Mental Health and Substance Abuse

The Substance Abuse and Mental Health Services Administration (SAMHSA) recently issued a highly anticipated update to 42 CFR Part 2, the regulation that governs sharing patient information by federally-designated substance use disorder (SUD) providers. The rule is timely: SUD has become a major cost driver, and many state policymakers are focused on the integration of […]

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  • Webinars

    Technical Assistance for States in Application of Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs Overview CMS is offering one-on-one technical assistance (TA) and a series of peer learning sessions to assist states in implementation of the final parity rule. All states are encouraged to participate, regardless of […]

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  • State Health Policy Blog

    The Agency for HealthCare Research and Quality (AHRQ) released an eye-opening study this past week, indicating that utilization of emergency department (ED) services due to behavioral health conditions increased sharply from 2006 to 2013. The brief “Trends in Emergency Department Visits Involving Mental and Substance Use Disorders,” highlights a 52 percent increase in ED utilization […]

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  • State Health Policy Blog

    The 21st Century Cures Act (“Cures”), signed into law on December 13, 2016, is being heralded as landmark legislation for biomedical innovation. Cures funds new research, streamlines the development of new drugs, and supports the interoperability of health information systems. State policymakers, however, may want to focus their attention on Cures’ myriad behavioral health provisions, […]

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  • This map highlights the extent of overlap in 2015 between issuers offering managed care plans in a state’s separate Children’s Health Insurance Program (CHIP) and those offering plans in health insurance marketplaces. This map updates a 2014 map showing data from the first year marketplace coverage was available. Plans offered by the same issuer in […]

