HAP is working to:
- Expand the role of advanced practice professionals in the behavioral health care setting to improve access to needed services
- Address hospital challenges related to identifying treatment resources beyond the emergency department
- Advance the use of telehealth and insurer reimbursement for telehealth to increase access to behavioral health services
policy to improve access to information to improve patient care
- Secure additional state and federal funds to initiate new behavioral health care models in the state
Health Care Heroes and Public Health Preparedness Act
The pandemic has exacerbated the existing crisis of inadequate
post-acute placements and behavioral health services. To help address is
crisis, HAP supports addressing behavioral health and post-acute capacity and
- Pennsylvania needs solutions to help patients receive the care they need after they leave the hospital. These solutions will vary from place to place; one-size-fits-all remedies rarely work
HAP supports regulatory changes to prevent insurers from prohibiting reimbursement for a service solely because it was provided via telemedicine.
State: During July, the Pennsylvania Regulatory Review Commission approved new regulations for outpatient psychiatric services and psychiatric outpatient clinics.
The new regulations amend 55 PA Code Chapter 1153 and 55 Pa Code Chapter 5200—updating decades old policy and aligning state requirements with federal requirements set forth in the Affordable Care Act (ACA) and Mental Health Parity and Addiction Equity Act of 2008. The regulations also codify requirements for delivery of Mobile Mental Health Treatment services as well as regulations for supervision in accordance with section 4 of the Outpatient Psychiatric Oversight Act.
Federal: The Centers for Medicare & Medicaid Services issued a final rule to update the payment rates for inpatient psychiatric facilities for fiscal year 2020:
- Net payment increase of 1.5 percent, or $65 million, compared to FY 2019. The total increase includes a market-basket update and rebasing offset by statutorily required reductions and a reduction related to the outlier threshold
- Addition of one quality measure on medication continuation following discharge for FY 2021 payment determination.
Substance Abuse and Mental Health Services Administration (SAMHSA) issued a
proposed rule during
August to amend sections of the Code of Federal Regulations (CFR) that define
restrictions on how federally assisted alcohol or drug abuse programs may use
and share patient information. HAP supports efforts by the American Hospital
Association to encourage Congress to pursue legislation to modernize substance
use disorder information sharing to support better care coordination and
HAP Opioid Learning Action Network
The HAP Opioid Learning Action Network (LAN), funded by Bloomberg Philanthropies, is a two-year project that will support Pennsylvania’s hospitals in working collectively to identify, create, and disseminate promising practices to measurably increase the number of patients entering evidence-based treatment for opioid use disorders (OUD) and reduce overdose deaths.
For additional information about behavioral health, go to HAP’s Resource Center.
For more information, contact
Jennifer Jordan, vice president, regulatory advocacy. For media inquiries, contact Rachel Moore, director, media relations.