OIG says MA, Medicaid managed care plans have limited, inaccurate behavioral health provider networks

American Hospital Association October 20, 2025

A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans offer access to a limited proportion of behavioral health providers, and inaccurately list 72% of in-network behavioral health care providers as being available. Networks with high proportions of such providers that should not be listed are referred to as “ghost...

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