Proposed rules for Medicare’s OPPS and PFS for calendar year 2024 would maintain full Medicare Part B drug payment to hospitals in the 340B Drug Pricing Program, revise site-neutral payment policies, and amend price transparency policies, among other changes.
view more »CMS Approves State Proposals for Mobile Crisis Intervention Teams
July 25, 2023 ||In California and Kentucky, mobile teams can provide Medicaid services to individuals experiencing a behavioral health or substance use crisis.
view more »CMS Issues CY 2024 Medicare Physician Fee Schedule Proposed Rule
July 18, 2023 ||The proposed rule includes provisions for Medicare reimbursement of telehealth services, quality programs, and social determinants of health data collection.
view more »DEA Eliminates X-Waiver for Buprenorphine Treatment
Jan. 30, 2023 ||The Drug Enforcement Administration no longer will require additional registration for prescribers to prescribe buprenorphine.
view more »Association Comments on Proposed Part 2 Regulations
Jan. 24, 2023 ||The association supports HHS' work to align the rule more closely with HIPAA regulations, which will improve care coordination and mitigate discrimination.
view more »SAMHSA Proposes to Update OUD Treatment Standards
Dec. 19, 2022 ||A proposed rule will make permanent a temporary policy to allow providers to initiate buprenorphine prescriptions for new patients through telehealth.
view more »White House Introduces National Opioid Overdose Tracker
Dec. 13, 2022 ||The dashboard tracks nonfatal opioid overdoses by state and county and will help service providers target substance use disorder interventions and treatment.
view more »HHS Proposes Revisions to Confidentiality of Substance Use Disorder Patient Records
Dec. 13, 2022 ||Changes in the proposed rule seek to improve care coordination among providers and increase protections for substance use disorder patients to mitigate discrimination during treatment.
view more »SAMHSA Proposes Revisions to 42 CFR Part 2
Dec. 5, 2022 ||The proposed rule aims to align Part 2 more closely with HIPAA, improve care coordination, and increase anti-discrimination protections for patients with substance use disorder.
view more »The final rule for calendar year 2023 continues certain flexible telehealth policies, overhauls the Medicare Shared Savings Program, and revises the Quality Payment Program.
view more »CMS Approves Arkansas HRSN Section 1115 Waiver
Nov. 4, 2022 ||The amendment establishes "Life360 HOMEs" coordinating care for rural residents, pregnant individuals, and young adults at risk for long-term poverty.
view more »CMS Issues CY 2023 Physician Fee Schedule Final Rule
Nov. 4, 2022 ||The rule finalizes the conversion factor and includes reimbursement provisions for telehealth and behavioral health services, the Quality Payment Program, and the Medicare Shared Savings Program.
view more »Medicaid Trends in FY 2023 State Budgets
Nov. 1, 2022 ||A recent Kaiser Family Foundation survey highlights common trends in health equity, telehealth access and quality, and coverage expansion initiatives.
view more »GAO Report on Recruiting and Retaining Behavioral Health Workers
Nov. 1, 2022 ||Financial, educational, and workplace challenges pose obstacles to recruiting and retaining a diverse behavioral health workforce.
view more »The document is the latest in a series addressing mental health policy challenges and focuses on increased integration, coordination, and access to care. A fifth and final document could be released in coming weeks.
view more »HHS Releases Behavioral Health Integration Roadmap
Sept. 23, 2022 ||The roadmap implements the three pillars of the President's March 2022 Strategy to Address our National Mental Health Crisis.
view more »A proposed rule for the Medicare Physician Fee Schedule for calendar year 2023 would extend telehealth regulatory flexibility, make changes to the Medicare Shared Savings Program, and revise the Quality Payment Program.
view more »CMS Issues CY 2023 Physician Fee Schedule Proposed Rule
July 12, 2022 ||CMS proposes to decrease the conversion factor determining physician payment rates for specific services by $1.53. The proposed rule also includes provisions related to Medicare reimbursement of telehealth services, vaccine administration, and the Medicare Shared Savings Program.