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    August 29, 2016 | Filed under: Benefit Continuity, Benefits Analysis, Brokers, Care Coordination Efforts, Care Coordination Financing, Change Management, Chronically Ill, Churning, Community Benefit, Community Health, Community Health Workers, Complaints, Consumer Assistance/Navigators, Consumer Input, Consumer Operated and Oriented Plan (CO-OP), Continuity of Care, Cultural Competency, Data Sharing Agreements, Delivery System Benchmarks, Disproportionate Share Hospital (DSH), Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Elderly, Electronic Eligibility Verification, Electronic Health Records, Eligibility Categories, Eligibility Decision Consistency, Eligibility Documentation, Eligibility Simplification, Eligibility System Specifications, Engaging Underserved, Essential Health Benefits, Exchange, Exchange Establishment Grants, Exchange Federal-State Partnership, Exchange Financing, Exchange Functionality Testing, Exchange Governance, Exchange IT, Exchange Legal Authority, Exchange Outreach and Education, Exchange Plan Benefit Design, Exchange Plan Rating Systems, Exchange Plan Selection, Exchange Policy Decisions, Exchange Program Integration, Exchange Program Integrity, Exchange Provider Network Standards, Exchange Public Website, Exchange Regulations/Guidance, Exchange Stakeholder Input, Exchange Workplans/Timelines, Federal Data Reporting Requirements, Federal Exchange, Federal Grants, Federal Oversight, Financing and Program Integrity, Fiscal Analysis, Grants and Contracts, Health Literacy, Health Reform Coordination Lead, HIE Data Collection/Reporting, Home and Community-Based Care, Immigrants, Implementation Plan, Implementation Websites, Individual Market, Inmates, Insurance Legislation, Insurance Outreach and Education, Insurance Statutory/Regulatory Analysis, Internal/External Review, IT Assessments, Language/Disability Application Access, Legislative Review, Licensing and Certification, Linking Population and Individual Health, Long Term Services and Supports, Market Conduct, Meaningful Use, Medicaid, Medicaid Benchmark Coverage, Medicaid Benefits, Medicaid Management Information Systems (MMIS), Medicaid Preventive Services, Medicaid Reimbursement, Medical Loss Ratio, Men, Mental Health and Substance Abuse, Modified Adjusted Gross Income (MAGI), Multi-Sector Payment Reform, Non-Payment, Nurses, Online Applications, Open Enrollment, Outreach Planning/Materials, Parents, Patient Navigators, People with Disabilities, People with HIV/AIDS, Performance Outcomes Measurement, Population Health Data, Population Health Goals, Populations, Pre-Existing Conditions, Presentations and Announcements, Prevention, Primary Care Case Management, Programs, Provider Education, Providers and Medical Services, Public Comment, Public Reporting, Quality and Efficiency Priorities, Quality Measures, Quality Progress Reporting, Quality Strategies, Rate Review, Reinsurance, Renewal Simplification, Report, Reporting Requirements, Risk Adjustment, Safety Net Financing, Scope of Practice, Shared Services Enrollment Systems, Small Business Health Insurance Options Program (SHOP) Enrollment, Small Employers, Small Group Size, Social Determinants of Health, Specialists, Staffing/Resources, Stakeholder Communication, Stakeholder Engagement, State Health Reform Laws, State Health Reform Regulations, State Innovation Models, Statewide Data Reporting Requirements, Tax Credit Eligibility, Workforce Capacity, Working Materials
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    May 9, 2016 | Filed under: Benefit Continuity, Benefits Analysis, Brokers, Care Coordination Efforts, Care Coordination Financing, Care Coordination for Dual Eligibles, Change Management, Chronically Ill, Churning, Community Benefit, Community Health, Community Health Workers, Complaints, Consumer Assistance/Navigators, Consumer Input, Consumer Operated and Oriented Plan (CO-OP), Continuity of Care, Cultural Competency, Data Sharing Agreements, Delivery System Benchmarks, Disproportionate Share Hospital (DSH), Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Elderly, Electronic Eligibility Verification, Electronic Health Records, Eligibility Categories, Eligibility Decision Consistency, Eligibility Documentation, Eligibility Simplification, Eligibility System Specifications, Emergency Care, Engaging Underserved, Essential Health Benefits, Exchange, Exchange Establishment Grants, Exchange Federal-State Partnership, Exchange Financing, Exchange Functionality Testing, Exchange Governance, Exchange IT, Exchange Legal Authority, Exchange Outreach and Education, Exchange Plan Benefit Design, Exchange Plan Rating Systems, Exchange Plan Selection, Exchange Policy Decisions, Exchange Program Integration, Exchange Program Integrity, Exchange Provider Network Standards, Exchange Public Website, Exchange Regulations/Guidance, Exchange Stakeholder Input, Exchange Workplans/Timelines, Federal Data Reporting Requirements, Federal Exchange, Federal Grants, Federal Oversight, Fee-for-Service, Financing and Program Integrity, Fiscal Analysis, Grants and Contracts, Health Literacy, Health Reform Coordination Lead, HIE Data Collection/Reporting, Home and Community-Based Care, Immigrants, Implementation Plan, Implementation Websites, Individual Market, Inmates, Insurance Legislation, Insurance Outreach and Education, Insurance Statutory/Regulatory Analysis, Internal/External Review, IT