New Medicare Requirements For Behavioral Health

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Important New Changes to Improve Access to Behavioral …

(5 days ago) WebAs we emerge from the COVID-19 public health emergency, it is abundantly clear that our nation must improve access to effective mental health and substance use disorder (collectively called “behavioral health”) treatment and care. For older …

https://www.cms.gov/blog/important-new-changes-improve-access-behavioral-health-medicare?linkId=227907438

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How New Medicare Legislation Has Expanded Mental …

(8 days ago) WebA new federal policy change aims to tackle such problems head-on. Signed into law by President Biden on Dec. 29, 2022, the Mental Health Access Improvement Act …

https://www.ncoa.org/article/expanded-mental-health-care-access-for-people-with-medicare

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CMS Announces Model to Advance Integration in …

(Just Now) WebToday, the U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), is announcing a new model to test …

https://www.hhs.gov/about/news/2024/01/19/cms-announces-model-to-advance-integration-in-behavioral-health.html

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Medicare & Your Mental Health Benefits

(4 days ago) WebVisit Medicare.gov, or call 1-800-MEDICARE (1-800-633-4227) to get the most current information. TTY users can call 1-877-486-2048. “Medicare & Your Mental Health …

https://www.medicare.gov/Pubs/pdf/10184-Medicare-and-Your-Mental-Health-Benefits.pdf

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Outpatient Mental Health Coverage - Medicare

(3 days ago) WebMental health care (outpatient) If you or someone you know is in crisis, call or text 988 or chat 988lifeline.org. Call 911 if you're in immediate medical crisis. Medicare …

https://www.medicare.gov/coverage/mental-health-care-outpatient

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FAQs on Mental Health and Substance Use Disorder …

(6 days ago) WebBeneficiaries who are admitted to a hospital for inpatient mental health treatment are subject to the Medicare Part A deductible of $1,600 per benefit period in …

https://www.kff.org/mental-health/issue-brief/faqs-on-mental-health-and-substance-use-disorder-coverage-in-medicare/

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Medicare Mental Health Coverage What Changed and …

(5 days ago) WebVicki Fung et al., “Assessment of Behavioral Health Services Use Among Low-Income Medicare Beneficiaries After Reductions in Coinsurance Fees,” JAMA Network Open 3, no. 10 (Oct. 8, 2020): …

https://www.commonwealthfund.org/publications/explainer/2023/mar/medicare-mental-health-coverage-included-changed-gaps-remain

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HHS Roadmap for Behavioral Health Integration HHS.gov

(3 days ago) WebThe Centers for Medicare & Medicaid Services (CMS) recently finalized a new Medicare policy that will allow payment for integrated behavioral health care …

https://www.hhs.gov/about/news/2022/12/02/hhs-roadmap-for-behavioral-health-integration-fact-sheet.html

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HHS Finalizes Rule to Strengthen Medicare, Improve Access to …

(3 days ago) WebIn line with CMS’ Behavioral Health Strategy and the Administration’s strategy to address the national mental health crisis, CMS is strengthening behavioral …

https://www.hhs.gov/about/news/2023/04/05/hhs-finalizes-rule-strengthen-medicare-improve-access-affordable-prescription-drug-coverage-hold-private-insurance-companies-accountable.html

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Mental Health & Substance Use Disorders Medicare

(Just Now) WebMedicare covers certain screenings, services, and programs that aid in the treatment and recovery of mental health and substance use disorders. If you or someone you know is …

https://www.medicare.gov/coverage/mental-health-substance-use-disorder

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Medicare Behavioral Health Reimbursement Increases 1/1/24

(Just Now) WebThis legislation established a new statutory Medicare behavioral health benefit category for services furnished by MFTs and MHCs. Under this provision, an …

https://telehealth.org/medicare-behavioral-health/

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Expanding access to mental and behavioral health services in …

(7 days ago) WebCovid –19 contributed to an increase in the demand for behavioral health services. The Centers for Medicare and Medicaid Services (CMS) acknowledges that …

https://www.apaservices.org/practice/reimbursement/health-codes/mental-behavioral-health-medicare

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New CMS Rule, Coding, and Compliance for Behavioral Health and …

(Just Now) WebThese visits differ from telehealth services provided during PHE and need to be coded as such. On June 6, 2022, CMS delayed the in-person requirements under …

https://www.healthcarenewssite.com/articles/07-2022/mossadams-0722.php

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CY2025 Medicare Advantage Updates Explained

(1 days ago) WebDiscover the latest updates to Medicare Advantage network adequacy requirements for 2025, including new standards in behavioral health inclusion, …

https://questanalytics.com/news/medicare-advantage-network-adequacy-requirements/

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Latest Behavioral Health Resources Now Available Patient Care

(1 days ago) WebAt the same time, about four in 10 family physicians now collaborate with behavioral health professionals such as psychiatrists and psychologists, and BHI shows …

https://www.aafp.org/news/health-of-the-public/2024-bhi-compendium.html

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Talkspace expands mental telehealth to Medicare members