view more »Statement on Bipartisan Gun Safety Legislation
June 24, 2022 ||The bill, which would improve gun safety and expand access to mental health services, offers hope to health care workers, who face increased personal risk as caregivers often on the front lines of workplace violence.
view more »CMS Outlines Behavioral Health Care Strategy
June 7, 2022 ||The agency's strategy to strengthen behavioral health care focuses on improving access, equity, quality, and data integration.
view more »On the Hill: Health Equity Bill Introduced in House
May 23, 2022 ||Congress last week passed aid for the Ukraine war effort but remains stalled on a $10 billion COVID-19 funding bill. A group of three House caucuses of Black, Hispanic, and Asian Pacific American lawmakers have introduced health equity legislation.
view more »On the Hill: Mental Health, Substance Abuse Bill Introduced
May 9, 2022 ||The bipartisan legislation would reauthorize programs under the Substance Abuse and Mental Health Services Administration and Health Resources and Services Administration and is timed to coincide with Mental Health Awareness Month.
view more »On the Hill: Senators Announce Bipartisan Deal on COVID-19 Relief
April 4, 2022 ||Party leaders in the Senate announced a compromise package that would fund $10 billion in COVID-19 relief for therapeutics, vaccines, and pandemic prevention. Meanwhile, a House panel continues work on legislation to aid small businesses.
view more »SAMHSA to Issue $30M in Harm Reduction Grants
Dec. 13, 2021 ||The Substance Abuse and Mental Health Services Administration will ask grant recipients to develop or expand evidence-based services that may include the provision of sterile syringes, safe-sex kits, prevention education, overdose prevention kits, and more. Applications are due Feb. 7, 2022.
view more »A new Department of Health and Human Services report finds the share of Medicare visits conducted via telehealth increased from about 840,000 in 2019 to 52.7 million in 2020. In particular, telehealth was helpful in offsetting potential foregone behavioral health care during the COVID-19 pandemic.
view more »Association Gives Senate Panel Comments on Mental Health Care
Nov. 12, 2021 ||The letter from America’s Essential Hospitals to the Senate Committee on Finance responded to the panel’s request for information on improving access to and enhancing mental and behavioral health care.
view more »New Overdose Prevention Strategy Announced
Nov. 1, 2021 ||The new strategy from the Department of Health and Human Services expands the scope of crisis response beyond opioids to include other substances often involved in overdoses. It focuses on four priority areas: primary prevention, harm reduction, evidence-based treatment, and recovery support.
view more »CMS Grant Opportunity for Crisis Care
July 20, 2021 ||CMS announces $15 million for state Medicaid agencies to launch mobile crisis intervention services, as authorized by the American Rescue Plan.
view more »Administration Releases Drug Policy Priorities
April 6, 2021 ||The Office of National Drug Control Policy outlines the Biden administration's drug policy priorities for 2021, including expanding access to evidence-based treatment and prevention services, advancing racial equity, reducing supply of illicit substances, and advancing recovery-ready workplaces.
view more »Essential hospitals serving complex patients can use the actionable information in this guide to replicate and implement NYC H+H’s process.
view more »SAMHSA Finalizes Revisions for 42 CFR Part 2
July 14, 2020 ||The changes aim to remove barriers to care coordination and allow additional information sharing for providers treating patients with substance use disorder.
view more »At essential hospital Boston Medical Center, changing the language we use is the first step in changing the way we treat people with substance use disorder.
view more »MACPAC Issues IMD Report
Jan. 21, 2020 ||The statutorily required report reviews rules and oversight for institutions for mental disease in seven states. Meanwhile, CMS announced it will integrate the psychiatric hospital program survey into its larger survey to determine compliance with Medicare conditions of participation.
view more »CMS Awards Funds for Maternal, Child Health Models
Dec. 20, 2019 ||The agency announced awardees for two new models that seek to improve care coordination for children and for mothers with opioid use disorder.
view more »State Medicaid Directors Outline Strategic Priorities
Dec. 9, 2019 ||State Medicaid directors named delivery system and payment reform as their top priority in an annual operations survey from the National Association of Medicaid Directors.
