference/news/2024/04-29-24-pa-change-medicaid-07-01-2024

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NCDHHS Invests $22 Million in Community Crisis Centers and Peer …

(6 days ago) WEBPRESS RELEASE — As part of an ongoing effort to transform North Carolina’s behavioral health crisis response system, the NC Department of Health and Human Services today announced a $22 million investment to expand community crisis centers and peer respite care across the state. This investment will increase North Carolina’s …

https://www.ncdhhs.gov/news/press-releases/2024/04/24/ncdhhs-invests-22-million-community-crisis-centers-and-peer-respite-north-carolina

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Non-Emergency Medical Transportation (NEMT) Overview

(Just Now) WEBState of North Carolina • Department of Health and Human Services • Division of Health Benefits (NC Medicaid) www.medicaid.ncdhhs.gov • NCDHHS is an equal opportunity …

https://medicaid.ncdhhs.gov/fact-sheet-non-emergency-medicaid-transportation-nemt-overview/download?attachment

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CMS finalizes minimum staffing standards for nursing homes

(9 days ago) WEBThe Centers for Medicare & Medicaid Services April 22 finalized minimum staffing requirements for nursing homes that participate in Medicare and Medicaid. As …

https://www.aha.org/news/headline/2024-04-22-cms-finalizes-minimum-staffing-standards-nursing-homes

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Promoting Physical and Behavioral Health Integration in …

(2 days ago) WEBThe PRIME Program is a five-year initiative under the Medi-Cal 2020 Section 1115 waiver that builds upon the Delivery System Reform Incentive Payment (DSRIP) program …

https://www.medicaid.gov/medicaid/downloads/promoting-pbhi.pdf

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