Do a reality check when navigating substance abuse treatment coverage under ACAPDF
Kelly Hagemann's article, "Do a reality check when navigating substance abuse treatment coverage under ACA," was published on Behavioral Healthcare on June 12, 2014.
From the article...
"Although there is no shortage of excitement surrounding the changes the Affordable Care Act (ACA) brings to addiction treatment, there are some problematic aspects that will become more evident over time. Private insurance coverage for substance abuse treatment has been substantially improved. For government plans, however, the existence of coverage is not the same thing as a guarantee that providers will be willing to offer treatment.
Low reimbursement rates have the potential to undermine the ACA’s goal of ensuring quality care for more Americans. Not all states will accept expanded Medicaid funds–a political reality that is completely outside providers’ control. Also, even in the 26 states that opted for the Medicaid expansion, the discretionary nature of a state’s distribution of Medicaid funds can lead to diverse forms of treatment and corresponding reimbursement rates among different states."