view more »States Tackle Substance Use Disorder in Pregnant Women
Nov. 25, 2019 ||States are leveraging financial incentives, quality measures, waivers, and public-private partnerships to slow climbing rates of substance use disorder and overdose among pregnant women.
view more »Ohio: Combatting the Opioid Epidemic on the Front Lines
Nov. 22, 2019 ||Essential hospitals The MetroHealth System, UC Health, and The Ohio State University Wexner Medical Center play a key role in opioid misuse prevention and intervention.
view more »New Guidance for Substance Use Disorder Patients in IMDs
Nov. 8, 2019 ||CMS also approved a unique behavioral health transformation waiver for the District of Columbia that targets beneficiaries with serious mental illness or serious emotional disturbance.
view more »CMS Awards Planning Grants for Substance Use Disorder Treatment
Sept. 24, 2019 ||The 18-month grants, awarded to 15 state Medicaid agencies, seek to increase the ability of providers to deliver substance use disorder treatment and recovery services.
view more »Urban Institute: Medicaid MAT Coverage Varies by State
Sept. 16, 2019 ||States that expanded Medicaid under the Affordable Care Act saw higher prescribing rates for medication-assisted treatment than nonexpansion states.
view more »The proposed rules would revise Part 2 provisions to facilitate better care coordination and make technical corrections regarding court-authorized disclosures.
view more »HHS Awards States $1.8 Billion to Support Opioid Crisis Efforts
Sept. 5, 2019 ||Funding will support the State Opioid Response Grant Program and a cooperative agreement to help state and local governments track overdose data.
view more »Statement on 42 CFR Part 2 Proposed Rules
Aug. 26, 2019 ||While the rules help remove barriers to care coordination, the association calls to fully align Part 2 with the Health Insurance Portability and Accountability Act.
view more »SAMHSA Proposes Revisions to 42 CFR Part 2
Aug. 26, 2019 ||Two proposed rules aim to remove barriers to care coordination and facilitate information sharing for providers treating patients with substance use disorders.
view more »On the Hill: Reducing Surprise Billing, Rx Drug Prices
July 9, 2019 ||As Congress returns from the July Fourth recess, lawmakers focus on legislation to reduce surprise medical bills and prescription drug costs, as well as extend short-term funding for community behavioral health clinics.
view more »Under five-year demonstration projects, these states are approved to receive Medicaid matching funds for treatment in facilities that qualify as institutions for mental diseases.
view more »Funding Opportunity for Substance Use Disorder Treatment
June 27, 2019 ||The Centers for Medicare & Medicaid Services announced a $50 million funding opportunity for up to 10 states to aid in treatment and recovery services for individuals with substance use disorder, including opioid use disorder.
view more »Association Comments on Interoperability Proposed Rules
June 4, 2019 ||In June 3 letters, America's Essential Hospitals encouraged the Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health Information Technology to consider the regulatory burden that new interoperability requirements would place on essential hospitals.
view more »States Report Disparities in Medicaid Behavioral Health Coverage
May 28, 2019 ||In an Institute for Medicaid Innovation survey, states listed 42 CFR Part 2 information sharing limitations and fragmented Medicaid funding and managed care contracting as top barriers to providing behavioral health services.
view more »CMS Revises Ligature Risk Guidance
April 29, 2019 ||Revised guidance clarifies what constitutes a ligature risk and outlines a ligature risk extension process for deficient hospitals; comments are due June 17.
view more »On the Hill: Bipartisan DSH Letter, Medicaid Extenders
April 22, 2019 ||A letter circulating in Congress calling for a delay of Medicaid disproportionate share hospital payment cuts has gained more than 110 bipartisan signatures. The president signed a Medicaid extenders package, which includes a provision identical to the Advancing Care for Exceptional (ACE) Kids Act.
view more »Premier Collaboration Highlights Correlation Between Behavioral Health, Readmissions
April 19, 2019 ||Reducing preventable readmissions, which often are related to behavioral health conditions, with appropriate and timely care is of paramount concern to the members of Premier and America’s Essential Hospitals.
