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Prior Authorization Insurance Requirements: A Barrier to Accessing Lifesaving Treatment for Opioid Use Disorder?

Bill of Health

The COVID-19 pandemic has exacerbated this overdose crisis , and efforts are urgently needed to mitigate harm. In our recent study published in JAMA Health Forum , we evaluated the effect of removing all prior authorization requirements in Medicaid programs for California and Illinois using publicly available prescribing data.

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Five Opportunities to Use the Law to Address Persistent OUD Treatment Gaps 

Bill of Health

See e.g., California’s 1115 waiver (pages 1-9 have an overview of prerelease services). “If… w e can reform jails and prisons from places of withdrawal and abstinence to treatment and recovery, we need to better connect their populations with the outside world.

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Payor-Led Initiatives to Strengthen Mental Health Resources

Healthcare Law Blog

The Kaiser Family Foundation surveyed forty-four state Medicaid officials about strategies to address behavioral health workforce shortages and found the following four categories to be most critical. [6] 2022 COVID-19 Practitioner Impact Survey. 6] Increase provider reimbursement strategies. Redefining the workforce.

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Expanded Medicare Telehealth Coverage for Opioid Use Disorder Treatment Services Furnished by Opioid Treatment Programs

Healthcare Law Today

Starting January 1, 2023, Medicare will cover telehealth-based treatment services delivered by federally-accredited opioid treatment programs (OTPs), commonly referred to as “methadone clinics.” Background and History of Medicare Telehealth Coverage of SUD Treatment. Want to Learn More?

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Key Healthcare Provisions of the Consolidated Appropriations Act, 2023

Healthcare Law Blog

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. The Act provides for nearly $1.7 Telehealth. Medicare Extension & Adjustments.

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Medical Device Cybersecurity Provisions Included in Omnibus Appropriations Bill

HIPAA Journal

billion in funding for the Department of Health and Human Services, increasing HHS funds by a further $9.9 Funding for the Centers for Medicare and Medicaid Services will increase by $100 million, the National Institutes of Health will receive an additional $2.5 The bill proposes $120.7 billion from last year.

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HIPAA Updates and HIPAA Changes in 2023

HIPAA Journal

In November 2022, OCR and the Substance Abuse and Mental Health Services Administration (SAMHSA) issued a Notice of Proposed Rulemaking (NPRM) which sees both Part 2 and HIPAA changes to better align these regulations. HIPAA Changes Due to the 2019 Novel Coronavirus (SARS-CoV-2) and COVID-19.

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