skip to main content
skip to newscasts

Friday, February 7, 2025

Public News Service Logo
facebook instagram linkedin reddit youtube twitter
view newscast page
play newscast audioPlay

January jobs report: Unemployment rate falls to 4%, wages rise more than forecast; Trump signs order imposing sanctions on International Criminal Court over investigations of Israel; Ten Commandments in public schools debate reaches South Dakota; Virginia ranks among worst states for wage theft; Mexican long-nosed bat makes appearance in Arizona.

view newscast page
play newscast audioPlay

Attorney General Pam Bondi strikes a Trump tone at the Justice Department, federal workers get more time to consider buyouts, and an unclassified email request from the White House worries CIA vets.

view newscast page
play newscast audioPlay

During Black History Month, a new book shares how a unique partnership built 5,000 schools for Black students, anti-hunger advocates say ag communities would benefit from an expanded SNAP program, and Americans have $90 billion in unpaid medical bills.

In NE, reimbursement hang-up threatens mental health care access for some

play audio
Play

Thursday, November 21, 2024   

The mental healthcare landscape in Nebraska is being upended by policies for reimbursing providers who see patients covered by both Medicare and Medicaid. Systems say they're losing money, resulting in access gaps for older low-income clients.

Providers say the key concern has to do with serving patients considered dual-eligible, meaning they're enrolled in Medicare and Medicaid. This year, the federal government expanded the scope of professionals who can see Medicare patients for therapy and be reimbursed.

But Jon Day, executive director of Blue Valley Behavioral Health, said because of how Nebraska policy aligns with dual-eligible situations, practitioners are now seeing rates cut in half.

"More providers are coming out and saying, 'Oh my gosh, we can't see these people cause we're losing money.' So, we either refer them out, or they're not taking on people as well," he explained.

Day estimates a $200,000 revenue loss for his system and added that it's not easy to refer clients elsewhere because of provider "deserts" in some areas. Those working with the Nebraska Assocation of Behavioral Health Organizations have been meeting with state Medicaid leaders, noting the state can cover the difference without taking on extra costs. But progress on a final solution has been slow.

Providers say they understand the federal government's desire to bring more mental health professionals to the table in seeing patients. But they add unintended consequences at the state level almost defeat the purpose.

Chase Francl, CEO and president of the Mid-Plains Center for Behavioral Healthcare Services, said this is a heartbreaking situation.

"There's such a low margin on any behavioral health services, and any small disruption really can have catastrophic effects," he said.

Even though fixes offered by these providers are described as solutions without extra costs, they acknowledge the challenging environment given the appetite among elected officials to reduce the state's budget. As for the federal change that brought this situation to light, Licensed Independent Mental Health Practitioners can now be reimbursed under Medicare, and not just those with Masters or doctoral degrees in Social Work.

Disclosure: Nebraska Association of Behavioral Health Organizations contributes to our fund for reporting on Alcohol and Drug Abuse Prevention, Children's Issues, Health Issues, Mental Health. If you would like to help support news in the public interest, click here.


get more stories like this via email
more stories
Opponents of a South Dakota bill that would require the Ten Commandments be posted in all public school classrooms say it would be an unfunded mandate. (Adobe Stock)

Social Issues

play sound

A South Dakota House committee takes up a controversial bill today that would require all school districts in the state to display the Ten Commandment…


play sound

Virginia ranks third behind only Maryland and Delaware among the worst states for the average amount of back wages companies owe to their workers…

Environment

play sound

Some North Dakota school districts are part of a movement that has embraced electric school buses, but the federal funding shakeup carried out by the …


Florida immigrant advocacy groups are intensifying efforts to help undocumented individuals navigate encounters with Immigration and Customs Enforcement officers. (David Peinado/Pexels)

Social Issues

play sound

Immigrant advocates in Florida are ramping up efforts to help families navigate President Donald Trump's new immigration orders, which have increased …

Social Issues

play sound

The rate of U.S. high school seniors seeking higher education is on the upswing, according to research from Lumina Foundation. Although Hoosier …

Gov. Kathy Hochul's free community college proposal would apply to people pursuing first-time associate degrees for jobs in high-demand fields, including nursing, teaching, technology and engineering. (Adobe Stock)

play sound

New York State is making historic higher education investments. As part of the 2026 budget proposal, Gov. Kathy Hochul proposes free community …

Social Issues

play sound

Gov. Josh Shapiro's proposed state budget includes a significant increase for public education to address Pennsylvania's school funding issues and …

Social Issues

play sound

Alabama nonprofits are coming together to tackle challenges that may threaten their survival, from declining donor support to shifting federal …

 

Phone: 303.448.9105 Toll Free: 888.891.9416 Fax: 208.247.1830 Your trusted member- and audience-supported news source since 1996 Copyright © 2021