view more »On the Hill: House Advances Medicaid Extenders
April 2, 2019 ||The legislation allows states to establish Medicaid health homes to coordinate complex care for children and provides $20 million in additional funding for the "Money Follows the Person" demonstration program, among other provisions.
view more »On the Hill: House Vote on Bipartisan Medicaid Package
March 26, 2019 ||The House also will mark up a dozen bills aimed at lowering health care and prescription drug costs. House and Senate committees move forward on work to address surprise billing.
view more »Lawmakers have introduced bipartisan legislation to give states additional support for combating the opioid crisis by extending Medicaid's certified community behavioral health clinic demonstration program. Committees remain focused on prescription drug prices.
view more »CMS Approves Medicaid Work Requirements in Maine, Michigan
Jan. 7, 2019 ||Maine and Michigan join five other states to receive approval for Medicaid work requirements; unlike most other states, Maine's work requirements will apply to both existing beneficiaries and those newly eligible through expansion.
view more »On the Hill: 116th Congress Convenes Amid Shutdown
Jan. 2, 2019 ||The 116th session of Congress convenes as leaders seek a deal to end a partial government shutdown, while health care legislation hangs in the balance.
view more »HHS Issues Naloxone Guidance
Dec. 21, 2018 ||The new guidance recommends that clinicians consider prescribing or coprescribing naloxone to individuals with a high risk of opioid overdose.
view more »New Work in the Emerging Field of Complex Care
Dec. 13, 2018 ||Essential Hospitals Institute is committed to advancing the field of complex care, especially for hospitals serving a safety-net role. Institute Director Kalpana Ramiah, DrPH, MSc, took part in a recent conference where a new Blueprint for Complex Care was unveiled.
view more »Joint Commission to Require Hospitals to Screen for Suicide Risk
Dec. 10, 2018 ||Seven new requirements under the National Patient Safety Goals program require hospitals to screen for suicide risk and standardize treatment procedures.
view more »PCORI Offers up to $20M for Anxiety Treatment Research
Nov. 28, 2018 ||Applications will open Jan. 3, 2019, and applicants are invited to an informational town hall session on Jan. 22 at noon ET.
view more »Medicaid Demonstration Targets Serious Mental Illness Treatment
Nov. 15, 2018 ||A new demonstration opportunity, which can be carried out through Section 1115 waivers, would allow states to receive reimbursement for services at institutions for mental disease for individuals with serious mental illness or serious emotional disturbance.
view more »CMS Announces Maternal Opioid Misuse Model
Oct. 29, 2018 ||The Maternal Opioid Misuse model will last five years and support the integration of clinical care with other services critical for health, well-being, and recovery for pregnant and postpartum Medicaid beneficiaries.
view more »HHS Awards $1B to Combat Opioid Epidemic
Sept. 20, 2018 ||This funding supports initiatives under the agency's Five-Point Opioid Strategy and was distributed in conjunction with Prescription Opioid and Heroin Epidemic Awareness Week.
view more »SAMHSA Releases Annual Mental Health, Substance Use Data
Sept. 17, 2018 ||The Substance Abuse and Mental Health Services Administration data provide a statistical context for the country’s opioid crisis and other behavioral health matters.
view more »CMS to Fund New Child Behavioral Health Model
Aug. 27, 2018 ||The Integrated Care for Kids (InCK) Model seeks to target physical and behavioral health needs through prevention, early identification, and treatment.
view more »New Draft Guidance on Opioid Use Disorder Treatment Approval
Aug. 13, 2018 ||The new Food and Drug Administration draft guidance encourages researchers to consider a broader set of outcomes when approving new drugs for medication-assisted treatment, including a reduction in relapse overdoses and rates of disease transmissions.
view more »CMS to Update Ligature Risk Guidance
Aug. 13, 2018 ||The agency will not convene a proposed task force to reduce environmental risks associated with the care of psychiatric inpatients, opting instead to use findings from The Joint Commission special report on suicide prevention in health care settings.
view more »Finding Reachable Moments to Tackle Opioid Misuse
July 27, 2018 ||Leaders from Christiana Care Health System, in Wilmington, Del., and The MetroHealth System, in Cleveland, shared at VITAL2018 how their hospitals have tackled the opioid crisis.
