The Centers for Medicare & Medicaid Services today issued answers to frequently asked questions about payments to Medicaid and Children’s Health Insurance Program managed care organizations and prepaid inpatient health plans for patients in an institution for mental disease. Under a final rule last year modernizing Medicaid and CHIP managed care regulations, states may make capitated payments to managed care plans for enrollees aged 21 to 64 who have a short-term stay of no more than 15 days in an IMD, as long as the facility is an inpatient psychiatric hospital, substance use disorder inpatient care or sub-acute facility providing psychiatric or SUD crisis residential services.

Related News Articles

Headline
Enrollment in private health insurance plans remained concentrated among a small number of issuers in 2015 and 2016
Headline
The Department of Health and Human Services this week awarded $487 million in fiscal year 2019 grants to help states and territories increase access to…
Headline
The Health Resources and Services Administration yesterday awarded $100 million in grants to improve infant mortality rates and maternal health outcomes in…
Headline
The National Health Law Program and other groups yesterday filed a class action lawsuit against the Department of Health and Human Services for approving a…
Headline
The three medications approved by the Food and Drug Administration to treat opioid use disorder — methadone, buprenorphine and extended-release naltrexone —…
Headline
Hospitals in states that impose Medicaid work requirements could see reduced Medicaid revenues and operating margins and increased uncompensated care costs,…