(1 days ago) WebA $26 million contract will fund the pilot program through September 2026. Talkspace aims to expand to all 50 states and cover 33 million Medicare members plus …

https://www.crainsnewyork.com/health-pulse/talkspace-expands-mental-telehealth-care-13-million-medicare-members

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Medicare Advantage to Be Radically Changed Under New Plan

(9 days ago) WebUnder the new rules, Medicare Advantage plans would mandate prior authorization decisions within 72 hours for urgent requests and seven days for standard requests. …

https://www.msn.com/en-us/news/politics/medicare-advantage-to-be-radically-changed-under-new-plan/ar-BB1mayx4

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Horizon Behavioral Health

(7 days ago) WebIf you or a loved one is dealing with daily challenges or serious conditions, Horizon Behavioral Health can help connect you with care, including: Asking for help can be …

https://www.horizonblue.com/members/health-programs/horizon-behavioral-health

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Sign up for Medicare SSA

(6 days ago) WebCall us. Available in most U.S. time zones Monday – Friday 8 a.m. – 7 p.m. in English and other languages. Call +1 800-772-1213. Tell the representative you want to sign up for …

https://www.ssa.gov/medicare/sign-up

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) Web1-800-626-2212–for Medicare Provider and Member Referrals 1-800-543-5656–for FIDE-SNP Provider Clinical Appeals for Medicaid: Horizon NJ Health Horizon Behavioral …

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

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WebBehavioral Health Services • Horizon Behavioral Health: 1-800-682-9094, prompt 6, or [email protected] Nursing Facility • When a resident that is auto …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Changes to Medicare, Medicaid Coverage Could Cause Thousands …

(7 days ago) WebRaising Medicare eligibility from 65 years to 67 years old was linked with more than 17 000 additional estimated deaths among people in that age group between …

https://jamanetwork.com/journals/jama/fullarticle/2819076

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Integrated behavioral health coverage - Medicare

(2 days ago) WebThe Psychiatric Collaborative Care Model is a set of integrated behavioral health services, including care management support, that may include: Care planning for behavioral …

https://www.medicare.gov/coverage/behavioral-health-integration-services

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New State Laws Could Complicate Behavioral Health Dealmaking

(3 days ago) WebWhile the federal review and new state laws may not directly tamp down dealmaking, they may cool eagerness for the space. Nonetheless, the high demand for …

https://bhbusiness.com/2024/05/14/raft-of-new-state-laws-could-complicate-behavioral-health-dealmaking/

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Behavioral Health and Substance Use Disorders FTI Consiulting

(5 days ago) WebBehavioral Health (“BH”) and Substance Use Disorder (“SUD”) programs, treatments and regulations have received a lot of attention over the past several years …

https://www.fticonsulting.com/insights/service-sheets/behavioral-health-substance-use-disorders

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Incident-to and Shared Services: Demystifying Billing for Care

(5 days ago) Web• The NPC must be enrolled in Medicare, whether billing directly or incident to the physician, according to U.S. Department of Health and Human Services guidance. 1 SHARED …

https://www.aafp.org/pubs/fpm/issues/2024/0500/shared-services-billing.html

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2024 Core Set of Behavioral Health Measures for Medicaid …

(Just Now) WebThis Core Set, which consists of 7 measures from the Child Core Set and 11 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward …

https://www.medicaid.gov/medicaid/quality-of-care/downloads/2024-bh-core-set.pdf

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CMS opens comment period for Medicare Drug Price Negotiation …

(9 days ago) WebMay 06, 2024 - 04:03 PM. The Centers for Medicare & Medicaid Services May 3 announced the opening of the comment period for the Inflation Reduction Act’s Medicare Drug Price …

https://www.aha.org/news/headline/2024-05-06-cms-opens-comment-period-medicare-drug-price-negotiation-program

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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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Medi-Cal-Behavioral-Health-Policy-Division-CCCPB-and-SMCPB

(3 days ago) WebThe Special Medi-Cal Projects Branch oversees multiple behavioral health components of CalAIM designed to support whole-person, integrated care; move the administration of …

https://www.dhcs.ca.gov/Pages/Medi-Cal-Behavioral-Health-Policy-Division-CCCPB-and-SMCPB.aspx

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The Gendered Impacts Of AI On Women’s Careers - Forbes

(9 days ago) WebAbout 59% of men aged 18-65 use AI tools weekly, while only 51% of women said they're currently using it. "What's most fascinating is that this gap is particularly …

https://www.forbes.com/sites/lindsaykohler/2024/05/17/the-gendered-impacts-of-ai-on-womens-careers/

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CDC: Indiana reports significant decrease in overdose deaths in 2023

(5 days ago) WebINDIANAPOLIS – Gov. Eric J. Holcomb today applauded new provisional data from the Centers for Disease Control and Prevention (CDC) indicating a nearly 18% …

https://events.in.gov/event/cdc-indiana-reports-significant-decrease-in-overdose-deaths-in-2023

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