Medicaid Mental Health Adequacy Standards

Listing Websites about Medicaid Mental Health Adequacy Standards

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Promoting Access in Medicaid and CHIP Managed Care

(7 days ago) WebA. Establishing network adequacy and service availability standards for behavioral health 39. B. Demonstrating network adequacy 43. C. Monitoring compliance with network standards and access to behavioral health care 44. C. Monitoring compliance with …

https://www.medicaid.gov/medicaid/downloads/behavior-health-provider-network-adequacy-toolkit.pdf

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Medicaid Managed Care Network Adequacy Standards for Mental …

(3 days ago) WebBalancing the tension between flexibility and accountability in network adequacy standards has been a growing policy focus to ensure timely and appropriate access to mental …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8195259/

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Network Adequacy Standards and Enforcement KFF

(5 days ago) WebInpatient Behavioral Health Facility Services: 39/15: 70/45: 100/75: 90/75: 155/140: Urgent Care: 20/10: 45/30: 80/60: Network adequacy standards for …

https://www.kff.org/affordable-care-act/issue-brief/network-adequacy-standards-and-enforcement/

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Medicaid and CHIP Managed Care Monitoring and Oversight …

(3 days ago) WebThe May 2016 Medicaid and CHIP managed care final rule strengthened the federal oversight of state managed care programs in several ways, one of which was to …

https://www.medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-monitoring-and-oversight-initiative/index.html

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Consensus Recommendations on Network Adequacy

(Just Now) WebAccess to Mental Health and Substance Use Care for Children and Youth Background The US is experiencing a crisis of mental health and substance use among children and …

https://www.mhanational.org/sites/default/files/Network-Adequacy-Brief-Final.pdf

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Medicaid Managed Care Network Adequacy Standards for Mental …

(1 days ago) WebMedicaid Managed Care Network Adequacy Standards for Mental Health Care Access: Balancing Flexibility and Accountability JAMA Health Forum. 2021 May;2(5):e210280. …

https://pubmed.ncbi.nlm.nih.gov/34124711/

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CMS’s 2020 Final Medicaid Managed Care Rule: A …

(1 days ago) WebThe changes, including modifications to network adequacy standards and relaxed requirements for accessibility of written health plan materials for people with disabilities and Limited English

https://www.kff.org/medicaid/issue-brief/cmss-2020-final-medicaid-managed-care-rule-a-summary-of-major-changes/

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New Opportunities to Strengthen Medicaid Managed Care …

(4 days ago) WebFor example, California’s Medicaid managed care program mandates specialist and mental health standards, while Florida requires only provider-to-enrollee …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10617367/

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Network Adequacy for Behavioral Health: Existing Standards and

(3 days ago) WebNetwork adequacy is often defined as having enough providers within a health plan network to ensure reasonable and timely access to care. At a minimum, …

https://aspe.hhs.gov/reports/network-adequacy-behavioral-health

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A Lack of Behavioral Health Providers in Medicare and Medicaid …

(Just Now) WebExplore options to expand Medicare and Medicaid coverage to additional behavioral health providers. Use network adequacy standards to drive an increase in …

https://oig.hhs.gov/reports-and-publications/all-reports-and-publications/a-lack-of-behavioral-health-providers-in-medicare-and-medicaid-impedes-enrollees-access-to-care/

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Network Adequacy - DHCS

(3 days ago) WebThe Final Rule network adequacy requirements are effective in the July 1, 2018 health plan contract year. The Network Adequacy Standards proposal outlines the approach that …

https://www.dhcs.ca.gov/formsandpubs/Pages/NetworkAdequacy.aspx

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Evaluating Medicaid Managed Care Network Adequacy Standards …

(Just Now) WebUsing a quasi-experimental design and 2016–19 National Survey of Children’s Health data, we examined the association between quantitative network adequacy …

https://www.healthaffairs.org/doi/10.1377/hlthaff.2022.01439

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FLASH Medicaid Managed Care Final Rule - Access and Quality

(Just Now) WebThe Final Rule establishes “routine appointment” wait time standards for mental health and substance use disorder (SUD), OB/GYN, primary care, and an …

https://www.mercer-government.mercer.com/content/mercer-sites/mercer-government/global/en/our-insights/Managed-Care-Final-Rule-Access-and-Quality.html

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Final Medicaid Managed Care Rule Explained