Assessments, Language/Disability Application Access, Legislative Review, Licensing and Certification, Linking Population and Individual Health, Long Term Services and Supports, Market Conduct, Meaningful Use, Medicaid, Medicaid Benchmark Coverage, Medicaid Benefits, Medicaid Management Information Systems (MMIS), Medicaid Preventive Services, Medicaid Reimbursement, Medical Loss Ratio, Men, Mental Health and Substance Abuse, Modified Adjusted Gross Income (MAGI), Multi-Sector Payment Reform, Non-Payment, Nurses, Online Applications, Open Enrollment, Outreach Planning/Materials, Parents, Patient Navigators, Pay for Performance, People with Disabilities, People with HIV/AIDS, Performance Outcomes Measurement, Population Health Data, Population Health Goals, Populations, Pre-Existing Conditions, Presentations and Announcements, Prevention, Primary Care Case Management, Programs, Provider and Supplier Requirements, Provider Education, Provider Taxes and Donations, Providers and Medical Services, Public Comment, Public Reporting, Quality and Efficiency Priorities, Quality Measures, Quality Progress Reporting, Quality Strategies, Rate Review, Reinsurance, Renewal Simplification, Report, Reporting Requirements, Risk Adjustment, Safety Net Financing, Scope of Practice, Shared Services Enrollment Systems, Small Business Health Insurance Options Program (SHOP) Enrollment, Small Employers, Small Group Size, Social Determinants of Health, Specialists, Staffing/Resources, Stakeholder Communication, Stakeholder Engagement, State Health Reform Laws, State Health Reform Regulations, State Innovation Models, Statewide Data Reporting Requirements, Tax Credit Eligibility, Workforce Capacity, Working Materials
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    May 9, 2016 | Filed under: Benefit Continuity, Benefits Analysis, Brokers, Care Coordination Efforts, Care Coordination Financing, Care Coordination for Dual Eligibles, Change Management, Chronically Ill, Churning, Community Benefit, Community Health, Community Health Workers, Complaints, Consumer Assistance/Navigators, Consumer Input, Consumer Operated and Oriented Plan (CO-OP), Continuity of Care, Cultural Competency, Data Sharing Agreements, Delivery System Benchmarks, Disproportionate Share Hospital (DSH), Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Elderly, Electronic Eligibility Verification, Electronic Health Records, Eligibility Categories, Eligibility Decision Consistency, Eligibility Documentation, Eligibility Simplification, Eligibility System Specifications, Emergency Care, Engaging Underserved, Essential Health Benefits, Exchange, Exchange Establishment Grants, Exchange Federal-State Partnership, Exchange Financing, Exchange Functionality Testing, Exchange Governance, Exchange IT, Exchange Legal Authority, Exchange Outreach and Education, Exchange Plan Benefit Design, Exchange Plan Rating Systems, Exchange Plan Selection, Exchange Policy Decisions, Exchange Program Integration, Exchange Program Integrity, Exchange Provider Network Standards, Exchange Public Website, Exchange Regulations/Guidance, Exchange Stakeholder Input, Exchange Workplans/Timelines, Federal Data Reporting Requirements, Federal Exchange, Federal Grants, Federal Oversight, Fee-for-Service, Financing and Program Integrity, Fiscal Analysis, Grants and Contracts, Health Literacy, Health Reform Coordination Lead, HIE Data Collection/Reporting, Home and Community-Based Care, Immigrants, Implementation Plan, Implementation Websites, Individual Market, Inmates, Insurance Legislation, Insurance Outreach and Education, Insurance Statutory/Regulatory Analysis, Internal/External Review, IT Assessments, Language/Disability Application Access, Legislative Review, Licensing and Certification, Linking Population and Individual Health, Long Term Services and Supports, Market Conduct, Meaningful Use, Medicaid, Medicaid Benchmark Coverage, Medicaid Benefits, Medicaid Management Information Systems (MMIS), Medicaid Preventive Services, Medicaid Reimbursement, Medical Loss Ratio, Men, Mental Health and Substance Abuse, Modified Adjusted Gross Income (MAGI), Multi-Sector Payment Reform, Non-Payment, Nurses, Online Applications, Open Enrollment, Outreach Planning/Materials, Parents, Patient Navigators, Pay for Performance, People with Disabilities, People with HIV/AIDS, Performance Outcomes Measurement, Population Health Data, Population Health Goals, Populations, Pre-Existing Conditions, Presentations and Announcements, Prevention, Primary Care Case Management, Programs, Provider and Supplier Requirements, Provider Education, Provider Taxes and Donations, Providers and Medical Services, Public Comment, Public Reporting, Quality and Efficiency Priorities, Quality Measures, Quality Progress Reporting, Quality Strategies, Rate Review, Reinsurance, Renewal Simplification, Report, Reporting Requirements, Risk Adjustment, Safety Net Financing, Scope of Practice, Shared Services Enrollment Systems, Small Business Health Insurance Options Program (SHOP) Enrollment, Small Employers, Small Group Size, Social Determinants of Health, Specialists, Staffing/Resources, Stakeholder Communication, Stakeholder Engagement, State Health Reform Laws, State Health Reform Regulations, State Innovation Models, Statewide Data Reporting Requirements, Tax Credit Eligibility, Workforce Capacity, Working Materials
