On June 25, CMS released a planning grant open to all states to address treatment access and capacity building for Medicaid providers to deliver SUD recovery services. It leans on states to implement ongoing assessment of SUD treatment needs with a focus on recruitment, training, … Read More
Alert to NY Providers: Review of Billing and Claims Denied
Posted on by SAE
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
US Progress (or Lack Thereof) with the Parity Law
Posted on by SAE
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
Alert to Service Providers: What to Know about the DHS Proposed Rule for Inadmissibility on Public Charge Grounds
Posted on by SAE
The proposed rule will impact lawful permanent residents (LPR) including international students and HB-1 employees. Employers who hire immigrants, as well as service providers who serve immigrants, will be impacted by this rule. It is essential for you to know the Proposed Rule for … Read More
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The CHIP Mental Health Parity Act – What States Must Know
Posted on by SAE
On June 12, 2018, the Committee on Energy and Commerce amended title XXI of the Social Security Act “to ensure access to mental health services for children under the Children’s Health Insurance Program” for all States. It specifically directed all states’ CHIP programs to … Read More
New FAQ Release on Parity
Posted on by SAE
SAE remains at the forefront of parity compliance and is experienced with the evaluation, monitoring and enforcement of access to care for mental health and addiction treatments. SAE’s parity experts have worked closely with state governance entities and directly with health plan administrators to understand … Read More
Expert Knowledge on Policy and Practice to Improve Access to Opioid Addiction Treatment
Posted on by SAE
The following is in a recent article from Aetna: “Aetna will be the first national payer to waive copays for Narcan for its fully-insured commercial members – a move that will increase access and remove possible financial barriers to the lifesaving drug. In addition, Aetna … Read More
Executive Coaching Available In The Field Of Addiction Treatment
Posted on by SAE
With changing requirements and opportunities in the service field, a guided approach for development can be helpful. Linking to a coach who understands the service history and also the current demands in service delivery and service outcomes can yield lasting results. Expert coaching is … Read More
HANYS Hosts SAE’s Presentation On Managing Utilization Review In Light Of Parity
Posted on by SAE
Early this month, SAE headed to Tarrytown, New York to present at the Behavioral Health and Primary Care Strategies, Weapons, and Tactics (SWAT) conference, hosted by Healthcare Association of New York State (HANYS). This year’s SWAT program, Strategies for Success, was designed to provide guidance on … Read More