(1 days ago) WebThe Managed Care Rule addresses five primary areas: (1) access in managed care, including network adequacy, (2) state directed payments, (3) medical loss ratio …

https://ccf.georgetown.edu/2024/05/03/final-medicaid-managed-care-rule-explained/

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Evaluating Medicaid Managed Care Network Adequacy Standards …

(1 days ago) WebUsing a quasi-experimental design and 2016-19 National Survey of Children's Health data, we examined the association between quantitative network adequacy standards and …

https://pubmed.ncbi.nlm.nih.gov/37276470/

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Variation in Network Adequacy Standards in Medicaid Managed …

(Just Now) WebIssue 6. Medicaid managed care network adequacy standards exhibit significant heterogeneity across regions and specialties, potentially creating large …

https://www.ajmc.com/view/variation-in-network-adequacy-standards-in-medicaid-managed-care

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January 05, 2024 - Mental Health America

(9 days ago) Webmeeting the network adequacy standards for that plan. Time and Distance Standards Should Match the Standards for Qualified Health Plans The proposed outpatient …

https://www.mhanational.org/sites/default/files/policy/CMS-Network-Adequacy.pdf

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CMS finalizes rules to improve Medicaid, CHIP access and payment

(5 days ago) WebApr 22, 2024 - 05:42 PM. The Centers for Medicare & Medicaid Services April 22 finalized rules intended to improve access in both the Medicaid fee-for-service and managed …

https://www.aha.org/news/headline/2024-04-22-cms-finalizes-rules-improve-medicaid-chip-access-and-payment

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers …

(Just Now) Weband CHIP beneficiaries enrolled in managed care by: creating standards for timely access to care (HCBS payment adequacy reporting) HCBS Quality Measure …

https://public-inspection.federalregister.gov/2024-08363.pdf

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Welcome to NJ FamilyCare

(7 days ago) WebNJ FamilyCare - New Jersey's publicly funded health insurance program - includes CHIP, Medicaid and Medicaid expansion populations. That means qualified NJ residents of …

https://njfamilycare.dhs.state.nj.us/

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Division of Mental Health and Addiction Services Home

(Just Now) WebDescargue el folleto. The Division of Mental Health and Addiction Services (DMHAS) serves as the Single State Agency (SSA) for Substance Use and the State Mental …

https://nj.gov/humanservices/dmhas/home/

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What You Need to Know About Medicaid Managed Care, Amid …

(Just Now) WebKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 …

https://www.kff.org/medicaid/press-release/what-you-need-to-know-about-medicaid-managed-care-amid-the-new-federal-rules/

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Appointment Availability SMMCAC Subcommittee on …

(7 days ago) WebAppointment Availability is part of the Network Adequacy Protocol required by Centers for Medicare and Medicaid Services(CMS). •Appointment Availability assesses wait time for …

https://www.hhs.texas.gov/sites/default/files/documents/may-2024-naac-agenda-item-3.pdf

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String of killings have put spotlight on adequacy of mental health …

(1 days ago) WebIf the police hunches are correct, the tragedy may turn out to be the latest in a series of high-profile killings that have focused public attention on the adequacy of …

https://www.theguardian.com/society/2024/apr/30/killings-adequacy-of-mental-health-care-nhs?bingParse

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Request for Comments on Processes for Assessing …

(5 days ago) WebImplementation of Mental Health Parity and Addiction Equity in Medicaid and CHIP eptember 202 xvi The Mental Health Parity and Addiction Equity Act (MHPAEA), …

https://www.medicaid.gov/state-resource-center/state-operations-and-technical-assistance/downloads/cmcs-mental-health-parity-092023.pdf

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Quick Reference Guide for Horizon Behavioral HealthSM …

(1 days ago) Web1 Acute care facilities should submit claims only through a clearinghouse Member Eligibility, Authorizations, Care Management and Intensive Case Management Referrals 1-800-626 …

https://s21151.pcdn.co/wp-content/uploads/HBH_QRG_HBCBSNJ.pdf

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Nondiscrimination in Health Programs and Activities

(5 days ago) WebThe Department of Health and Human Services (HHS or the Department) is issuing this final rule regarding section 1557 of the Affordable Care Act (ACA) (section …

https://www.federalregister.gov/documents/2024/05/06/2024-08711/nondiscrimination-in-health-programs-and-activities

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