Health & Life Sciences

Behavioral Health

Quarles & Brady's Health & Life Sciences attorneys advise and represent providers, integrated behavioral health clinics, substance abuse clinics, outpatient and residential treatment centers, and health plans to navigate this everchanging space. We understand the care and commitment needed by our clients to provide behavioral health services.

Our team helps our clients manage risk while reaching their business goals. We understand the complexities of and have vast experience in the behavioral health profession, including representing providers practicing in the mental illness, substance abuse, and developmental disability industries. These growing and constantly evolving industries present a complex regulatory environment for businesses operating in this space.

Our broad and full range of behavioral health legal services includes:

  • Regulatory and compliance advice
  • Licensing, reimbursement, and enrollment issues, including Medicare/Medicaid
  • Evaluating and creating policies and procedures
  • Corporate compliance development, education, and maintenance
  • Advice on state and federal privacy and security requirements for behavioral and mental health, and alcohol and drug abuse patient records under 42 CFR Part 2 and HIPAA
  • Conduct internal investigations and respond to federal investigations involving the Anti-Kickback Statute and the False Claims Act
  • Mergers and acquisitions
  • Advise regarding behavioral health services provided via telehealth modalities
  • Analyze business models to ensure compliance with the Stark Law and Anti-Kickback Statute
  • Pharmacy issues specifically focused on behavioral health patients
  • Analyze Managed Care contracts and assist providers in participation in and development of Clinically Integrated Networks
  • Negotiate management agreements and navigate corporate practice of medicine issues
  • Defending health care companies as well as individuals before state and federal regulatory agencies
  • Civil litigation matters including claims disputes, fraud, waste, and abuse, allegations of negligence, qui tam actions, and coverage denials
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