Medicaid Behavioral Health Waivers

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Medicaid Waivers and Access to Behavioral Health …

(1 days ago) WEBIn the past 5 years, Medicaid programs have implemented administrative barriers to enrollment. The impact of these provisions on access to mental health and substance use disorder treatment has been largely unstudied. This column reviews the …

https://ps.psychiatryonline.org/doi/10.1176/appi.ps.202000865

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Key Themes in Medicaid Section 1115 Behavioral Health …

(8 days ago) WEBState interest in Medicaid Section 1115 behavioral health waivers, including mental health and substance use disorders, remains high. As of November, …

https://www.kff.org/mental-health/issue-brief/key-themes-in-medicaid-section-1115-behavioral-health-waivers/

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Medicaid Waiver Tracker: Approved and Pending Section …

(6 days ago) WEBThis page tracks approved and pending Section 1115 waiver provisions (including expansions and restrictions) related to eligibility, benefits, and social …

https://www.kff.org/medicaid/issue-brief/medicaid-waiver-tracker-approved-and-pending-section-1115-waivers-by-state/

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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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Medicaid waivers and access to behavioral health services

(3 days ago) WEBSince Medicaid is the largest provider of treatment for mental illness and an increasingly important provider of substance use disorder treatment, states’ contractions …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8570970/

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Fee-For-Service and Behavioral Health Organizations: …

(1 days ago) WEBby Nduka Vernon M.D., M.P.H. In New Jersey, most behavioral health services for Medicaid patients are reimbursed by NJ FamilyCare–New Jersey’s Medicaid.. NJ …

https://policylab.rutgers.edu/fee-for-service-and-behavioral-health-organizations-reimbursement-for-behavioral-health-services-in-new-jersey/

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States Are Leveraging Medicaid Waivers to Transform …

(8 days ago) WEB1 States may not claim Medicaid matching funds for any part of an IMD stay for mental health that exceeds 60 days.. 2 The ARP Act enacted on March 11, 2021, …

https://www.manatt.com/insights/newsletters/manatt-on-health-medicaid-edition/states-are-leveraging-medicaid-waivers-to-transfor

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Behavioral health benefits : MACPAC

(9 days ago) WEBMedicaid authorities that cover behavioral health services include: Medicaid state plan. alternative benefit plan. Early and Periodic Screening, Diagnostic, and Treatment …

https://www.macpac.gov/subtopic/behavioral-health-benefits/

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State Waivers List Medicaid

(2 days ago) WEBStatus: Approved. AL HCBS Living at Home Waiver for Persons with Intellectual Disabilities (0391.R04.00) State: Alabama. Waiver Authority: 1915 (c) Status: Approved. AL Home …

https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/index.html

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Institutions For Mental Diseases Medicaid Waivers - Health Affairs

(Just Now) WEBThe Institutions for Mental Diseases (IMD) exclusion, part of the original legislation creating the Medicaid program in 1965, prohibits federal Medicaid funds …

https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.00404

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Behavioral health services covered under HCBS waivers and 1915 …

(5 days ago) WEBUnlike Section 1915 (c) waivers, the 1915 (i) SPA allows states to set the qualifying level for HCBS at either an institutional level of care or lower. Number and size. As of …

https://www.macpac.gov/subtopic/behavioral-health-services-covered-under-hcbs-waivers-and-spas/

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Medicaid and Behavioral Health Care in Congress Funding …

(9 days ago) WEBMore than 78 million Americans — nearly one of four — are insured by Medicaid. In 2020, an estimated 40 percent of the nonelderly adult Medicaid population …

https://www.commonwealthfund.org/blog/2024/access-medicaid-and-behavioral-health-care-provisions-congresss-recent-funding-package

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Key Themes in Medicaid Section 1115 Behavioral Health Waivers

(4 days ago) WEBState interest in Section 1115 Medicaid waivers related to behavioral health is high, driven in part by state efforts to address the opioid epidemic. Figure 1: …

https://www.kff.org/report-section/key-themes-in-medicaid-section-1115-behavioral-health-waivers-issue-brief-9118/

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Medicaid Coverage for Adult Behavioral Health Peer Support …

