News Alert: Virginia Behavioral Health Providers Under Siege

By
Original story posted on: September 18, 2019

A mass termination of Virginia’s behavioral healthcare providers is now underway by managed care organizations.

More than 100 Medicaid behavioral healthcare providers in Virginia are being terminated without cause this week by managed care organizations (MCOs), according to Knicole Emanuel, a healthcare attorney.

Emanuel, working in Richmond, believes the terminations were premediated, with the intent to put those organizations out of business, opening in an email to RACmonitor that the MCOs would prefer to deal with fewer healthcare providers than “100 small providers.”

Emanuel added that the MCOs technically can’t terminate providers, with or without cause.

Approximately 1.5 million adults and 126,000 youths in Virginia have a mental health diagnosis, according to a statement on the website of Caliber Virginia, formerly known as the Association for Community-Based Service Providers, an advocacy association for the state’s mental and behavioral healthcare providers.

RACmonitor will continue to report on this developing story with an exclusive article in Thursday’s edition of the RACmonitor news, reported by Emanuel, a member of the RACmonitor editorial board.

Chuck Buck

Chuck Buck is the publisher of RACmonitor and is the program host and executive producer of Monitor Monday.

This email address is being protected from spambots. You need JavaScript enabled to view it.

Related Articles

  • Are MCOs or MACs State Actors? Does It Matter?
    EDITOR’S NOTE: Virginia Gov. Ralph Northam, along with six managed care organizations (MCOs), have been named as defendants in a federal lawsuit filed on Sept. 25, claiming that more than a dozen of the state’s Medicaid behavioral and mental healthcare…
  • Identity Theft in Long-Term Care
    There are resources available to help prevent wrongdoers from successfully targeting vulnerable patient populations. A dirty little secret of the long-term care industry is that the problem of identity theft arises more often than is reported.  In all fraud, there…
  • “Let’s not Point Fingers:” Feds cut $253 billion from Hospital Payments
    The recent study was commissioned by the American Hospital Association and the Federation of American Hospitals. A report released last week found that the federal government has reduced Medicare and Medicaid payments to hospitals by nearly $253 billion, through 12…