Mental Health, substance use disorder, and behavioral health compliance information for facilities and providers.
A federal grand jury in the Eastern District of Kentucky just indicted Addiction Recovery Care founder Tim Robinson on wire fraud and money laundering counts. Leah Kendall breaks down what SUD operators, boards, and PE sponsors should do this week to avoid being next.
A behavioral health business plan has to satisfy three audiences at once: state licensing agencies, commercial payers, and capital. Sariah Hopkins of Atlantic Health Strategies breaks down the operator-side framework, with named regulators, current EKRA enforcement, and the staffing math that actually survives a survey.
A behavioral health advisory group brings clinical, regulatory, billing, and operational SMEs to the table for treatment center operators. Sariah Hopkins, CEO of Atlantic Health Strategies, breaks down when to engage one, what they should review, and how they differ from a clinical board or compliance consultant.
Partial Hospitalization sits at ASAM Level 2.5 in the 4th Edition, renamed High-Intensity Outpatient. Leah Kendall walks operators through the 20-hour threshold, CMS 42 CFR 410.43, Wit v. UBH fallout, and the state licensure overlays that drive PHP denials and recoupment.
Curio FZ’s acquisition of Nora Mental Health puts a franchise outpatient therapy network under a digital parent. AHS walks operators and PE buyers through the diligence questions this deal raises, from licensure portability to payer assignability across a multi-state franchisee footprint.
Commercial payers are already adjusting their parity posture in response to the 2024 MHPAEA Final Rule. Brandi Cameron breaks down what behavioral health operators should be pushing for at the contracting table right now, with specific asks on rate, UM, and NQTL transparency.
Arizona’s AHCCCS reported a 92% collapse in suspect behavioral health billing after suspending hundreds of providers in the American Indian Health Program sober-living scheme. Operators in 1115-waiver states should harden patient-brokering controls, credentialing files, and ASAM documentation now, before enforcement spreads.
On May 15, 2025, the DOL, HHS, and Treasury announced they will not enforce the 2024 MHPAEA Final Rule. Brandi Cameron breaks down what the non-enforcement posture means for NQTL complaints, SCA pricing, denial appeals, and rate negotiations at Florida, Pennsylvania, and Tennessee facilities.
Carelon, CVS/Aetna, and Blues plans are quietly building the attribution, measurement, and data plumbing for value-based behavioral health contracts. Here is what treatment center operators should demand, refuse, and measure before signing a downside-risk deal in 2025 or 2026.
Hantavirus is not a behavioral health crisis, but it is a useful stress test. If your residential SUD or eating disorder facility cannot answer how it would screen, isolate, and report a suspected case, your emergency operations plan has gaps that Joint Commission and state licensure surveyors will find first.
