Mental Health
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CMS Reminds States EPSDT Requirement Includes Behavioral Health, Offers Specific Strategies
Medicaid’s pediatric benefit, Early and Periodic Screening Diagnostic and Treatment (EPSDT), is getting more attention from federal officials. As part of its child health-focused release yesterday, CMS released a new Informational Bulletin reiterating EPSDT’s requirement to cover screenings and medically necessary treatment for children’s behavioral health, mental health and substance use disorders. The timing is…
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Children’s Health and Well-Being Get Much Needed Attention from CMS this Week
CMS made three big announcements yesterday, drawing attention to ways Medicaid and CHIP can support children’s health and well-being. The first two announcements are sub-regulatory guidance documents, essentially bringing together all of the existing state options and best practices on behavioral health and school-based health. Sub-regulatory guidance doesn’t include new policy, but rather aims to…
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Medicaid and the 988 Mental Health Crisis Services Lifeline: State Approaches
Last month, the new three-digit mental health crisis and suicide prevention number – 988 – went live for call, text, and chat. Established by the National Suicide Hotline Designation Act of 2020, this easy to remember number is meant to support people experiencing suicidal ideation, mental health and substance use crises, or any kind of…
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New Data from CMS Shows Mental Health Services for Children Continue to Lag Behind Pre-Pandemic Levels
This week, the Centers for Medicare & Medicaid Services (CMS) released an update to its Medicaid and CHIP COVID-19 data snapshot with new data through January 2022. Unfortunately, as highlighted in the snapshot, while the number of mental health services provided to adults during the public health emergency nearly returned to pre-pandemic levels, the rate…
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Senate Releases Bipartisan Safer Communities Act, Includes Medicaid Mental Health Provisions
[Editor’s Note: The Bipartisan Safer Communities Act has since passed the Senate and the House and was signed into law by the President on Saturday, June 25th.] As we wrote about last week, the Senate has been actively working to advance an agreement on a gun safety bill that includes a number of provisions related to mental health.…
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Congress Focuses on Mental Health, Medicaid Gains Attention
This week has been a busy one on Capitol Hill as it relates to congressional efforts on mental health. On Sunday, a bipartisan group of twenty Senators announced they had reached an agreement on a framework related to gun safety including investments in child and family mental health services. On Wednesday, the Senate Finance Committee…
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HHS Agency Leaders Issue Joint Letter on Children’s Mental Health: Call on States, Tribes and Jurisdictions to Coordinate Federal Funds
As Mental Health Awareness Month comes to an end, last week, leaders from six agencies across the U.S. Department of Health and Human Services (HHS) issued a joint letter calling on states, tribes, and jurisdictions to support children’s mental health and well-being by coordinating the use of federal funds, including mental health care covered by…
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How Medicaid Can Help Schools Sustain Support for Students’ Mental Health
Among the Covid-19 pandemic’s most pernicious aftershocks is its impact on student mental health. Isolated at home, disconnected from friends, and suffering trauma from family members’ job losses or Covid-related deaths, students are experiencing high levels of anxiety and depression. About 44 percent of adolescents experienced persistent feelings of sadness or hopelessness during the pandemic compared to…
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HHS Kicks off Mental Health Awareness Month with New Fact Sheet and a $25 Million Investment in School-Based Health Centers
Last week, HHS announced that they have awarded nearly $25 million to Health Resources and Services Administration (HRSA)-funded health centers that deliver services at school-based sites in underserved communities. These awards build upon the $5 million that HRSA distributed to new and existing school-based service sites in September 2021. Similar to last year’s round of…
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Georgians Work to Create a Stronger More Accessible Mental and Behavioral Health Care System
By Erica Fener Sitkoff, Ph.D. Voices for Georgia’s Children The reality is, no one has escaped the effects of the profound mental health challenges we face – in the news, in our shared communities, in our homes. In fact, the world’s experience of the COVID-19 pandemic gave us a collective definition for unwellness like no…
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Research Update: Children’s Anxiety and Depression on the Rise
In a new article published last week in JAMA Pediatrics, researchers from the Health Resources and Services Administration find that anxiety and depression among children ages 3-17 have increased over the last five years. The researchers use data from the National Survey of Children’s Health to look at trends in children’s health, care utilization, and…
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Congressional Committees Focus on Mental Health, Announce Bipartisan Efforts
Mental health was in the spotlight this month on Capitol Hill with four Congressional committees holding hearings on the subject during the first three weeks of February and some committees formally announcing plans to pursue bipartisan legislation. As we’ve discussed on Say Ahhh!, the pandemic has taken an unprecedented toll on the mental health of…
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American Rescue Plan Helps States Respond to Youth Mental Health Crisis
The COVID-19 pandemic has disrupted lives in many ways and has taken an unprecedented toll on children’s mental health, exacerbating long-standing gaps in mental health care for children in the United States. According to CDC reports, children’s emergency room visits for mental health issues increased significantly during the pandemic, with visits for adolescent girls for…
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American Rescue Plan Home and Community-Based Services Funding: A Review of State Plans to Support Child and Adolescent Mental Health
The COVID-19 pandemic has taken an unprecedented toll on children’s mental health, exacerbating long-standing gaps in mental health care for children in the United States. Fortunately, a number of states plan to invest in initiatives that support youth behavioral and mental health by leveraging funds made available by section 9817 of the American Rescue Plan…
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CMS Releases Guidance on New Medicaid Mobile Crisis Services Option
The Centers for Medicare & Medicaid Services kept busy over the holidays with the release of new guidance to states on the American Rescue Plan Act’s new Medicaid state option to provide qualifying community-based mobile crisis intervention services. As discussed here on Say Ahhh!, ARPA included a provision allowing state Medicaid programs to provide community-based…
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Surgeon General Issues Advisory on Youth Mental Health Crisis, Highlights Importance of Medicaid and CHIP Coverage and Calls for More Action
This week, the U.S. Surgeon General Dr. Vivek Murthy issued an Advisory highlighting the urgent need to address the nation’s youth mental health crisis. As discussed here on Say Ahhh!, the pandemic has taken an unprecedented toll on the mental health and wellbeing of children, exacerbating long standing gaps in mental health care for children…
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Build Back Better Act: Health Coverage Provisions Explained
On November 19, 2021, the House of Representatives passed the Build Back Better Act, the budget reconciliation bill, with the Senate expected to consider the legislation in coming weeks. The Build Back Better Act includes numerous provisions that would dramatically strengthen and expand both public and private health insurance coverage. Some of the new provisions…
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National Children’s Provider Groups Declare State of Emergency in Children’s Mental Health
This week, the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and the Children’s Hospital Association joined together to declare a National State of Emergency in Children’s Mental Health. As previously discussed here on Say Ahhh!, the COVID-19 pandemic has taken an unprecedented toll on children’s mental health, further exacerbating long…
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New Medicaid State Planning Grants for Mobile Crisis Intervention Services
This week, the Centers for Medicare & Medicaid Services (CMS) announced that it awarded $15 million in planning grants to 20 state Medicaid agencies to support expanding access to community-based mobile crisis intervention services for Medicaid beneficiaries. As mentioned in our previous blog, the American Rescue Plan created a new state option for state Medicaid…
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New Report Highlights How COVID-Relief Funds Can Be Used To Strengthen and Expand Medicaid School Programs and Address Student Mental Health Needs
As the last few weeks of summer come to an end, families and school districts are preparing for the return of students to the classroom. After a year and a half of living and (largely virtual) schooling during an unprecedented pandemic, the start of this school year can serve as a prime opportunity for school…



















