News and Headlines
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NEW CMS RULE: What Work Requirements Mean for Behavioral Health
The Centers for Medicare and Medicaid Services (CMS) has issued new guidance on Medicaid work requirements under H.R.1, with significant implications for both patients and providers pertaining to coverage continuity and eligibility verification. These changes introduce new compliance considerations that could impact access to care, particularly for individuals experiencing mental health and substance use challenges.
The National Council for Mental Wellbeing has developed a clear breakdown of what this rule means in practice, along with practical guidance to help organizations prepare:
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Final Weeks to Register! 2026 Peer Recovery Summit
Time is running out to register for the 2026 Peer Recovery Summit Connection Creates Recovery: Healing Happens Together! This year the conference will be held July 8-9, 2026 at the Hyatt Regency in downtown Columbus, Ohio
Join the hundreds of peers, recovery leaders, advocates, and organizations from across the state who have registered for an unforgettable experience centered on connection, growth, and recovery
OhioPRO is proud to partner with the Ohio Department of Behavioral Health to provide a dedicated space for advancing peer support across the state—through meaningful networking and education on the topics that matter most to our community.
Register Now! |
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DEA Formalizes End to X-Waiver; Expands Window to Administer MOUD Injectables
The Drug Enforcement Administration has finalized the formal end of the DATA / X-waiver requirement for medication for opioid use disorder (MOUD) treatment, defined related training requirements and extended the window for administering certain medications from 14 days to 45.
While Congress technically eliminated the waiver requirement and patient caps in 2022, the DEA had yet to formalize the sunset of these provisions. In addition, providers must also adhere to a one-time training requirement for clinicians seeking new or renewed DEA registration to prescribe or dispense any controlled substances classified as Schedules II, III, IV or V. This primarily matters for clinicians who prescribe MOUDs like methadone or buprenorphine. Once they receive the medication, they have 45 days from the date of its receipt from a pharmacy to administer the MOUD to patients. Any unused MOUD after that date may need to be destroyed per state laws and cannot be kept as stock. That’s a concrete operational change for opioid treatment providers (OTPs) and other clinicians who are attempting to integrate long-acting injectable MOUDs without taking on inventory risk. |
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The Ohio Council Welcomes New Provider Member - Soul Path Recovery Center LLC
Soul Path Recovery Center LLC in Maumee, OH. Juan Duarte, CEO, can be reached at [email protected] or by phone at (419) 283-8870. Soul Path Recovery LLC provides behavioral health services for adult SUD and MH including case management services, crisis intervention, integrated assessment, intensive outpatient, partial hospitalization and therapeutic behavioral services in Lucas and surrounding counties.
Click here to learn more about Soul Path Recovery Center LLC! |
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Top Federal, State Officials in Ohio Unveil Wave of New Anti-Fraud Moves
Top Trump administration and state officials on Thursday announced several new anti-fraud actions in Ohio, including indictments of 14 Ohioans accused of illegal swindles that netted them more than $50 million.
The moves, unveiled during a press conference at a Columbus-area military installation, mark the latest actions in a coordinated effort by Ohio and national Republicans to ramp up efforts against fraud – particularly Medicaid fraud – as the midterm elections loom in November.
- Two state employees and two other conspirators accused of fraudulently billing Medicaid about $30 million for children’s behavioral health services never provided
- Four residents of Ghana and one U.S. citizen being charged by the U.S. attorney’s office in Cleveland with running a romance fraud scheme that used artificial intelligence and other techniques to deceive more than 100 elderly Americans into sending them a total of more than $15 million
- Four people accused of submitting bogus Paycheck Protection Program loan applications on behalf of healthcare providers and other businesses, as well as successfully applying for U.S. Small Business Administration loan forgiveness.
- Robert Haley, a 63-year-old from Cincinnati, who was indicted in Butler County for fraudulently billing Medicaid more than $12 million in the name of children in after-school programs.
In addition, 49 home healthcare providers have been suspended after being flagged as being at “high risk” for Medicaid fraud, said Dr. Mehmet Oz, administrator of the Centers for Medicaid and Medicare Services. |
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