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Obscure Rule Restricts Health Law’s Expansion of Care for Addicts

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at July 17, 2014

NYT: Obscure Rule Restricts Health Law¹s Expansion of Care for Addicts

Under an obscure federal rule enacted almost 50 years ago, Medicaid covers residential addiction treatment in community-based programs only if they have 16 or fewer beds. The South Suburban Council¹s main treatment program has 48. So the very people who might have flowed through its doors in search of care will not be coming. And the same problem faces many other centers, which typically are larger than 16 beds, experts say.

My thoughts: While only applicable to Medicare (for now), the writing may be on the wall that private insurance may decide to go down this road also as another way to avoid having to pay for services.

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