NATIONAL ASSOCIATION OF STATE MENTAL HEALTH PROGRAM DIRECTORS

Public/Private Financing

Financing

New SAMHSA Publication - Crisis Services: Effectiveness, Cost-Effectiveness, and Funding Strategies, (PDF, 1,042)

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)

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

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

Federal Register: 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

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

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

Reimbursement of (PDF from samhsa.gov, 1.6 MB)

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

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

Medicaid Data Sources - General Information

NAMI Resource Guide: What is Manage Care?

Medicare

Rule Regarding Conditions for CMHCs under Medicare

Disproportionate Share for Hospitals (DSH)

Medicare Prescription Drug Benefit

NASMHPD Comments on the Draft 2015-2018 Strategic Plan - 9/18/14

Model Legislation on Network Adequacy and Peer Support - 8/13/14

Recommended Behavioral Health Measures for Consideration - 7/25/14

Comments on SAMHSA Public Listening Session on Confidentiality of Alcohol and Drug Abuse Patient Records - 6/24/14

S. 2009, Rural Veterans Improvement Act of 2013 - 3/15/14


Proposed Regulations: Medicare Program; Contract Year 2015 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs (CMS-4159-P) - 3/5/14

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

Substance Abuse Confidentiality Regulations - June 11, 2014 Public Listening Session

Agencies Release Final Guidance on Health Care Reform, Mental Health Parity, and HIPAA Wellness Programs - November 13, 2013

 

Community Mental Health Block Grant

SAMHSA 2015-2018 Strategic Plan

SAMHSA 2011-2014 Strategic Plan

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.

Veterans Access, Choice, and Accountability Act of 2014 (H.R. 3230; P. Law 113-146) was signed into law August 7, 2014. The law allows veterans to seek medical care from private healthcare providers through the use of a “Veterans Choice Card”. Veterans who were eligible for services as of August 1, 2014 or engaged in active service in a war zone on that date are eligible to receive outside care if they have been on a waiting list for 30 days or more; live more than 40 miles from a VA facility; would have to travel more than 20 miles by air, boat, or ferry to reach a facility; or reside in a state without a VA facility that provides hospital care, emergency services, or surgical services. Providers must be Medicare or DOD-participating and are reimbursed at Medicare rates, except in “highly rural” areas when they may be paid more.

Sponsor: Rep. Harold Rogers (R-KY)

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