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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.

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Choice Matters: Housing Models that May Promote Recovery for Individuals and Families Facing Opioid Use Disorder

The purpose of the Opioid Use Disorder, Housing Instability and Housing Options for Recovery project was to help ASPE and HUD describe the housing models available for individuals with Opioid Use Disorder (OUD) who experience housing instability or homelessness.

Public Listing Status of Data-Waivered Providers: Data Brief

A large proportion of DATA-waivered providers choose not to be publicly listed on the SAMHSA website. Greater proportions of physician assistants and nurse practitioners, compared to physicians, opt to be listed on the SAMHSA website.
Research Brief

Assessing the Out-of-Pocket Affordability of Long-Term Services and Supports Research Brief

This Research Brief summarizes recent research on older adults' LTSS risks and financial resources that the Urban Institute completed for ASPE. Except where noted, the studies used data from the Health and Retirement Study, a large, nationally representative survey that has been tracking older Americans since 1992.

Loss of Medicare-Medicaid Dual Eligible Status: Frequency, Contributing Factors and Implications

This paper seeks to document the frequency of Medicaid coverage loss among full-benefit dual eligible beneficiaries and identify potential causes for coverage loss. For dual eligible beneficiaries, the loss of full-benefit Medicaid coverage is of concern because most of them do not have an alternative source of health insurance for the services covered by full-benefit Medicaid.

Analysis of Pathways to Dual Eligible Status: Final Report

There are multiple pathways to becoming dually eligible for Medicare and Medicaid. The purpose of this study is to identify the frequency with which these pathways are followed and the beneficiary characteristics and patterns of service use by pathway.

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder

Despite advances in the development of evidence-based treatment for adults with post-traumatic stress disorder (PTSD), the implementation of these treatments varies widely. To reduce this gap through wider dissemination of effective behavioral health treatment, the U.S.
ASPE Issue Brief

Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities Issue Brief

Medicare beneficiaries in inpatient psychiatric facilities (IPFs) have complex conditions that require sustained engagement with physical and mental health care providers. People who receive care from IPFs are at risk for a range of negative health outcomes, but surprisingly little is known about their patterns of care.

Integrating Care through Dual Eligible Special Needs Plans (D-SNPs): Opportunities and Challenges

The 11 million individuals dually-eligible for Medicare and Medicaid are among the highest need populations in either program. However, a lack of coordination between the Medicare and Medicaid programs makes it difficult for individuals enrolled in both to navigate these fragmented systems of care and adds to the cost of both programs.

Patterns of Care and Home Health Utilization for Community-Admitted Medicare Patients

This study conducted exploratory analyses to develop a better understanding of community-admitted Medicare home health patients, including whether there have been any differential trends between community-admitted and post-acute care (PAC) patients over time and what their patterns of care tell us about the underlying reasons for the community-admitted increased numbers.

What Is the Lifetime Risk of Needing and Receiving Long-Term Services and Supports?

This brief provides new evidence on the lifetime risk that older adults will need LTSS and receive paid services and supports.