by Ethan Webb | May 18, 2026 | Regulation
Key Takeaways Managed care now controls most Medicaid behavioral health spending. As of July 2025, 42 states contract with Medicaid MCOs, and most enrollees receive their behavioral health benefits through them, either directly or through a carved-out behavioral...
by Ethan Webb | May 6, 2026 | Regulation
Key Takeaways The audits are documentation audits, not clinical audits: OIG findings turn on whether session notes, signatures, credentials, and treatment plans support what was billed. The clinical question of whether ABA was medically necessary was never reviewed....
