Behavioral Health Business December 14, 2022
Private insurers offering Medicare plans to seniors may soon have more rigorous behavioral health requirements to follow.
The U.S. Centers for Medicare & Medicaid Services (CMS) on Wednesday unveiled a newly proposed rule for Medicare Advantage (MA) meant to emphasize “the invaluable role that access to behavioral health plays in whole-person care.” The move comes just two days after the federal agency released a different proposal requiring marketplace health plans to cover certain mental health and substance use disorder treatment services.
Specifically, Wednesday’s proposed rule seeks to strengthen behavioral health network adequacy requirements by adding clinical psychologists, licensed clinical social workers and prescribers of medication for opioid use disorder (OUD) to the list of evaluated specialties under MA.
“CMS released...
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