34 articles found
Wabanaki Public Health & Wellness will close its Bangor detox services, saying MaineCare reimburses roughly 1.5 million dollars a year less than the care costs.
Records show Medicine Wheel Recovery Services billed Oregon Medicaid more than $14 million in two years while cofounder pay rose about 80% and patients were bused away.
A federal judge blocked CMS guidance that narrowed who counts as medically frail, a category the law says must include people with substance use disorders.
Removing prior authorization for buprenorphine raised Medicaid fills and cut opioid overdoses, a MACPAC claims analysis finds, while treatment continuity slipped.
A Virginia Commonwealth University update to the state's opioid cost tool estimates $1.3 billion in reduced costs in 2024, about 14 to 20 times added public spending.
A new Addiction study finds the median U.S. opioid treatment program saw 5% of newly treated Medicaid patients hospitalized or in an ER within 90 days.
Negril Incorporated, a Danville mental health provider, agreed to a $1,817,910.60 settlement over Virginia Medicaid bills for an uncredentialed provider.
In a JAMA Network Open study of 399,500 Medicaid patients, starting above 50 morphine milligram equivalents raised the odds of opioid use disorder or overdose.
Washington is among 22 states billing Medicaid for work inside jails. King County now offers release planning to nearly all 1,400 people in its two lockups.
Marion County asked Oregon's health authority to change nine residential treatment rules in August; public comment closed Oct. 19 with no final decision.
Pinnacle Treatment Centers opened FCCR Richmond at 1801 Hull Street, offering methadone, buprenorphine, counseling and same-day admissions in South Richmond.
Massachusetts opioid overdose deaths fell for a third straight year, a Boston Indicators brief finds, but federal Medicaid work rules could reverse the gains.
Montana prosecutors charged a Great Falls addiction counselor with felony Medicaid fraud, the second case against a city treatment provider this year.
Earl Rison's wrongful death suit alleges Addiction Recovery Care failed to monitor his brother Mike, 56, before he died at its Pikeville facility.
Louisiana won federal approval for a waiver that pays for addiction treatment and a 30-day medication supply before someone leaves prison, starting in 2027.
Maryland-based R&S Holdings bought Innovo Detox, a 52-bed detox and residential facility in Abbottstown, adding medically supervised withdrawal to its network.
Indiana estimates 58,000 Healthy Indiana Plan members are not meeting the work requirements taking effect Jan. 1, 2027, and officials call the number rough.
A state performance audit found all 100 sampled Medicaid opioid treatment claims missed at least one requirement and flagged $875,696 in overpayments.
Missouri will not adopt federal short-term hardship exemptions from Medicaid work requirements starting Jan. 1, 2027, citing existing medically frail and caregiver pathways.
A JAMA Network Open analysis of 229,847 young Medicaid enrollees finds only half start opioid addiction treatment and just 3.1% stay on medication past 180 days.
Federal officials cleared Maine's Whole Person Care Waiver, letting MaineCare cover reentry services up to 60 days before release from jail or prison.
Across 234,944 Medicaid opioid-related encounters, 14% filled buprenorphine within 30 days, and Black and Hispanic patients were least likely to start or stay on it.
Montana begins enforcing Medicaid work requirements October 1, requiring nearly 71,000 enrollees to document 80 hours a month or prove a medical-frailty exemption.
Colorado Medicaid officials are weighing cuts to peer recovery coaching after spending on self-help and peer services rose 286% from 2022 to 2024.
A nationwide analysis of 1,218 opioid treatment programs finds that higher patient retention correlates with lower hospitalizations, ER visits, and mortality.
Urban Institute analysis: Medicaid-covered buprenorphine fills rose from 936,000 in 2010 to 8.2 million in 2025, gains now threatened by federal Medicaid cuts.
Health policy groups urge CMS to increase transparency for the $50B Rural Health Transformation Program as states prepare to submit first progress reports.
Washington D.C. plans to use $7.8 million in opioid settlement funds for Medicaid and existing programs, prompting protests from advocates who say this violates 'supplement not supplant' law.
Washington, D.C.'s fiscal 2027 budget shifts millions in opioid settlement funds to Medicaid and existing treatment programs, prompting supplantation accusations.
HHS Secretary Kennedy toured a Southside Virginia addiction rehab facility while promoting the $50B Rural Health Transformation Program amid Medicaid cuts.
DOJ secures $16.2M judgment against Addiction Recovery Care, Kentucky's largest rehab chain, for years of false Medicaid billing.
Oregon, Rhode Island and Michigan have shelved plans to start Medicaid before release from jail, and only four of 19 approved states have programs running.
Nebraska will require Medicaid expansion enrollees to work 80 hours monthly, raising concerns about addiction treatment access for vulnerable populations.
New JAMA Network Open study shows MOUD access among Medicaid beneficiaries rose from 60% to 69% between 2019-2023, with 45 states seeing increases.