Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act: Section 1003 Demonstration Project to Increase Substance Use Provider Capacity

This week, the Centers for Medicare & Medicaid Services (CMS) released a Notice of Funding Opportunity for State Medicaid Agencies to apply for planning grant funding to increase the capacity of Medicaid providers to deliver substance use disorder (SUD) treatment and recovery services. Up … Read More

SAE’s Value Proposition Capacity

The Measurement Year 2019 Health and Recovery Plan (HARP) Quality Measure Set was created in collaboration with the Behavioral Health/ HARP Clinical Advisory Group (CAG) and the New York State Value Based Payment Workgroup. This measure set is meant to align with measure sets … Read More

Alert to NY Providers: Review of Billing and Claims Denied

The following is from the Advanced Cash Payment Directive slide of NYS Office of Mental Health’s Mental Health Advanced Cash Payment Requirements PowerPoint. New York State directed several MCOs to resolve outstanding claiming issues with providers by February 24, 2019. By February 24, 2019, MCOs and … Read More

SAE Provides Audit Support for Management and Clinical Compliance

  The Office of the Inspector General (OIG) has an active Work Plan for the federal oversight and evaluation of reimbursements, funds and services rendered through the Centers for Medicare & Medicaid (CMS) as well as for other departments and agencies such as: Centers for … Read More

US Progress (or Lack Thereof) with the Parity Law

Last month marked the 10-year anniversary of the Mental Health Parity and Addiction Equity Act (MHPAEA). This law requires that insurers cover mental health and addiction disorders no more restrictively than they cover physical body illnesses, and is designed to ensure that people with … Read More

Let our operational knowledge work for you.

For the past four years, SAE has: functioned as a state-appointed (NYS) Parity compliance monitor overseeing and working with a large Health Plan and its behavioral health vendor to ensure that the Health Plan took the necessary steps to reach a degree of Parity … Read More