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Vorys Health Care Advisors

Category Archives: Behavioral Health

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How Ohio’s Behavioral Health Redesign impacts providers

Posted in Behavioral Health

Over the next year, Ohio community behavioral health providers (mental health and substance use addition providers) will be participating in a truly transformational time as a result of a statewide initiative called Ohio’s Behavioral Health Redesign. Redesign will fundamentally alter the clinical and business processes of community behavioral health providers through the adoption of coding… Continue Reading

House Republican health plan would shift estimated $560B in Medicaid costs to states, impact all Medicaid enrollees

Posted in Access, Affordable Care Act, Behavioral Health, Health Care Reform, Medicaid

The House Republican plan to reform Medicaid projects federal savings of more than $500 billion dollars over 10 years, and the Center on Budget and Policy Priorities, a nonpartisan research and policy institute, estimates this plan would significantly shift Medicaid costs directly to states, “effectively ending the Affordable Care Act’s (ACA) Medicaid expansion for 11 million people… Continue Reading

New on the HealtHITech Law Blog: proposed updates to federal confidentiality of alcohol and drug abuse patient records Regulations

Posted in Behavioral Health, privacy, Regulations, SAMHSA

As reported by Vorys attorney J. Liam Gruz on the HealtHITech Law Blog, the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) recently published a proposed rule which would amend the Confidentiality of Alcohol and Drug Abuse Patient Records regulations, found in 42 C.F.R. Part 2. SAMHSA’s long awaited proposed rule seeks to modernize… Continue Reading

Multi-system youth: the need for additional and coordinated services

Posted in Behavioral Health, Care Coordination, Child protection, Medicaid, multi-system youth, Wrap-around

2/3/2017: Please see our latest post on multi-system youth at https://www.voryshcadvisors.com/2017/02/03/multi-system-youth-update/  “Multi-system” youth are children and adolescents served by multiple public systems, including state agencies providing both financing and direct services in the areas of: Child protection, Health care (often through Medicaid), Juvenile justice, Intellectual and developmental disabilities, Behavioral health care (both mental health and addiction services), Child… Continue Reading

Ohio’s Behavioral Health Redesign – Part 1

Posted in Behavioral Health, Managed Care, Medicaid, Physical and Behavioral Health Integration

Ohio’s behavioral health service delivery and payment systems are heading in a new direction. Over the next three years, we expect providers and service recipients to experience significant changes as alterations are made to the state’s determination of eligibility, authorized providers, covered services, and payment amounts and methods. This is the first post of a… Continue Reading

VHCA Webinar on New Medicaid Managed Care Rules

Posted in Behavioral Health, CMS, Health Care, Managed Care, Medicaid, Regulations

CMS recently proposed regulations regarding Medicaid managed care.  The proposed rule, which was released on June 1, offers the fist major update to Medicaid and CHIP managed care regulations since 2002 – in many ways, this update and modernization of the regulations is overdue.  In general, the proposal takes a big step toward aligning Medicaid and CHIP managed… Continue Reading

SAMHSA to Host Public Listening Session on Substance Abuse Confidentiality Regulations

Posted in Behavioral Health, Physical and Behavioral Health Integration

On Wednesday, June 11, 2014, the Substance Abuse and Mental Health Services Administration (SAMHSA) will hold a public listening session to solicit information regarding the Confidentiality of Alcohol and Drug Abuse Patient Records Regulations, 42 C.F.R. Part 2.  Under these regulations, a federally assisted substance abuse program generally may only release identifiable patient information related… Continue Reading

Ohio Supreme Court Upholds Medicaid Expansion

Posted in Behavioral Health, Medicaid

The Ohio Supreme Court issued a decision today confirming the constitutionality of the state’s decision to expand the Medicaid program through an action of the Controlling Board.  The Court rejected a constitutional challenge made by six legislators. In November, our colleagues at Vorys, Sater, Seymour and Pease filed an amicus brief on behalf of Advocates for Ohio’s… Continue Reading

Mental Health Parity Requirements and Medicaid

Posted in Behavioral Health, Medicaid

The U. S. Department of Health and Human Services announced on Friday final regulations implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA).  The MHPAEA is intended to align insured health care benefits for mental and substance use disorders (M/SUD) with those for medical and surgical care…. Continue Reading