view more »Gain insight into Christiana Care’s programs to curb the opioid crisis in their community and hear how the health system finds “reachable moments” to help patients get treatment and avoid overdosing.
view more »Court Rejects Kentucky Medicaid Waiver
July 5, 2018 ||The decision strikes down the state's overall Section 1115 waiver, which included community engagement and work requirements, but it upholds as a separate waiver a portion allowing Medicaid reimbursement for substance use disorder treatment in institutions for mental disease.
view more »CMS Outlines Expanded Access for Children in Psychiatric Care
June 28, 2018 ||A change brought by passage of the 21st Century Cures Act will ensure coverage for early and periodic screening, diagnostic, and treatment services for children under age 21 receiving inpatient psychiatric hospital services.
view more »MACPAC Releases June Report to Congress
June 25, 2018 ||This year's Medicaid and CHIP Payment and Access Commission report focuses on the high cost of prescription drugs and the opioid epidemic.
view more »CMS Leverages Medicaid Program to Combat Opioid Crisis
June 12, 2018 ||An informational bulletin outlines the role of Medicaid in the care of infants born with neonatal abstinence syndrome, while a letter to state Medicaid directors offers guidance on funding Medicaid technology to combat the opioid crisis.
view more »SAMHSA Awarding $196M for Medication-Assisted Treatment
June 4, 2018 ||The Substance Abuse and Mental Health Services Administration funding aims to increase access to medication-assisted treatment for individuals with opioid use disorder, as well as to decrease illicit opioid drug use and prescription opioid misuse.
view more »New Guidance on Substance Use Disorder Confidentiality
May 7, 2018 ||Two new fact sheets clarify the application of privacy regulations under 42 CFR Part 2, a longstanding rule dictating how to share patient data related to substance use disorder.
view more »CMS Hosts Forum on Opioid Epidemic in Minority Communities
April 17, 2018 ||The event, for National Minority Health Month, will discuss how the opioid crisis affects minority communities and how organizations partner to combat the crisis and improve behavioral health.
view more »SAMHSA Awarding Up To $23.7M for Serious Mental Illness Treatment
April 5, 2018 ||The grants will be used to establish, expand, and maintain assertive community treatment programs to reduce rates of substance use, homelessness, and criminal justice system involvement among individuals with serious mental illness. Applications are due May 29.
view more »Senate Committee Seeks Input on Fighting the Opioid Crisis
Feb. 12, 2018 ||Senate Finance Committee leadership sent a letter to stakeholders requesting information on Medicare and Medicaid policy options that could be used to combat the opioid epidemic.
view more »HHS Renews Public Health Emergency Declaration on Opioids
Jan. 26, 2018 ||The designation allows federal health agencies to allocate resources and hire specialists to combat the opioid crisis. The original declaration was set to expire on Jan. 23.
view more »CMS Clarifies Ligature Risk Policy
Jan. 22, 2018 ||The agency expects to release comprehensive ligature risk interpretive guidance later this year for psychiatric units of acute-care hospitals and psychiatric hospitals.
view more »Crisis Stabilization Unit Helps Divert Patients from ED, Jail
Dec. 11, 2017 ||Patients who do not need to be admitted to the hospital are referred to the crisis stabilization unit at Sinai Health's Holy Cross Hospital for behavioral health treatment in a calm, safe space.
view more »Webinar to Explore Innovative Substance Use Treatment in EDs
Nov. 27, 2017 ||During the Dec. 13 webinar, association member Boston Medical Center will discuss the hospital's substance use disorder treatment initiatives.
view more »CMS, SAMHSA Release Behavioral Health Roadmap
Nov. 17, 2017 ||The new guide will help patients understand their mental and behavioral health, navigate treatment options, and find appropriate services.
view more »Explore Whole Person Care, a pilot initiative through California’s Section 1115 Medicaid waiver that works to improve care for people with complex issues by tackling medical, behavioral, and socioeconomic needs.
view more »Discover how NYC Health + Hospitals, a 2017 Gage Award winner, began universal depression screening for adults and implemented collaborative care for depression in the primary care setting.
