State behavioral health guidelines and updates due to COVID-19

State-specific guidelines

Effective 3/23/2020

Opioid Treatment Programs will allow take-home doses. Patients receiving take homes must engage in one to two telehealth sessions per week with their OTP (e.g., through a mobile or landline device, not necessarily one that is video capable).

Effective 3/12/2020

Ohio has issued emergency funding for behavioral telehealth services, with a focus on Medicaid. Private, for-profit treatment centers that want to expand their telehealth, or need crisis funding can request to tap into these funding sources by contacting The Ohio Department of Mental Health and Addiction Services.


Understanding new Commercial Payer guidelines

Many commercial payers have also issued important updates explaining their expansion of telehealth services. While expanded coverage includes more services, looser restrictions put the responsibility on the provider to determine appropriate services. This shift can significantly increase the risk of payer denials later on. An informed interpretation of these new guidelines is essential to avoid issues with your revenue cycle in the coming weeks. We are available to further discuss our findings and analysis with you. To learn more about recent updates regarding commercial payer guidelines, please contact us directly.