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Everything you need to know about BMD and the industry.
Client Alert
Chemical Dependency Professionals Board Rule Changes: Part 2
April 1, 2024
New rule changes for Certification of Chemical Dependency Counselor Assistants (CDCA)
Posted by
Daphne Kackloudis and Jordan Burdick
Client Alert
Board of Pharmacy Rule Changes
April 1, 2024
Board of Pharmacy made changes to rules effective on March 4, 2024
Posted by
Daphne Kackloudis and Jordan Burdick
Client Alert
Counselor, Social Workers, and Marriage and Family Therapist (CSWMFT) Board Rule Changes
March 29, 2024
The Counselor, Social Workers, and Marriage and Family Therapist (CSWMFT) Board has proposed changes to the Ohio Administrative Code rules discussed below. The rules are scheduled for a public hearing on April 23, 2024, and public comments are due by this date. Please reach out to BMD Member Daphne Kackloudis for help preparing comments on these rules or for additional information.
Posted by
Daphne Kackloudis and Jordan Burdick
Client Alert
Latest Batch of Ohio Chemical Dependency Professionals Board Rules: What Providers Should Know
March 25, 2024
The Ohio Chemical Dependency Professionals Board recently released several new rules and proposed amendments to existing rules over the past few months. A hearing for the new rules was held on February 16, 2024, but the Board has not yet finalized them.
Posted by
Daphne Kackloudis and Jordan Burdick
Client Alert
Enhancing Privacy Protections for Substance Use Disorder Patient Records
February 16, 2024
On February 8, 2024, the U.S. Department of Health and Human Services (“HHS”) finalized updated rules to 42 CFR Part 2 (“Part 2”) for the protection of Substance Use Disorder (“SUD”) patient records. The updated rules reflect the requirement that the Part 2 rules be more closely aligned with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) privacy, breach notification, and enforcement rules as mandated by the Coronavirus Aid, Relief, and Economic Security Act of 2020.
Posted by
Daphne Kackloudis and Jordan Burdick
Client Alert
The Ohio Board of Pharmacy’s Latest Batch of Rules: What Providers Should Know
January 15, 2024
The Ohio Board of Pharmacy released several new rules and proposed amendments to existing rules over the past month that will significantly impact pharmacy operations. Topics range from updates to the Terminal Distributor of Dangerous Drugs license to mobile clinics to mandatory rest breaks for pharmacists of outpatient pharmacies. A summary of the proposed changes is below, along with instructions for commenting on the rules. Your BMD healthcare attorney can help write comment letters and submit the comments on your behalf as well.
Posted by
Daphne Kackloudis, Ashley Watson & Jordan Burdick
Client Alert
Increased Medicaid Rates to Take Effect This Month for Ohio Providers
January 5, 2024
As required by House Bill 33, Ohio’s 2024-2025 operating budget bill, reimbursement rates paid by the Ohio Department of Medicaid will increase for a wide range of providers starting on January 1, 2024.
Posted by
Daphne Kackloudis, Ashley Watson and Jordan Burdick
Client Alert
The Second Wave of UnitedHealthcare's Prior Authorization Cuts Started in November
December 11, 2023
In August 2023, UnitedHealthcare released its plan to eliminate roughly one-fifth of its then-current prior authorization requirements. The first round of prior authorization cuts took effect on September 1, 2023. In that round, UnitedHealthcare eliminated the necessity for some prior authorizations for UnitedHealthcare Medicare Advantage, UnitedHealthcare commercial, UnitedHealthcare Oxford and UnitedHealthcare Individual Exchange plan members. The second and final round of prior authorization cuts began on November 1, 2023. The November 2023 Prior Authorization Cuts apply to the same plans as well as community plans (i.e., Medicaid managed care plans).
Posted by
Daphne Kackloudis and Jordan Burdick
Client Alert
Proposed Laboratory Arrangement Draws Heightened Scrutiny from the OIG
October 18, 2023
On September 25, 2023, the Office of Inspector General for the U.S. Department of Health and Human Services (OIG) issued Advisory Opinion 23-06 (AO). The Opinion involved a proposed arrangement between an independent laboratory and other physician laboratories for the purchase of the technical component of anatomic pathology services. The OIG ultimately concluded that the arrangement at issue, if it was entered into with the requisite intent, would implicate the Federal Anti-Kickback Statute (AKS) and constitute grounds for sanctions.
Posted by
Amanda Waesch and Jordan Burdick
Client Alert
Over-the-Counter Contraceptive Pills Are Coming, But Will Insurance Cover Them?
September 20, 2023
Posted by
Ashley Watson and Jordan Burdick
Client Alert
Ohio’s Managed Care Overhaul Delayed – New Implementation Timeline
May 4, 2022
At the direction of Governor Mike DeWine, the Ohio Department of Medicaid (ODM) launched the Medicaid Managed Care Procurement process in 2019. ODM’s stated vision for the procurement was to focus on people and not just the business of managed care. This is the first structural change to Ohio’s managed care system since the Centers for Medicare & Medicaid Services' (CMS) approval of Ohio’s Medicaid program in 2005. Initially, all of the new managed care programs were supposed to be implemented starting on July 1, 2022. However, ODM Director Maureen Corcoran recently confirmed that this date will be pushed back for several managed care-related programs.
Posted by
Ashley Watson and Jordan Burdick