Public/Private Financing

Financing 

 NASMHPD Policy Brief: Financing and the Public Mental Health System (link is external)
 Fact Sheets on Behavioral Health (link is external)
 Fact Sheet on Harmonizing Funding Streams (link is external)

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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 .. (link is external)

 Reimbursement... (link is external)

State Plan HCBS: Final Regulation, Informational Bulletin, Press Release and Fact Sheet (link is external)

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Additional Resources

 Joint CMHS & SAMHSA Informational Bulletin May 5, 2013: Coverage of Behavioral Health Services for Children, Youth and Young Adu (link is external)

 SAMHSA Medicaid Handbook: Interface with Behavioral Health Services (link is external)

Medicaid Policy Options for Meeting the Needs of Adults with Mental Illness Under the Affordable Care Act (link is external)

Administration of Mental Health Services by Medicaid Agencies (link is external)

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Citizenship Requirement

 Comments submitted to the Centers for Medicare and Medicaid Services (CMS) in Response to an Interim Final Rule with Comment Per (link is external)

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Additional Resources

 NAMI Resource Guide: What is Manage Care? (link is external)

Assessment of Medicaid Managed Behavioral Health Care for Persons with Serious Mental Illness (link is external)

Medicaid Managed Care for Mental Health Services: The Survival of Safety Net Institutions in Rural Settings (link is external)

Medicaid Data Sources - General Information (link is external)

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HIPAA 

Health Insurance Portability and Accountability Act (HIPAA) of 1996 (link is external)

Final HHS Rule: Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules Under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA Rules - January 25, 2013 (link is external)

NASMHPD Letter to SAMHSA on Need to Align 42 CFR Part 2 with HIPAA - February 27, 2018 (link is external)

How HIPAA Allows Doctors to Respond to the Opioid Crisis (link is external)

Final SAMHSA Rule: Confidentiality of Substance Use Disorder Patient Records - January 18, 2017 (link is external) 

Delegations of Authority to OCR Under HIPAA - April 16, 2007 (link is external)

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Community Mental Health Block Grant 

 SAMHSA 2015-2018 Strategic Plan (link is external)
 21st_Century_Cures_Legislation-(H.R._34_of_the_114th_Congress_Pub._Law-114-255).pdf (link is external)

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Veterans 

Veterans Access, Choice, and Accountability Act of 2014 (link is external) (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 (link is external) (PDF, 269 KB)

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42 CFR Part 2 

Partnership to Amend 42 CFR Part 2 Support Letter - June 6, 2018 (link is external)

HR 6082: To amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records(link is external)

NASMHPD Letter to SAMHSA on Need to Align 42 CFR Part 2 with HIPAA - February 27, 2018 (link is external)

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