Comment on CMS-2026-1916-0001

Tennessee Association of Mental Health OrganizationsOpposeTrade association
Summary: The Tennessee Association of Mental Health Organizations (TAMHO) opposes the proposed rule because it extends Medicare-based payment caps to all State Directed Payments (SDPs), which they argue undermines mental health and substance use care. They request that CMS exclude mental health and substance use services—specifically those provided by CMHCs, CCBHCs, and OTPs—from these caps to ensure adequate reimbursement and maintain access to care.
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