NATIONAL ASSOCIATION OF STATE MENTAL HEALTH PROGRAM DIRECTORS

Public/Private Financing

Financing

NASMHPD Policy Brief: Financing and the Public Mental Health System (PDF, 198 KB)

Fact Sheets on Behavioral Health (PDF, 174 KB)

Medicaid Emergency Psychiatric Demonstration--IMD Issues (PDF, 103 KB)

Dual Eligible Population (PDF, 95 KB)

Fact Sheet on Harmonizing Funding Streams (PDF, 201 KB)

Medicaid/SCHIP
Home and Community-Based Services under 1915(i)

Federal Register Part II: Medicaid Program; State Plan Home and Community-Based Services, 5-Year Period for Waivers, Provider Payment Reassignment, and Home and Community-Based Setting Requirements for Community First Choice and Home and Community-Based Services (HCBS) Waivers; Final Rule

State Plan HCBS: Final Regulation, Informational Bulletin, Press Release and Fact Sheet

NASMHPD comments on proposed Medicaid rule on the Home and Community-Based Services (HCBS) State plan amendment provided under the new 1915(i) option, created in the Deficit Reduction Act (DRA) of 2005. (PDF, 31 KB)

Targeted Case Management

NASMHPD letter to the House leadership (same letter sent to Senate) supporting a moratorium on seven Medicaid regulations, including the rehabilitative option and case management. (PDF, 28 KB)

Letter to Representatives Dingall (D-MI) and Murphy (R-PA) supporting H.R. 5613, the Protecting the Medicaid Safety Net Act of 2008 (PDF, 27 KB)

Comments submitted to the Centers for Medicare and Medicaid Services (CMS) in response to the Interim Final Rule on Coverage for Medicaid coverage of case management services, as published in the Federal Register, December 4, 2007. (PDF, 35 KB)

Interim Final Rule issued by the Centers for Medicare and Medicaid Services (CMS) regarding targeted case management services on December 4, 2007 (PDF, 121 KB)

Rehabilitation Option

Comments submitted to the Centers for Medicare and Medicaid Services (CMS) in response to the Interim Final Rule on Coverage for Rehabilitative Services under the Medicaid program, as published in the Federal Register, August 13, 2007. (PDF, 40 KB)

Proposed rule issued by the Centers for Medicare and Medicaid Services (CMS) regarding Rehabilitative Services Option on August 13, 2007 Federal Register. (PDF, 108 KB)

Additional Resources

Joint CMHS & SAMHSA Informational Bulletin May 5, 2013: Coverage of Behavioral Health Services for Children, Youth and Young Adults with Significant Mental Health Conditions. (PDF, 271 KB)

Medicaid Policy Options for Meeting the Needs of Adults with Mental Illness Under the Affordable Care Act (PDF from KFF.org, 447 KB)

Identifying Behavioral Health Problems among Medicaid Disabled Adults(PDF from dshs.wa.gov, 215 KB)

Administration of Mental Health Services by Medicaid Agencies

Reimbursement of Mental Health Services in Primary Care Settings (PDF from samhsa.gov, 1.6 MB)

Final rule amending the Medicaid regulations to implement the Balanced Budget Act of 1997 (PDF from GPO.gov, 723 KB)

Citizenship Requirement

Interim final rule with comment period on citizenship guidelines for Medicaid eligibility (July 6, 2006 Federal Register) (PDF, 120 KB)

Comments submitted to the Centers for Medicare and Medicaid Services (CMS) in Response to an Interim Final Rule with Comment Period on Citizenship Guidelines for Medicaid Eligibility (August 11, 2006) (PDF, 594 KB)

Additional Resources

SAMHSA Medicaid Handbook: Interface with Behavioral Health Services (2013) (PDF 2.13MB)

Western New York Law Center Online Resource

Medicaid Managed Care Programs Grow; So Do Issues

Assessment of Medicaid Managed Behavioral Health Care for Persons with Serious Mental Illness

Medicaid Managed Care for Mental Health Services: The Survival of Safety Net Institutions in Rural Settings

Four States' Experiences with Mental Health Carveout Programs

Medicaid Data Sources - General Information

NAMI Resource Guide: What is Manage Care?

Medicare

Rule Regarding Conditions for CMHCs under Medicare (PDF, 87 KB)

Disproportionate Share for Hospitals (DSH)../docs/Policy/

Proposed rule issued by the Centers for Medicare and Medicaid Services (CMS) regarding Outpatient Prospective Payment System (OPPS) and CY 2008 payment rates (August 2, 2007 Federal Register). This proposed rule includes a proposal to reduce the Partial Hospitalization Program (PHP) per diem payment rate by 24 percent in CY 2008. (PDF, 3.6 MB)

Medicare Prescription Drug Benefit

Centers for Medicare and Medicaid Services (CMS) guidelines for reviewing prescription drug plan formularies (March 2006) (PDF, 64 KB)

Comments submitted to the Centers for Medicare and Medicaid Services (CMS) in Response to Draft Guidelines for Reviewing Prescription Drug Plan Formularies (March 16, 2006) (PDF, 508 KB)

Centers for Medicare and Medicaid Services (CMS) final rule regarding the Medicare Prescription Drug Benefit (January 28, 2005 Federal Register) (PDF from gpo.gov, 2 MB)

Private Health Insurance (HIPPA)
Additional Resources:

SAMHSA Medicaid Handbook: Interface with Behavioral Health Services

Substance Abuse Confidentiality Regulations

Health Agencies Release Further Guidance on Health Care Reform, Mental Health Parity, and HIPAA Wellness Programs (PDF from buckconsultants.com, 239 KB)

 

Community Mental Health Block Grant

Programs of Regional and National Significance April 2013

Mental Health Block Grant (MHBG) State by State Allocations April 2013

 

Veterans

President Obama Issues Executive Order on Meeting the Behavioral Health Needs of Veterans, Service Members and Families on August 31, 2012.

Fact Sheet on Strengthening Behavioral Health Services for Veterans (PDF, 269 KB)