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    May 9, 2016 | Filed under: Benefit Continuity, Benefits Analysis, Brokers, Care Coordination Efforts, Care Coordination Financing, Care Coordination for Dual Eligibles, Change Management, Chronically Ill, Churning, Community Benefit, Community Health, Community Health Workers, Complaints, Consumer Assistance/Navigators, Consumer Input, Consumer Operated and Oriented Plan (CO-OP), Continuity of Care, Cultural Competency, Data Sharing Agreements, Delivery System Benchmarks, Disproportionate Share Hospital (DSH), Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Elderly, Electronic Eligibility Verification, Electronic Health Records, Eligibility Categories, Eligibility Decision Consistency, Eligibility Documentation, Eligibility Simplification, Eligibility System Specifications, Emergency Care, Engaging Underserved, Essential Health Benefits, Exchange, Exchange Establishment Grants, Exchange Federal-State Partnership, Exchange Financing, Exchange Functionality Testing, Exchange Governance, Exchange IT, Exchange Legal Authority, Exchange Outreach and Education, Exchange Plan Benefit Design, Exchange Plan Rating Systems, Exchange Plan Selection, Exchange Policy Decisions, Exchange Program Integration, Exchange Program Integrity, Exchange Provider Network Standards, Exchange Public Website, Exchange Regulations/Guidance, Exchange Stakeholder Input, Exchange Workplans/Timelines, Federal Data Reporting Requirements, Federal Exchange, Federal Grants, Federal Oversight, Fee-for-Service, Financing and Program Integrity, Fiscal Analysis, Grants and Contracts, Health Literacy, Health Reform Coordination Lead, HIE Data Collection/Reporting, Home and Community-Based Care, Immigrants, Implementation Plan, Implementation Websites, Individual Market, Inmates, Insurance Legislation, Insurance Outreach and Education, Insurance Statutory/Regulatory Analysis, Internal/External Review, IT Assessments, Language/Disability Application Access, Legislative Review, Licensing and Certification, Linking Population and Individual Health, Long Term Services and Supports, Market Conduct, Meaningful Use, Medicaid, Medicaid Benchmark Coverage, Medicaid Benefits, Medicaid Management Information Systems (MMIS), Medicaid Preventive Services, Medicaid Reimbursement, Medical Loss Ratio, Men, Mental Health and Substance Abuse, Modified Adjusted Gross Income (MAGI), Multi-Sector Payment Reform, Non-Payment, Nurses, Online Applications, Open Enrollment, Outreach Planning/Materials, Parents, Patient Navigators, Pay for Performance, People with Disabilities, People with HIV/AIDS, Performance Outcomes Measurement, Population Health Data, Population Health Goals, Populations, Pre-Existing Conditions, Presentations and Announcements, Prevention, Primary Care Case Management, Programs, Provider and Supplier Requirements, Provider Education, Provider Taxes and Donations, Providers and Medical Services, Public Comment, Public Reporting, Quality and Efficiency Priorities, Quality Measures, Quality Progress Reporting, Quality Strategies, Rate Review, Reinsurance, Renewal Simplification, Report, Reporting Requirements, Risk Adjustment, Safety Net Financing, Scope of Practice, Shared Services Enrollment Systems, Small Business Health Insurance Options Program (SHOP) Enrollment, Small Employers, Small Group Size, Social Determinants of Health, Specialists, Staffing/Resources, Stakeholder Communication, Stakeholder Engagement, State Health Reform Laws, State Health Reform Regulations, State Innovation Models, Statewide Data Reporting Requirements, Tax Credit Eligibility, Workforce Capacity, Working Materials
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    May 3, 2016 | Filed under: Benefit Continuity, Benefits Analysis, Brokers, Care Coordination Efforts, Care Coordination Financing, Care Coordination for Dual Eligibles, Change Management, Chronically Ill, Churning, Community Benefit, Community Health, Community Health Workers, Complaints, Consumer Assistance/Navigators, Consumer Input, Consumer Operated and Oriented Plan (CO-OP), Continuity of Care, Cultural Competency, Data Sharing Agreements, Delivery System Benchmarks, Disproportionate Share Hospital (DSH), Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Elderly, Electronic Eligibility Verification, Electronic Health Records, Eligibility Categories, Eligibility Decision Consistency, Eligibility Documentation, Eligibility Simplification, Eligibility System Specifications, Emergency Care, Engaging Underserved, Essential Health Benefits, Exchange, Exchange Establishment Grants, Exchange Federal-State Partnership, Exchange Financing, Exchange Functionality Testing, Exchange Governance, Exchange IT, Exchange Legal Authority, Exchange Outreach and Education, Exchange Plan Benefit Design, Exchange Plan Rating Systems, Exchange Plan Selection, Exchange Policy Decisions, Exchange Program Integration, Exchange Program Integrity, Exchange Provider Network Standards, Exchange Public Website, Exchange Regulations/Guidance, Exchange Stakeholder Input, Exchange Workplans/Timelines, Federal Data Reporting Requirements, Federal Exchange, Federal Grants, Federal Oversight, Fee-for-Service, Financing and Program Integrity, Fiscal Analysis, Grants and Contracts, Health Literacy, Health Reform Coordination Lead, HIE Data Collection/Reporting, Home and Community-Based Care, Immigrants, Implementation Plan, Implementation Websites, Individual Market, Inmates, Insurance Legislation, Insurance Outreach and