The DOJ’s FOCUS initiative changes the False Claims Act math for behavioral health. Claims data is public, data miners are filing qui tam suits without insider relators, and UR, level-of-care, and lab billing patterns are sitting in plain sight. Here is what operators need to do now.
The Horizon Behavioral Health data breach is another reminder that HHS OCR and state AGs are not grading on a curve. Here is what behavioral health operators should pull from the incident, and what we are telling AHS clients to fix this quarter.
A behavioral health advisory board is not a board of directors. It is the operator-level early warning system that catches regulatory drift, billing risk, and marketing arrangements before the DOJ, OIG, or state surveyors do.
CMS published its Behavioral Health Strategy and operators keep treating it like a press release. It is not. It is the framework CMS, OIG, and state Medicaid agencies are already using to shape audits, rate decisions, and enforcement priorities. Here is what to do about it.
ASAM level of care decisions are no longer a clinical footnote. They are the single most scrutinized data point in behavioral health, and CMS, DOJ, and state Medicaid SIUs are reading your charts more carefully than you are.
Iowa’s behavioral health system is mid-overhaul. For operators eyeing entry, expansion, or acquisition, the licensure framework under Iowa HHS demands the same operational discipline we apply across every state we work in. Here is how we think about it.
The Oklahoma Board of Behavioral Health Licensure governs LPC, LMFT, LBP, and LADC licensure in the state. AHS works licensure projects in Oklahoma, Virginia, Florida, and California, and the lessons travel. Here is how we approach Oklahoma the way we approach the rest of our portfolio.
On January 8, 2026, the White House announced the creation of a new Department of Justice Division for National Fraud Enforcement, signaling a structural escalation in federal healthcare oversight. The new division is designed to centralize fraud enforcement efforts across…
As of January 1, 2026, Texas has joined a small but growing group of states implementing comprehensive artificial intelligence governance frameworks. The Texas Responsible Artificial Intelligence Governance Act, widely referred to as TRAIGA, officially moved from statute to enforcement, positioning…
A D.C. Council hearing in late January 2026 put St. Elizabeths Hospital under an unusually bright spotlight, with staff, advocates, and officials describing an environment where safety, care delivery, and basic operational controls are fraying at the same time. According…
