Substance Abuse (Alcohol and Drug Abuse)

Drug Testing Welfare Recipients: Recent Proposals and Continuing Controversies

ASPE ISSUE BRIEF Drug Testing Welfare Recipients: Recent Proposals and Continuing Controversies October 2011 This Issue Brief is available on the Internet at: http://aspe.hhs.gov/hsp/11/DrugTesting/ib.shtml

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From Prison to Home: The Effect of Incarceration and Reentry on Children, Families, and Communities

From Prison to Home: The Effect of Incarceration on Children, Families, and Communities Conference Report Prepared for: U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) Substance Abuse and Mental Health Services Administration (SAMSHA) By: The Urban Institute: Ma

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Risk and Reality: The Implications of Prenatal Exposure to Alcohol and Other Drugs

RISK AND REALITY: THE IMPLICATIONS OF PRENATAL EXPOSURE TO ALCOHOL AND OTHER DRUGS By Joanne P. Brady, Marc Posner, Cynthia Lang and Michael J. Rosati The Education Development Center, Inc. 1994.

Teen Risk-Taking: A Statistical Portrait

Teen Risk-Taking: A Statistical Portrait by Laura Duberstein Lindberg Scott Boggess Laura Porter Sean Williams June 2000 The research for this report 1 was conducted for the Office of the Assistant Secretary for Planning and Evaluation of the U.S. Department of Health and Human Services under contract number 100-95-0021. Note:

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Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. Appendix B. FY 2011 SA Treatment Spending

TABLE B.1 . FY 2011 SA Treatment Spending by SA Care Group (in $ thousand) State

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. Appendix A: Diagnosis Codes

TABLE A.1 . Alcohol Abuse Diagnosis Codes ICD-9-CM Description

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. Appendices

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. Notes

Available at https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/MedicaidBudgetExpendSystem/CMS-64-Quarterly-Expense-Report.html . Accessed July 26, 2012. Available at http://www.kff.org/medicaid/enrollmentreports.cfm . Accessed July 26, 2012.

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. II. Proposed Methods and Resources Required for Updating Medicaid Estimates with Future Years of Data

ONDCP develops the annual National Drug Control Strategy Budget Summary and so needs an approach for updating the estimates of Medicaid SA treatment spending annually. We recommend direct derivation of the estimates of SA treatment spending from MAX files every 5-7 years or after major policy changes take place, such as implementation of the Affor

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. D. Part D: Prescribed Drug Expenditures

Expenditures for prescribed drugs can be estimated based on the CCW Part D Event file. Prescribed drug expenditures are categorized as core SA treatment services. The Part D Event file includes event records for both traditional Medicare FFS and MA enrollees, as well as the variable product service identification number, which provides the Nationa

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. C. Part C: Medicare Advantage

Because encounter data reporting is not mature for MA enrolled beneficiaries, we propose initially estimating SA treatment expenditures for the MA population based on the average level of expenditures for non-MA enrolled Medicare beneficiaries with similar characteristics. As complete encounter data become available for MA enrollees, the second ap

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. B. Part a & B FFS Expenditures

Medicare's Chronic Condition Warehouse (CCW) can provide claims data to estimate total Medicare SA treatment spending for traditional Medicare FFS beneficiaries. Data files with 100 percent of FFS beneficiaries are available, as well as sample files. However, use of SA treatment is rare in the population ages 65 and older. Thus, there may be an in

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. A. Overview of Medicare Coverage of SA Treatment

In this section, we first describe the SA treatment services covered under the Medicare program. Then, we describe the approaches Medicare uses to reimburse providers for these services. 1. Service Coverage Medicare covers a full spectrum of SA treatment services:

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. I. Proposed Methodology for Producing Medicare Substance Abuse Treatment Expenditures Estimates

In this section, we propose a methodology for developing estimates of Medicare SA treatment spending. The methods parallel the approach used to develop Medicaid spending estimates in this project. In Section A , we provide an overview of Medicare coverage of SA treatment services and the payment approaches Medicare uses to reimburse providers for

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates. Introduction

As federal and state substance abuse (SA) agencies work to establish priorities and coordinate their efforts, policymakers need reliable national and state estimates of Medicaid and Medicare SA treatment spending and accurate methods for projecting these estimates forward. Spending estimates and projections are essential for both aligning funding

Developing Medicare and Medicaid Substance Abuse Treatment Spending Estimates

This is a supplemental report to the final report of a study jointly funded by ONDCP and ASPE (Medicaid Substance Abuse Treatment Spending: Findings Report). This technical report provides more detail on the methods used to make estimates, and it also describes how MPR would make similar estimates of Medicare funding for substance abuse treatment,

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Affordable Care Act Expands Mental Health and Substance Use Disorder Benefits and Federal Parity Protections for 62 Million Americans . Endnotes

1 “Grandfathered” plans are plans that were in place when the Affordable Care Act was enacted that have not been changed in certain specified ways. 2 The Essential Health Benefits, Actuarial Value, and Accreditation Final Rule was released February 20, 2013. 3 ASPE Issue Brief, "Essential Health Benefits: Individual Market

3. Increasing Access to Quality Health Care

Affordable Care Act Expands Mental Health and Substance Use Disorder Benefits and Federal Parity Protections for 62 Million Americans . 3. Increasing Access to Quality Health Care

Finally, the Affordable Care Act will expand insurance coverage to a projected 27 million previously uninsured Americans through access to private health insurance in the individual and small group markets, the Marketplaces, and Medicaid. 12 Essential Health Benefits, including mental health and substance use disorder services subject to parity

2. Parity in the Individual and Small Group

Affordable Care Act Expands Mental Health and Substance Use Disorder Benefits and Federal Parity Protections for 62 Million Americans . 2. Parity in the Individual and Small Group Markets

Second, HHS finalized regulations that apply federal parity rules to mental health and substance use disorder benefits included in Essential Health Benefits. As a result, Americans accessing coverage through non-grandfathered plans in the individual and small group markets will now be able to count on mental health and substance use disorder cov

Affordable Care Act Expands Mental Health and Substance Use Disorder Benefits and Federal Parity Protections for 62 Million Americans . 1. Essential Health Benefits

First, under the statute, treatment for mental health and substance use disorders is a benefit category covered as part of the package of Essential Health Benefits available to all Americans in non-grandfathered plans in the individual and small group markets as of January 1, 2014. The Essential Health Benefits final rule, released today, ensure

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