Education, Insurance Statutory/Regulatory Analysis, Internal/External Review, IT Assessments, Language/Disability Application Access, Legislative Review, Licensing and Certification, Linking Population and Individual Health, Long Term Services and Supports, Market Conduct, Meaningful Use, Medicaid, Medicaid Benchmark Coverage, Medicaid Benefits, Medicaid Management Information Systems (MMIS), Medicaid Preventive Services, Medicaid Reimbursement, Medical Loss Ratio, Men, Mental Health and Substance Abuse, Modified Adjusted Gross Income (MAGI), Multi-Sector Payment Reform, Non-Payment, Nurses, Online Applications, Open Enrollment, Outreach Planning/Materials, Parents, Patient Navigators, Pay for Performance, People with Disabilities, People with HIV/AIDS, Performance Outcomes Measurement, Population Health Data, Population Health Goals, Populations, Pre-Existing Conditions, Presentations and Announcements, Prevention, Primary Care Case Management, Programs, Provider and Supplier Requirements, Provider Education, Provider Taxes and Donations, Providers and Medical Services, Public Comment, Public Reporting, Quality and Efficiency Priorities, Quality Measures, Quality Progress Reporting, Quality Strategies, Rate Review, Reinsurance, Renewal Simplification, Report, Reporting Requirements, Risk Adjustment, Safety Net Financing, Scope of Practice, Shared Services Enrollment Systems, Small Business Health Insurance Options Program (SHOP) Enrollment, Small Employers, Small Group Size, Social Determinants of Health, Specialists, Staffing/Resources, Stakeholder Communication, Stakeholder Engagement, State Health Reform Laws, State Health Reform Regulations, State Innovation Models, Statewide Data Reporting Requirements, Tax Credit Eligibility, Workforce Capacity, Working Materials
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    May 3, 2016 | Filed under: Benefit Continuity, Benefits Analysis, Brokers, Care Coordination Efforts, Care Coordination Financing, Care Coordination for Dual Eligibles, Change Management, Chronically Ill, Churning, Community Benefit, Community Health, Community Health Workers, Complaints, Consumer Assistance/Navigators, Consumer Input, Consumer Operated and Oriented Plan (CO-OP), Continuity of Care, Cultural Competency, Data Sharing Agreements, Delivery System Benchmarks, Disproportionate Share Hospital (DSH), Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Elderly, Electronic Eligibility Verification, Electronic Health Records, Eligibility Categories, Eligibility Decision Consistency, Eligibility Documentation, Eligibility Simplification, Eligibility System Specifications, Emergency Care, Engaging Underserved, Essential Health Benefits, Exchange, Exchange Establishment Grants, Exchange Federal-State Partnership, Exchange Financing, Exchange Functionality Testing, Exchange Governance, Exchange IT, Exchange Legal Authority, Exchange Outreach and Education, Exchange Plan Benefit Design, Exchange Plan Rating Systems, Exchange Plan Selection, Exchange Policy Decisions, Exchange Program Integration, Exchange Program Integrity, Exchange Provider Network Standards, Exchange Public Website, Exchange Regulations/Guidance, Exchange Stakeholder Input, Exchange Workplans/Timelines, Federal Data Reporting Requirements, Federal Exchange, Federal Grants, Federal Oversight, Fee-for-Service, Financing and Program Integrity, Fiscal Analysis, Grants and Contracts, Health Literacy, Health Reform Coordination Lead, HIE Data Collection/Reporting, Home and Community-Based Care, Immigrants, Implementation Plan, Implementation Websites, Individual Market, Inmates, Insurance Legislation, Insurance Outreach and Education, Insurance Statutory/Regulatory Analysis, Internal/External Review, IT Assessments, Language/Disability Application Access, Legislative Review, Licensing and Certification, Linking Population and Individual Health, Long Term Services and Supports, Market Conduct, Meaningful Use, Medicaid, Medicaid Benchmark Coverage, Medicaid Benefits, Medicaid Management Information Systems (MMIS), Medicaid Preventive Services, Medicaid Reimbursement, Medical Loss Ratio, Men, Mental Health and Substance Abuse, Modified Adjusted Gross Income (MAGI), Multi-Sector Payment Reform, Non-Payment, Nurses, Online Applications, Open Enrollment, Outreach Planning/Materials, Parents, Patient Navigators, Pay for Performance, People with Disabilities, People with HIV/AIDS, Performance Outcomes Measurement, Population Health Data, Population Health Goals, Populations, Pre-Existing Conditions, Presentations and Announcements, Prevention, Primary Care Case Management, Programs, Provider and Supplier Requirements, Provider Education, Provider Taxes and Donations, Providers and Medical Services, Public Comment, Public Reporting, Quality and Efficiency Priorities, Quality Measures, Quality Progress Reporting, Quality Strategies, Rate Review, Reinsurance, Renewal Simplification, Report, Reporting Requirements, Risk Adjustment, Safety Net Financing, Scope of Practice, Shared Services Enrollment Systems, Small Business Health Insurance Options Program (SHOP) Enrollment, Small Employers, Small Group Size, Social Determinants of Health, Specialists, Staffing/Resources, Stakeholder Communication, Stakeholder Engagement, State Health Reform Laws, State Health Reform Regulations, State Innovation Models, Statewide Data Reporting Requirements, Tax Credit Eligibility, Workforce Capacity, Working Materials