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Utilizing Regulatory Tailwinds to Invigorate Your Behavioral Health Offering for Members

with Lucet's Nick Bluhm, VP Legal and Regulatory Affairs


State and federal regulators are increasingly focused on improving behavioral health across Medicare, Medicaid, and Exchange insurance. Lucet is working to understand how these new rules will be enforced and the ways that plans can ensure ease of access to care for members. Tune in to a deep-dive discussion with Lucet’s VP, Legal and Regulatory Affairs, Nick Bluhm to understand the latest regulatory trends informing plans' roadmap for behavioral health offerings.

Key takeaways:

  • Understand how the CMS Center for Consumer Information and Insurance Oversight (CCIIO) will enforce the appointment wait time requirements for Qualified Health Plans ("QHPs") operating in Federally Facilitated Exchanges
  • Develop a methodology in advance for secret shopper surveys to comply with CMS and auditor mandates for appointment wait time reporting
  • Review trends in Gold Card and Prior Authorization state legislation
  • Discuss anticipated sub-regulatory developments this calendar year


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