MHN Announcement to Rehab Owners Community

Calling all ROC Members to help!

As of recently, MHN is terminating contracts for many behavioral health facilities, providing no exact reasoning. Whether your facility is currently being affected by this or not, we are asking all Rehab Owners Community members to join us in advocating on behalf of the behavioral health community as a whole.

Join us after the Masterminds discussion on Tuesday, May 9, as we briefly discuss what is happening and how we can make an impact together.  

Here's the breakdown of what's happening.

MHN is issuing termination notices to many—maybe all—of their behavioral health facilities in California. MHN is terminating contracts both with-and-without cause with limited notice. Often, providers are subject to audits for retrospective reviews, which may lead to overpayment determinations and/or prepayment reviews for future services rendered. In these cases, patients are forced to find a new provider or pay more for out-of-network treatment. These terminations hurt both the patient and the provider.

Whose Involved or Affected

This affects all currently contracted and recently terminated MHN providers and patients in California who may find themselves without an in-network behavioral health treatment provider due to the narrowed network.

Why This is Happening

MHN appears to be motivated by financial incentives to drive down the cost of behavioral health. MHN has historically paid very low rates for out-of-network care and can lower costs by narrowing its network.

How the ROC Community Can Make a Difference

ROC is organizing a provider coalition to team up with the law firm Arnall Golden Gregory, LLP led by healthcare litigator Matt Lavin, to challenge these mass terminations for providers and patients. More provider participation will get greater attention from the State and media.

How You Can Come Prepared

If your facility is currently in network with MHN or you have had your contract recently terminated by MHN, stay after the ROC meeting on May 9, 2023, to learn more and how other providers are getting involved. 

Questions in the meantime? 

Contact Erin@hanseisolutions.com 

(AGG contact if desired) Matt.Lavin@agg.com