Becker's Healthcare November 26, 2024
Rylee Wilson

Here are five things to know about the proposed rules for behavioral health services:

  1. CMS proposed limiting copayments to 20% for mental health specialty services, partial hospitalization and intensive outpatient, and outpatient substance use treatment. Current regulations allow plans to impose 30% to 50% cost sharing for these services, depending on the plan type.
  2. The proposed rules would require plans to cover opioid treatment programs with zero cost share. Currently, plans can impose a 50% copay requirement.
  3. The agency is seeking comments on...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Mental Health, Provider
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