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Federal resourceS
CMSThe Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) is a federal law that generally prevents group health plans and health insurance issuers that provide mental health or substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those benefits than on medical/surgical benefits.
The Long-Term Services and Supports (LTSS) Technical Assistance Center guides American Indian and Alaska Native audiences in planning and implementing programs to care for their elders and people with disabilities.
The CMS Office of Minority Health offers a comprehensive source of information on eliminating health disparities and improving the health of all minority populations, like racial and ethnic minorities, people with disabilities, members of the lesbian, gay, bisexual, and transgender community, and rural populations.
The Research Data Assistance Center (ResDAC) provides free assistance to academic and non-profit researchers interested in using Medicare, Medicaid, SCHIP, and Medicare Current Beneficiary Survey (MCBS) data for research. Primary funding for ResDAC comes from a CMS research contract. ResDAC is a consortium of faculty and staff from the University of Minnesota, Boston University, Dartmouth Medical School, and the Morehouse School of Medicine.
ResDAC offers a number of services for researchers with all levels of experience using or planning to use CMS data. Services include technical data assistance, information on available data resources, and training. State Medicaid Plans and Waivers
State Medicaid plans or state plan amendments often indicate what types of services are covered under Medicaid. [F]ind more information about state Medicaid plans on Medicaid.gov. You can also contact your state's Medicaid office and ask them about LTSS coverage. To find contact information for your state's Medicaid office, visit the State Resources Map, click on your state, and click the Medicaid agency link. State Medicaid Waivers LTSS can be covered by waiver. Under a Medicaid waiver, a state can waive certain Medicaid program requirements, allowing the state to provide care for people who might not otherwise be eligible under Medicaid. |
CO Dept. of Health Care Policy & Financing [CO Medicaid]
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CO's Dept. of Health Care Policy & Financing has a pretty misleading description of the services available. Specifically, CO offers Assertive Community Treatment (ACT), Residential Services & Intensive Case Management as ALTERNATIVE SERVICES that are artificially capped based on the savings of the Managed Care Program. This means that even if someone meets REASONABLE MEDICAL NECESSITY -- there may be NO SERVICES AVAILABLE. This is NOT Parity or Medicaid Network Adequacy.
This waiver has A LOT of problems -- not least of which it is targeted to people with Mental Illness who need help with at least 1 Activity of Daily Living. This is going to have to be revamped to be effective.
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