view more »Funding Opportunity Aims to Overcome Barriers to Care
Sept. 13, 2017 ||The Health Care Access Design Challenge, offered through the Federal Transit Administration, aims to overcome transportation-related barriers to health care access.
view more »Expanded Medicaid access under the Affordable Care Act might have helped patients seek treatment for behavioral health issues, which disproportionately affect low-income populations.
view more »HHS To Award More Than $70M To Combat Opioid Crisis
June 5, 2017 ||The funds aim to increase the use of medication-assisted treatment, train first responders, and increase access to overdose reversal medications.
view more »HHS Awards States $485 Million to Combat Opioid Crisis
April 24, 2017 ||In awarding the funds, HHS Secretary Tom Price committed to collaborating with states and seeking their “assistance to identify best practices, lessons learned, and key strategies that produce measurable results.”
view more »Attendees learned how leaders from the University of New Mexico Health System have integrated team-based approaches to overcome challenges and coordinate care.
view more »New Commission Will Study Federal Response to Opioid Crisis
April 3, 2017 ||President Trump established the commission and ordered it to make final recommendations by Oct. 1; New Jersey Gov. Chris Christie will serve as chair.
view more »Participants learned about Coaching to Wellness, a program for mental health consumers with comorbid health conditions in Contra Costa County, California.
view more »Change Will Allow NPs, PAs to Prescribe Buprenorphine
Nov. 19, 2016 ||Starting in 2017, nurse practitioners and physician assistants can train to prescribe buprenorphine for the treatment of opioid use disorder.
view more »New Reporting Requirements for Opioid Use Treatment
Oct. 4, 2016 ||Providers approved for a patient limit increase must report on caseload, patients referred to behavioral health care, and their diversion control plan.
view more »Toolkit Tackles Health Issues that Lead to School Absenteeism
July 13, 2016 ||A Healthy Schools Campaign toolkit aims to help school districts combat health issues that distract students from education or cause chronic absenteeism.
view more »PCORI, NAMI Briefing Offers Insight on Mental Health Care
July 8, 2016 ||Panelists discussed problems and potential solutions at the briefing, which pointed to low patient engagement, lack of resources and knowledge, and the need to integrate physical and behavioral health as key challenges.
view more »On the Hill: Mental Health, Appropriations, Medicare Part B
June 15, 2016 ||Senate appropriators pass HHS spending bill that includes 340B Drug Pricing Program user fee and instructions to HRSA to consider stakeholder input in final mega-guidance.
view more »One-Stop Florida Clinic Integrates Behavioral and Primary Care
June 6, 2016 ||Memorial Healthcare System, in Hollywood, Fla., is integrating behavioral and primary care in its new, federally funded program.
view more »CDC Releases Opioid Prescription Guidance
March 22, 2016 ||The new recommendations are based on principles that promote alternative therapies and minimum effective opioid dosage. CDC also released fact sheets and other resources.
view more »On the Hill: GOP Budget Faces Delay, Senate Combats Opioid Abuse
March 15, 2016 ||Conservative Freedom Caucus opposes GOP budget plan; Senate-passed bill would combat opioid abuse; health committees work on mental health, Medicare improvement.
view more »Funding Available for Telehealth Services in School Clinics
Feb. 26, 2016 ||Telehealth Network Grant Program will award up to 20 grants for a maximum of $300,000 annually to expand services; applications are due April 8.
view more »CDC Announces Upcoming Opioid Prescribing Guidance
Dec. 16, 2015 ||The guidance, open for a 30-day public comment period, will give providers more clarity on the appropriate use of opioid prescriptions outside of cancer and palliative care; comments are due Jan. 13.
view more »Drug Strategy Would Limit Opioid Sources for At-Risk Patients
Nov. 25, 2015 ||Obama administration proposal would add drug utilization review and restriction program to Medicare to fight opioid overuse.
view more »HHS Launches Interactive Opioid Drug Mapping Tool
Nov. 4, 2015 ||Tool gives physicians, nurses, and other health care professionals access to geographic comparisons of opioid prescribing habits and use.
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