Medicaid work requirements start by January 1, 2027, with six-month renewals. What BH and SUD providers need to know about exemptions and protecting revenue.
42 CFR Part 2 explained for 2026: who it covers, how it differs from HIPAA, what the final rule changed, how OCR enforces it, and a compliance checklist.
90832, 90834 and 90837 are chosen by documented psychotherapy time. Medicare time thresholds, E/M add-ons, 90791, crisis codes, 2026 telehealth and denials.
How behavioral health and SUD providers should answer a UPIC audit: the 30-day records deadline, Part 2 checks, a week-by-week plan, and extrapolation appeals.
Mental health parity in 2026: what DOL's FAB 2026-03 changes, what is enforceable today, and how BH and SUD providers can use parity in denial appeals.
RAC, UPIC, TPE, SMRC, CERT, Medicaid RAC and MFCU audits explained for behavioral health: who runs each, what triggers it, record deadlines, outcomes, appeals.
A behavioral health billing service typically takes 4 to 9 percent of everything it collects, which is why the in-house
Behavioral health denial rates run 15 to 22 percent, close to double the 9 to 12 percent for the rest