Recent Study Concludes That Poverty Affects Childhood Brain Development

Posted in Behavioral Health

A study recently published in JAMA Pediatrics indicates that exposure to poverty in early childhood materially impacts brain development.  The study also found that “some of the negative effects on the brain…can be mediated by the level of support or hostility of the children’s caregivers, as well as the level of stressful events in life.”… Continue Reading

Scrutton Named Vice-Chair of AHLA Behavioral Health Task Force

Posted in Behavioral Health

Vorys, Sater, Seymour and Pease is pleased to announce that Suzanne Scrutton, a partner in the Columbus office and a member of the health care group, has been named a vice-chair of the American Health Lawyers Association (AHLA) Behavioral Health Task Force. The newly formed Task Force will advance the understanding of laws impacting behavioral… Continue Reading

The Governor’s Big Play: Pushing Ahead on Medicaid Expansion

Posted in Affordable Care Act, Behavioral Health, Health Care, Health Care Reform, Medicaid

By Sylvia Brown and Former State Senate President Tom Niehaus Anticipation is building as the battle over Medicaid expansion moves to the unlikely arena of the state Controlling Board. On Monday, October 21 at 1:30 p.m., Governor John Kasich will try to make good on his promise to take whatever action within his power to… Continue Reading

Vorys Health Care Advisors and Truven Health Analytics Co-Author SAMHSA’s “Medicaid Handbook: Interface with Behavioral Health Services”

Posted in Behavioral Health, Medicaid

Maureen Corcoran, president of Vorys Health Care Advisors (VHCA), and Daphne Saneholtz, senior advisor with VHCA, partnered with John Easterday, Ph.D. and Truven Health Analytics to author a Medicaid handbook for the federal Substance Abuse and Mental Health Services Administration (SAMHSA).  The handbook, titled “Medicaid Handbook:  Interface with Behavioral Health Services,” provides readers with an understanding of… Continue Reading

Ohio Medicaid Announces Initiative to Enhance Clinical Guidelines for Prescribing Psychotropic Medications to Children

Posted in Behavioral Health, Medicaid

The Columbus Dispatch recently published a story on an initiative undertaken by Ohio Medicaid aimed at improving psychotropic-drug management by closely monitoring prescriptions and focusing on the safe, effective and appropriate use of psychotropic medications among children on Medicaid. This goal is important for all Ohio children on Medicaid, and there is a special focus… Continue Reading

ODMH Seeks Letters of Intent from Providers Interested in Providing Health Home Services

Posted in Behavioral Health

On May 8, ODMH released a communication inviting community behavioral health centers to submit nonbinding letters of intent expressing their readiness to implement health home services for persons with serious and persistent mental illness.  Letters of intent should be submitted no later than June 1 in order to be considered for implementation during FY 2013. A… Continue Reading

Merger for Ohio Departments of Mental Health and Alcohol and Drug Addiction Services

Posted in Behavioral Health, Medicaid

The Kasich administration announced on Friday that it will merge the Ohio Departments of Mental Health (ODMH) and Alcohol and Drug Addiction Services (ODADAS).  ODMH Director Tracy Plouck will lead the new agency, and ODADAS Director Orman Hall will maintain a cabinet-level position.  Additional information can be found here: Joint letter from ODMH and ODADAS… Continue Reading

Webinar: Important Issues for Psychiatric Hospitals and Other Residential Providers of Behavioral Health Services

Posted in Behavioral Health, Health Care, Health Care Reform, Medicaid

Join Vorys Health Care Advisors for a complimentary webinar. Wednesday, April 25 from 12:00 – 1:00 p.m. (EDT) The Ohio Office of Health Transformation is working with the Ohio Department of Job and Family Services’ Office of Ohio Health Plans and the Ohio Department of Mental Health to implement several new Medicaid behavioral health policy… Continue Reading

Medicaid Tools Added to VHCA Site

Posted in Behavioral Health, Health Care, Health Care Reform, Medicaid, Physical and Behavioral Health Integration

We have added several tools under the “Resources” tab that can be used to help navigate the complex Medicaid system.  We originally shared these tools at an ANCOR conference VHCA facilitated in January 2012.  Under the Resources tab, you can now find: A description of Medicaid case management/care coordination services and the federal authorities that underly… Continue Reading