Medicaid's Institute for Mental Disease (IMD) Exclusion

Medicaid's Institute for Mental Disease (IMD) Exclusion / en Tue, 29 Apr 2025 23:10:37 -0500 Fri, 08 Apr 22 14:35:05 -0500 MACPAC recommends improving oversight of Medicaid directed payments /news/headline/2022-04-08-macpac-recommends-improving-oversight-medicaid-directed-payments The Medicaid and CHIP Payment and Access Commission today approved <a href="https://www.macpac.gov/publication/oversight-of-managed-care-directed-payments-draft-chapter-and-recommendations-for-june-report-to-congress/">recommendations</a> calling on the Centers for Medicare &amp; Medicaid Services to increase transparency and oversight of directed payments in Medicaid managed care, which the commission will include in its June report to Congress. The recommendations focus on making existing approval documents publicly available, clarifying the goals of directed payments, providing additional guidance for multi-year assessments of directed payments, and better coordinating reviews of directed payments and managed care rates.&nbsp; AHA provided oral comments at the public meeting, emphasizing the importance of Medicaid supplemental payments given the $25 billion Medicaid shortfall in 2020, according to AHA data; and urging policymakers to further explore the complex ways states are using directed payments to support policy and program goals before considering additional regulatory changes.&nbsp; The commission also approved recommendations to improve access to vaccines for adult Medicaid beneficiaries; create a new access monitoring approach for Medicaid; and encourage adoption of health information technology in behavioral health. In addition, the commission reviewed its mandated report to the Secretary of Health and Human Services on Medicaid managed care coverage for beneficiaries receiving services in Institutions for Mental Diseases. Fri, 08 Apr 2022 14:35:05 -0500 Medicaid's Institute for Mental Disease (IMD) Exclusion AHA Comments on CMS' Medicaid Fiscal Accountability Regulation Proposed Rule /lettercomment/2020-01-30-aha-comments-cms-medicaid-fiscal-accountability-regulation-proposed-rule AHA comments on the Centers for Medicare &amp; Medicaid Services’ proposed regulation related to Medicaid program financing and supplemental payments. Given that the proposal would severely curtail the availability of health care services to millions of individuals and because many of its provisions are not legally permissible, the AHA requests that the agency withdraw the proposed rule in its entirety. Thu, 30 Jan 2020 08:47:33 -0600 Medicaid's Institute for Mental Disease (IMD) Exclusion CMS expands state access to Medicaid waivers for IMD services /news/headline/2018-11-13-cms-expands-state-access-medicaid-waivers-imd-services The Centers for Medicare &amp; Medicaid Services today <a href="https://www.cms.gov/newsroom/press-releases/cms-announces-new-medicaid-demonstration-opportunity-expand-mental-health-treatment-services">announced</a>&nbsp;new opportunities for states to design innovative service delivery systems for adults with serious mental illness and children with serious emotional disturbance, including Section 1115 waivers for short-term residential treatment services in an Institution for Mental Disease. While CMS has approved 17 state waivers to pay for IMD treatment for substance use disorders, including opioid use disorders, the new guidance will allow states to pursue waivers to pay for community and residential treatment services for the full continuum of mental health and SUDs. &nbsp; “More treatment options for serious mental illness are needed, and that includes more inpatient and residential options,” said Health and Human Services Secretary Alex Azar. “As with the SUD waivers, we will strongly emphasize that inpatient treatment is just one part of what needs to be a complete continuum of care, and participating states will be expected to take action to improve community-based mental health care.” &nbsp; CMS outlined the new waiver opportunities in a <a href="https://www.medicaid.gov/federal-policy-guidance/downloads/smd18011.pdf">letter</a>&nbsp;to state Medicaid directors, which also describes existing opportunities to support innovative service delivery systems for adults with serious mental illness and children with serious emotional disturbance. &nbsp; “America’s hospitals and health systems commend Secretary Azar’s announcement regarding CMS guidance that will offer additional flexibility for state Medicaid agencies and providers to work together to better care for people with serious mental health conditions,” <a href="/press-releases/2018-11-13-aha-commends-cms-announcement-expanded-mental-health-services">said</a>&nbsp;AHA Executive Vice President Tom Nickels. “In 2016, approximately 10 million adults in the United States had a serious mental illness, but only 65 percent received mental health services in that year. … This guidance will lessen barriers to care for those in need of these services and increase access to quality behavioral health care.”