Sharing Substance Use Disorder Treatment Records
The Substance Abuse and Mental Health Services Administration published a proposed rule amending its Confidentiality of Substance Use Disorder Patient Records regulations to better support the exchange of information for individuals in treatment for substance use disorder. HAP is reviewing the proposed rule and engaging member input on whether the proposed changes achieve the goal of improving care coordination across the care continuum.
Discharge Planning Rule
CMS issued a final rule revising the discharge planning requirements that hospitals, critical access hospitals (CAH), and home health agencies (HHA) must meet in order to participate in the Medicare and Medicaid programs. Effective November 29, 2019, hospitals and CAHs must create discharge planning evaluations for patients who are likely to suffer adverse health consequences in the absence of adequate discharge planning, and when a patient, their representative, or physician requests a plan. Hospitals, CAHs, and HHAs all must provide certain medical information to the receiving facility when transferring patients, and assist patients in selecting post-acute care services by sharing quality and resource use measures. HAP is reviewing the final rule and will help members with implementation.
“Public Charge” Rule
The final rule could limit legal immigrants’ future immigration status based on their receipt of public benefits. The rule likely will impact access to Medicaid services for legal immigrants and social services that address social determinants of health. The policy was set to take effect October 15, but has been blocked by legal challenges. HAP opposes the final rule and will be working to mitigate the chilling effect of the policy on legal immigrants' access to the health care benefits they are entitled to receive.
For more information, contact Jennifer Jordan, vice president, regulatory, behavioral health and equity strategy. Media inquiries should be directed to Liam Migdail, HAP's director, media relations.