Health Services

A Description of Board and Care Facilities, Operators, and Residents. 3.6 Service Availability

To meet the needs of the complex mix of residents, some board and care homes offered a wide range of services. However, available services varied considerably from homes offering little more than room, meals, oversight, and a few services to places that provided or arranged for extensive and skilled nursing services and therapies.

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Endnotes

Louisiana announced in November 2014 that it plans to integrate specialty behavioral health services into physical health managed care plans, starting in December 2015.

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Appendix D. Tennessee State Profile

This state profile also available at: http://aspe.hhs.gov/pdf-report/improving-coordination-services-adults-mental-health-and-substance-use-disorders-tennessee-state-profile A. Program Description Overview

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Appendix C. Massachusetts State Profile

This state profile also available at: http://aspe.hhs.gov/pdf-report/improving-coordination-services-adults-mental-health-and-substance-use-disorders-massachusetts-state-profile A. Program Description Overview

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Appendix B. Louisiana State Profile

This state profile also available at: http://aspe.hhs.gov/pdf-report/improving-coordination-services-adults-mental-health-and-substance-use-disorders-louisiana-state-profile A. Program Description Overview

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Appendix A. Illinois State Profile

This state profile also available at: http://aspe.hhs.gov/pdf-report/improving-coordination-services-adults-mental-health-and-substance-use-disorders-illinois-state-profile A. Program Description Overview

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. References

Andrews, K., J.D. Brown, T. Ferragamo, R. Kleinman, R. Newsham, and A. Wishon Siegwarth. "Strategies for Integrating and Coordinating Care for Behavioral Health Populations: Case Studies of Four States." Washington, DC: Mathematica Policy Research, January 2014. Prepared for the U.S. Department of Health and Human Services, Office of the Assistant

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. V. Conclusions

States are experimenting with an array of strategies to address the fragmented delivery of services for Medicaid beneficiaries with behavioral health conditions. This report highlights the approaches adopted by four states--Illinois, Louisiana, Massachusetts, and Tennessee--to improve the coordination of physical health, behavioral health, housing

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. IV. Cross-State Themes and Observations

Each state implemented a different approach to improving care coordination for Medicaid beneficiaries with behavioral health conditions. Despite these diversities, state Medicaid officials, managed care representatives, providers, and consumer representatives in all states identified similar facilitators, challenges, and lessons learned for improv

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. III. Summary of Selected State Programs

Within the specific context of their service systems and needs of their communities, each state is implementing very different strategies to improve the coordination of care. This chapter presents a brief synopsis of each state program (detailed information about each state is provided in Appendices A-D). Table III.1 summarizes the key features

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. I. Introduction

A. Background and Statement of the Problem

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Executive Summary

Medicaid beneficiaries with mental health and substance use disorders (SUDs) require an array of physical, behavioral health, and other supportive services. Access to preventive health care, housing, and social services is particularly challenging for this population (Perese 2007). In the absence of comprehensive coordinated services, these indivi

Improving the Coordination of Services for Adults with Mental Health and Substance Use Disorders: Profiles of Four State Medicaid Initiatives. Acronyms

The following acronyms are mentioned in this report and/or appendices.

Personal Privacy in an Information Society. References

1 1975 data conveyed to staff of the Privacy Protection Study Commission by staff at the National Center for Health Statistics. 2 National Center for Health Statistics, Health: United States 1975, (Rockville, Maryland: Department of Health, Education, and Welfare, 1975), p. 3. 3 Section 5(c)(2)A) of the Privacy Act of 1974 authorized the

Personal Privacy in an Information Society. The Fragility of The Medical-Care Relationship

The physician-patient relationship is an inherently intrusive one in that the patient who wants and needs medical care must grant the doctor virtually unconstrained discretion to delve into the details of his life and his person. As a practical matter, because so much information may be necessary for proper diagnosis and treatment, no area of inqu

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Appendix A: Detailed Model Specification for Plan Exit and Carve-out Analyses

Plan Exit Analysis The Generalized Estimating Equations (GEE) model used to estimate the probability of plan exit and the change in this probability from 2000 to 2001 and 2002 was:

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. References

Ai, C., & Norton, E. C. (2003). Interaction Terms in Logit and Probit Models. Economic Letters (80): 123-129. Agency for Health Care Policy and Research. (1993). Depression in primary care: volume 2. Treatment of major depression . Rockville, MD: U.S. Department of Health and Human Services. Agency for Health Care Policy and Research. (

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Implementation Case Studies

Using case study methods, PERT investigators characterized the structure and process employed by OPM and each of the eight selected plans to implement the FEHB Program parity requirement. The case studies focused on effective as well as nominal benefits, and described:

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Structural Changes to Plan Benefits

PERT researchers acquired nominal plan benefits information on the 304 FEHB plans with available benefit design information and participating in the FEHB in 1999, the baseline year of the evaluation. This information was obtained from the OPM website for all four years of the evaluation (1999-2002). To compile information on benefits in each of

Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. History of Mental Health Benefits and Parity Experiences in the Federal Government

Federal Legislative Trends Affecting Parity in Mental Health Insurance Coverage Although Federal legislative initiatives on parity in mental health insurance coverage dates from the 1960s, the 1996 Mental Health Parity Act represents the first Federal parity legislation. Implemented in 1998, this legislation focused on only one aspect of the dif

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