&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Tue, 13 Nov 2018 15:14:32 -0600 Medicaid's Institute for Mental Disease (IMD) Exclusion AHA Commends CMS Announcement on Expanded Mental Health Services /press-releases/2018-11-13-aha-commends-cms-announcement-expanded-mental-health-services Tom Nickels Executive Vice President �� Association &nbsp; November 13, 2018 &nbsp; “America’s hospitals and health systems commend Secretary Azar’s announcement regarding CMS guidance that will offer additional flexibility for state Medicaid agencies and providers to work together to better care for people with serious mental health conditions. In 2016, approximately 10 million adults in the United States had a serious mental illness, but only 65 percent received mental health services in that year. The announcement outlined new and existing flexibility related to Institutions for Mental Diseases (IMD); flexibility that will allow states to pay for short-term residential treatment services in an IMD. This guidance will lessen barriers to care for those in need of these services and increase access to quality behavioral health care.” &nbsp; About the �� Association The AHA is a not-for-profit association of health care provider organizations and individuals that are committed to the improvement of health in their communities. The AHA is the national advocate for its members, which include nearly 5,000 hospitals, health care systems, networks and other providers of care. Founded in 1898, the AHA provides education for health care leaders and is a source of information on health care issues and trends. For more information, visit&nbsp;<a href="https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Ficm-tracking.meltwater.com%2Flink.php%3FDynEngagement%3Dtrue%26H%3DFcQ5do3Mtm%252F2JnP%252FxXFcY%252BL9mOkU%252Fad4G7kfqxVfSdkEEq1vNf2gy74NHLpFnDhZrn5OkFFTUkC%252F8dORfk%252B1uzaReBqft9u96oQlFJHmYwTARaYYePXWkg%253D%253D%26G%3D0%26R%3Dhttps%253A%252F%252Fna01.safelinks.protection.outlook.com%252F%253Furl%253Dhttp%25253A%25252F%25252Ficm-tracking.meltwater.com%25252Flink.php%25253FDynEngagement%25253Dtrue%252526H%25253DqJ9juQrYQnz1cqUgIm8psgUQ75z%2525252Bv%2525252FUt%2525252BmzLgDhho6nnEEJMrQdYl3q8Quda7Dym56DEu%2525252F5FUK%2525252Fj0nFZSpzFgOUxVvb8KaAOU9G4Lyq%2525252BRU5HDivlUizSrA%2525253D%2525253D%252526G%25253D0%252526R%25253Dhttps%2525253A%2525252F%2525252Fwww.aha.org%252526I%25253D20181101220550.0000001fafaa%25252540mail6-42-usnbn1%252526X%25253DMHwxMDQ2NzU4OjViZGI3OGFkNjRkMTgwOWYyODA2YTUyOTs%2525253D%252526S%25253DnHx9lmaj1YtgLdH9ZLPSyUI8qcEV_gYmflGsyJTPi-g%2526data%253D02%25257C01%25257Ccmilligan%252540aha.org%25257C386518334359436d719308d6404636cb%25257Cb9119340beb74e5e84b23cc18f7b36a6%25257C0%25257C0%25257C636767067643968896%2526sdata%253DYWp8uZt4FLU2bzzoywN5rpOXwx7rT%25252B6l1kAxUPRMOms%25253D%2526reserved%253D0%26I%3D20181113194839.0000002ae539%2540mail6-41-usnbn1%26X%3DMHwxMDQ2NzU4OjViZWIyOWZiNjRkMTgwOWYyODA2YjY0NzsxfDEwNDY3NTk6dHJ1ZTs%253D%26S%3Dooruw71I75-c456TIZ9wzr5Mea_JXwiB7lAhF-JCA6k&amp;data=02%7C01%7Cgdvalentine%40aha.org%7Cde5192e4d6e846eb3e9e08d649a102e9%7Cb9119340beb74e5e84b23cc18f7b36a6%7C0%7C0%7C636777353224893066&amp;sdata=Tr42BbkMocjF4DzlbnM8j394%2BXet2gstTf31fa2Lrsw%3D&amp;reserved=0"></a>.&nbsp; ### &nbsp; Contact:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Marie Johnson, (202) 626-2351 <a href="mailto:mjohnson@aha.org">mjohnson@aha.org</a> Arika Trim, (202) 626-2319 <a href="mailto:atrim@aha.org">atrim@aha.org</a> &nbsp; Tue, 13 Nov 2018 14:05:53 -0600 Medicaid's Institute for Mental Disease (IMD) Exclusion AHA Re: Limited Repeal of IMD Exclusion for Adult Medicaid Beneficiaries with Substance Use Disorder Act /lettercomment/2018-05-16-aha-re-limited-repeal-imd-exclusion-adult-medicaid-beneficiaries-substance Wed, 16 May 2018 11:41:59 -0500 Medicaid's Institute for Mental Disease (IMD) Exclusion AHA Comments Re: Request for Recommendations for Policy Actions to Address the Opioid Epidemic /lettercomment/2018-02-20-aha-comments-re-request-recommendations-policy-actions-address-opioid <a href="/node/18513">View letter here.</a>&nbsp; Tue, 20 Feb 2018 10:21:21 -0600 Medicaid's Institute for Mental Disease (IMD) Exclusion AHA to Sen. McConnell Re: Senate Vote on Meaningful Mental Health Reform Legislation /lettercomment/2016-08-29-aha-sen-mcconnell-re-senate-vote-meaningful-mental-health-reform AHA urges Senator Mitch McConnell to schedule a Senate vote on meaningful mental health reform legislation this fall. Mon, 29 Aug 2016 00:00:00 -0500 Medicaid's Institute for Mental Disease (IMD) Exclusion AHA Letter to House E&C Committee Leaders on Mental Health Bill /lettercomment/2016-06-15-aha-letter-house-ec-committee-leaders-mental-health-bill AHA Letter to House Energy and Commerce Committee leaders on Mental Health Bill. Wed, 15 Jun 2016 00:00:00 -0500 Medicaid's Institute for Mental Disease (IMD) Exclusion AHA to Reps. Joseph Pitts and Gene Green Re: H.R. 2646 Helping Families in Mental Health Crisis Act /lettercomment/2015-11-04-aha-reps-joseph-pitts-and-gene-green-re-hr-2646-helping-families-mental Wed, 04 Nov 2015 00:00:00 -0600 Medicaid's Institute for Mental Disease (IMD) Exclusion