(7 days ago) WEBstate Medicaid plan, Medicaid officials in three states (i.e., Illinois, Maine, and Vermont) indicated that their state does provide coverage for peer support services either through …

https://www.cga.ct.gov/2024/rpt/pdf/2024-R-0036.pdf?t=1714712201088

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Home & Community-Based Services 1915(c) Medicaid

(2 days ago) WEBSection 1915 of the Social Security Act. 1915 (c) Waiver Application. Technical Guidance. Within broad Federal guidelines, States can develop home and community-based …

https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/home-community-based-services-1915c/index.html

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Final Medicaid Managed Care Rule Explained

(1 days ago) WEBCMS recently finalized two key regulations: “ Ensuring Access to Medicaid Services ” (Access Rule) and “ Medicaid, CHIP Managed Care Access, Finance, and …

https://ccf.georgetown.edu/2024/05/03/final-medicaid-managed-care-rule-explained/

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Mental Hygiene Services Fees - New York State Department of …

(4 days ago) WEBRates currently pending State Plan Amendment 24-0052 approval by the Centers for Medicare and Medicaid Services and New York State Division of the Budget …

https://www.health.ny.gov/health_care/medicaid/rates/mental_hygiene/2024/2024_04_01_ipsidd.htm

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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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Key Themes in Section 1115 Behavioral Health Waivers - KFF

(6 days ago) WEBState interest in Section 1115 Medicaid waivers related to behavioral health is high, driven in part by state efforts to address the opioid epidemic. Current and pending Section …

https://files.kff.org/attachment/Issue-Brief-Key-Themes-in-Medicaid-Section-1115-Behavioral-Health-Waivers

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Many states are eager to extend Medicaid to people soon to be …

(6 days ago) WEBThe Health and Reentry Project, a policy analysis organization focused on health care for former prisoners, called the new policy “groundbreaking.” “What these …

https://stateline.org/2024/05/02/many-states-are-eager-to-extend-medicaid-to-people-soon-to-be-released-from-prison/

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Michigan 1115 Behavioral Health Demonstration (formerly

(7 days ago) WEBQuarterly SUD Monitoring Report October 2020 – December 2020 (Part A) (XLSX, 682.36 KB) 01/20/2022. Quarterly SUD Monitoring Report October 2020 – December 2020 …

https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82141

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Notification to Medicaid Managed Care Plans (MMCPs) Regarding …

(8 days ago) WEBHowever, these services were included in the managed care benefit package under Section 10.15 c) and Section 10.18 a) in the Medicaid Managed Care/Family …

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

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Medicaid expansion bill likely to be delayed or invalidated

(3 days ago) WEBThe final version of Medicaid expansion in the Legislature could leave tens of thousands of uninsured, working Mississippians waiting indefinitely for Medicaid …

https://mississippitoday.org/2024/04/30/work-requirement-will-likely-delay-or-invalidate-medicaid-expansion-in-mississippi/

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State Policies Expanding Access to Behavioral Health Care in …

(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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Senate Republican leaders appear receptive to Medicaid …

(8 days ago) WEBSenate Republicans appeared receptive to a Medicaid expansion proposal from the House Democratic leader on Thursday morning. wanted the state to request …

https://mississippitoday.org/2024/05/02/medicaid-expansion-talks-revived-robert-johnson/

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Table of Contents State/Territory Name: Oklahoma State

(9 days ago) WEBHome Health Agency Services 4.00 $ Visit Remove Add Rural Health Clinic (RHC) Services 4.00 $ Visit Remove Add Federally Qualified Health Center (FQHC) Services …

https://www.medicaid.gov/sites/default/files/2024-05/OK-24-0003-A.pdf

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House, Senate leaders swap Medicaid expansion proposals as …

(2 days ago) WEBHowever, if the Centers for Medicare and Medicaid Services denies the state’s waiver for work requirements, the proposal would still expand either traditional …

https://mississippitoday.org/2024/04/29/medicaid-expansion-negotiation-mississippi-legislature-work-requirement/

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State Options for Medicaid Coverage of Inpatient Behavioral …

(8 days ago) WEBIn FY 2013, the share of nonelderly Medicaid adults receiving any behavioral health treatment who received any inpatient SUD services ranged from 10% in Alaska …

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

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