Hospital Association Sues DHS Over Pro-Union Language in Medicaid Contracts
Medicaid
Despite Opposition, Pennsylvania Medicaid Contracts Keep Unionization Language
As Autism Rates Increase, So Do Wait Times to See a Specialist
Lawmakers Push to Address Home Care Backlog
DHS Proposes Controversial Contract Language in Managed Care Contracts
Waiting Lists For IDD Services Balloon
Medicaid Spending on Home, Community-Based Services Up by $116B
OIG Clears the Way for Use of Financial Incentives in Treating SUD Within the Medicaid Population
The Office of Inspector General (OIG) within the U.S. Department of Health and Human Services (HHS) has issued a favorable advisory opinion regarding contingency management (CM), an evidence-based approach for treating substance use disorders (SUD) that uses financial incentives to reward healthy behavior, such as abstinence and treatment retention, according to the National Council for Mental Wellbeing.
CM has been shown to be an effective approach for those with SUD in more than 100 randomized controlled trials over 50 years. Evidence shows it can double abstinence rates across opioids, stimulants, alcohol, tobacco, and nicotine, compared to usual care alone. It is the most effective and most evidence-based treatment for stimulant use disorders. In 2021, the Biden Administration declared advancing CM among its drug policy priorities.
The advisory opinion clears the way for CM for routine use in publicly funded substance use treatment programs and healthcare facilities under federal reimbursement, including Medicaid.
Inside Aging — March 2022 Newsletter
Join RCPA to Discuss Moving Beyond the Carve-out/Carve-in Debate
RCPA is pleased to offer this webinar on Tuesday, January 25, 2022, at 1:00 pm to discuss moving beyond the Carve-out/Carve-in debate.
In an age of integrated care, specialty behavioral health care matters. For more than two decades, the debate of what to do in Medicaid managed care with physical health care (PH) and behavioral health care (BH) centered on the question: should a state carve-out BH from PH managed care contracts or carve-in BH to PH managed care contracts? This presentation will focus on the most current answers to that question. Please register here if you have not registered yet for this event.
Presenters include:
- Charles G. Curie, Principal, The Curie Group, LLC;
- Jennifer Black, Vice President Business Development, Beacon Health Options;
- Michael Quinn, CEO, Chestnut Ridge Counseling Services; and
- Doyle Forrestal, Chief Executive Officer, Colorado Behavioral Healthcare Council.
Panelists will review:
- Pennsylvania’s Behavioral HealthChoices;
- Discuss managed care models utilized in other States; and
- Asses how the debate is changing from carve-out vs. carve-in to a focus on contractual standards and accountability.
Achieving whole-person care and addressing social determinants of health by doing specialty behavioral health care directly through various Medicaid managed care approaches will be considered. While there will be an opportunity to ask questions at the time of the presentation, we encourage you to submit questions in advance to Tina Miletic.
Please register here to attend this webinar. We look forward to your participation!
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