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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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The Medicaid Personal Care Services Option Part II: Consumer-Directed Models of Care

This "ASPE Research Notes" article is a follow up to the earlier article The Medicaid Personal Care Option Part I: Cross State Variations and Trends Over Time that provided a descriptive overview of Medicaid personal care services programs.

The Economic Impact of Long-Term Care on Individuals

U.S. Department of Health and Human Services The Economic Impact of Long-Term Care on Individuals

Public Financing of Long-Term Care: Federal and State Roles

This paper provides an overview of public financing of long-term care services for the elderly under Medicare, Medicaid and other public programs. Recent program data on public spending for both nursing home and home care services are presented, as well as selected data on recent expenditure trends, particularly under Medicare and Medicaid.

The Disabled Elderly and Their Use of Long-Term Care

U.S. Department of Health and Human Services The Disabled Elderly and Their Use of Long-Term Care

Licensed Board and Care Homes: Preliminary Findings from the 1991 National Health Provider Inventory

This paper presents some preliminary findings on board and care at the national level. The data indicate that there were about 34,000 licensed board and care homes in 1991. Over three fifths were run on a for profit basis. Non profits and government sponsored board and care homes were more likely than for profits to serve the mentally ill and MR/DD populations.

Summary of Long-Term Care Provisions Under the Health Security Act

U.S. Department of Health and Human Services Short Long-Term Care Summary Under the Health Security Act March 1994 PDF Version (9 PDF pages)

Cost Estimates for the Long-Term Care Provisions Under the Health Security Act

This paper explains the cost estimates for the long-term care provisions of the Health Security Act. [44 PDF pages]