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Office of Behavioral Health, Disability, and Aging Policy (BHDAP)

The Office of Behavioral Health, Disability, and Aging Policy (BHDAP) focuses on policies and programs that support the independence, productivity, health and well-being, and long-term care needs of people with disabilities, older adults, and people with mental and substance use disorders.

Note: BHDAP was previously known as the Office of Disability, Aging, and Long-Term Care Policy (DALTCP). Only our office name has changed, not our mission, portfolio, or policy focus.

The Division of Behavioral Health Policy is responsible for the analysis, coordination, research and evaluation of policies related to mental and substance use disorders, also referred to as behavioral health. The division is the focal point for policy development and analysis related to the financing, access/delivery, organization, and quality of services for people with mental and substance use disorders, including those supported or financed by Medicaid, Medicare, and the Substance Abuse and Mental Health Services Administration (SAMHSA).

The Division of Long-Term Services and Supports is responsible for the analysis, coordination, and research and evaluation of policies related to institutional and community-based long-term care and supportive services, including formal and informal caregiving. The Division is the focal point for policy development and analysis related to the financing, delivery, organization, and quality of long-term care services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL).

The Division of Disability and Aging Policy is responsible for policy and data development, coordination, research and evaluation of policies and programs focused on the functioning and well-being of persons with disabilities and older adults. The Division is the focal point for crosscutting disability and aging collaboration within the Department and across other federal agencies. Alzheimer’s disease and related dementias and intellectual and developmental disabilities, including Autism Spectrum Disorder, are notable areas of engagement and expertise.

Helpful Information:

Reports

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The Effect of Cash and Counseling on Medicaid and Medicare Costs: Findings for Adults in Three States

    U.S. Department of Health and Human Services   The Effect of Cash and Counseling on Medicaid and Medicare Costs: Findings for Adults in Three States Executive Summary

Measuring Long-Term Care Work: A Guide to Selected Instruments to Examine Direct Care Worker Experiences and Outcomes

Kristen M. Kiefer, MPPLauren Harris-Kojetin, PhDDiane Brannon, PhDTeta Barry, PhDJoseph Vasey, PhDMichael Lepore, PhD Candidate Institute for the Future of Aging Services

Medicaid Estate Recovery

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief provides an overview of state Medicaid Estate Recovery programs, which enable states to recoup public spending for Medicaid long-term care recipients from the estates of those recipients after their death. [12 PDF pages]

Medicaid Liens

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief presents the fundamentals of Medicaid liens — what they are, why they are permitted, and how they are applied by state Medicaid programs.

Medicaid Liens and Estate Recovery in Massachusetts

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief describes the procedures used by the state of Massachusetts in the administration of its Medicaid Estate Recovery program, with a focus on the procedures used by the state in imposing Medicaid liens on real property. [31 PDF pages]

Medicaid Treatment of the Home: Determining Eligibility and Repayment for Long-Term Care

This policy brief is one of five commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief provides a synopsis of how the home is treated in determining Medicaid eligibility for recipients of long-term care services and the circumstances under which Medicaid may recover spending no behalf of the recipient from equity held in real property.

Spouses of Medicaid Long-Term Care Recipients

This policy brief is one of five commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief outlines the Medicaid rules that affect community spouses of nursing home residents and widows or widowers of deceased nursing home residents. [12 PDF pages]