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Mental Health Outpatient Services

Husch Blackwell LLP

Massachusetts Clarifies Licensure Reqs for PHPs, IOPs

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On August 27, 2025, the Massachusetts Department of Public Health issued a memorandum clarifying its licensure requirements for Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP), and Day Treatment...more

Ogletree, Deakins, Nash, Smoak & Stewart,...

What the Final Mental Health Parity Rules Mean for Employers

The wait is over, and now the work begins for health plan sponsors. Much-anticipated final rules implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) were...more

Bass, Berry & Sims PLC

Behavioral Health: Momentum Continues in the CY 2024 Medicare Physician Fee Schedule

Bass, Berry & Sims PLC on

On November 16, the Centers for Medicare & Medicaid Services (CMS) published its Medicare Physician Fee Schedule (PFS) final rule for calendar year 2024 (PFS Final Rule). According to the CMS press release, the PFS Final Rule...more

King & Spalding

CMS Proposes Changes to the Medicare Advantage and Part D Programs Aimed at Improving Beneficiary Protections, Access to Care, and...

King & Spalding on

On November 6, 2023, CMS released a pre-publication version of a proposed rule (Proposed Rule) that is set to publish in the Federal Register on November 15, 2023, and that would amend the regulations governing Medicare...more

Venable LLP

CMS Proposes Behavioral Health Program Changes

Venable LLP on

On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a proposal to significantly expand behavioral health coverage provided under Medicare. The proposal, presented as a part of the calendar year 2024...more

Holland & Knight LLP

CMS Releases CY 2024 OPPS and ASC Proposed Rule

Holland & Knight LLP on

The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2024 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule (CMS-1786-P),...more

Stevens & Lee

Navigating Parent Notifications When Minor Consents to Outpatient Behavioral Health Treatment in PA

Stevens & Lee on

In Pennsylvania, 2020 Act 65, 35 Pa. Stat. 10101, et seq., governs when minors aged 14-17 may consent to medical treatment, including behavioral health treatment. In the context of consent to behavioral health treatment, Act...more

Stevens & Lee

Pennsylvania Permanently Allows Audio-Only Behavioral Health Services

Stevens & Lee on

Pennsylvania Governor Tom Wolf signed House Bill 1630 (P. L. Act 98 of 2022) into law on Oct. 28, 2022, which, among other things, made permanent the relaxation of regulatory requirements regarding telehealth behavioral...more

McDermott Will & Schulte

CMS Proposes Key Details for Payment Methodology, Quality Measures and Enrollment Policies for Rural Emergency Hospitals

Rural emergency hospitals (REHs) are a new Medicare provider type that will allow Medicare to pay for emergency department and other outpatient hospital services in rural areas beginning on January 1, 2023, without requiring...more

Cozen O'Connor

UnitedHealth Settles Allegations It Wrongfully Reduced Or Denied Mental Health And Substance Abuse Coverage

Cozen O'Connor on

New York AG Letitia James and the S. Department of Labor (“DoL”) reached a settlement with health insurer UnitedHealth Group Inc. and related entities (collectively “UHG”) to resolve allegations that it wrongfully reduced or...more

Holland & Knight LLP

Comments on CMS Proposed Rule on Medicaid Fiscal Accountability Due Feb. 1, 2020

Holland & Knight LLP on

The Centers for Medicare & Medicaid Services (CMS) on Nov. 18, 2019, published a proposed Medicaid Fiscal Accountability rule that would amend existing regulations related to 1) base and supplemental payments, 2)...more

Polsinelli

New Laws Impacting California Behavioral Health Care Providers and Labs

Polsinelli on

As part of an increasing trend towards regulation of behavioral health, a pair of new laws have been adopted that will impact certain California behavioral health providers and laboratories, with two proposed companion laws...more

Robinson+Cole Health Law Diagnosis

Connecticut Legislature Modifies Public Health Statutes

On July 9, 2019, Connecticut Governor Ned Lamont signed into law Public Act No. 19-118 “An Act Concerning the Department of Public Health’s Recommendations for Various Revisions to the Public Health Statutes” (PA 19-118). ...more

Farrell Fritz, P.C.

Responding to the Opioid Crisis and More:  2018-19 New York State Behavioral Health Budget Highlights

Farrell Fritz, P.C. on

Several provisions in the recently adopted 2018-19 New York State Budget (the “Enacted Budget”) are intended to address the ongoing opioid crisis. As discussed in a prior post, some were focused on pharmaceutical...more

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