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Center for Health Services Research and Policy

Behavioral Health Policy and Substance Abuse

CHSRP has produced numerous issue briefs and reports on topics related to legal and policy issues in the financing and delivery of behavioral health care (mental health and substance abuse prevention and treatment) services.

Specific research topics include:

  • The implications of the Americans with Disabilities Act for persons with behavioral health disabilities
  • Analyses of significant judicial decisions such as Olmstead v. LC as they relate to behavioral health care
  • Contractual requirements for behavioral health care delivery in Medicaid, SCHIP, Medicare, and private sector insurance
  • Care coordination of physical and behavioral health care services
  • Behavioral health issues in child welfare, correctional institutions, and employee benefit plans

Related Publications:

Behavioral Health Policy and Substance Abuse

Issue Briefs

Rosenbaum, S., Van Dyck, H., Bartoshesky, M., and Teitelbaum, J. SAMHSA Policy Brief: Analysis of State Laws Permitting Intoxication Exclusions in Insurance Contracts and their Judicial Enforcement. February 2004.

Rosenbaum, S., Teitelbaum, J., Mauery, D.R., Stewart, A. Issue Brief 21: Reasonable Modification or Fundamental Alteration? Recent Developments in ADA Caselaw and Implications for Behavioral Health Policy. February 2003. 26 pages. 831K

Kamoie, B. Issue Brief 22: HIPAA's Electronic Transactions Rule: Implications for Behavioral Health Providers. December 2002. 20 pages. 588K

Rosenbaum, S., Sonosky, C., Shaw, K., and Mauery, D.R. SCHIP Policy Brief #5: Behavioral Health and Managed Care Contracting Under SCHIP. September 2002.

Rosenbaum, S., Markus, A., Teitelbaum, J. Issue Brief 20: The Devolution of Managed Care Contractor Duties: Analysis and Implications for Public Policy in Managed Behavioral Health Care. December 2001. 36 pages. 1.13MB

Kamoie, B., Borzi, P. Issue Brief 18 & 19: A Crosswalk Between the Final HIPAA Privacy Rule and Existing Federal Substance Abuse Confidentiality Requirements. August 2001. 52 pages. 1.29MB

Rosenbaum, S. Issue Brief 17: Olmstead v L.C.: Federal Implementation Guidelines, and Analysis of Recent Cases Regarding Medicaid Coverage of Long Term Care Services for Persons with Disabilities.October 2001. 22 pages. 752K

Mauery, D.R., Teitelbaum, J., Lerman, J., Rosenbaum, S. Issue Brief 15 & 16: An Analysis of Contracts for the Delivery of Managed Behavioral Health Care Services in State Correctional Facilities. February 2002. 49 pages. 1.66MB

Rosenbaum, S., Mauery, D.R., Teitelbaum, J. Issue Brief 14: An Overview of Legal Developments in Managed Care Caselaw and Selected Case Studies of Legal Developments in State Contracting for Managed Behavioral Health Services. August 2001. 26 pages. 840K

Borzi, P., Rosenbaum, S. Issue Brief 13: Behavioral Health Benefits For Public Employees: Effect of Mental Health Parity Legislation. April 2001. 23 pages. 728K

Rosenbaum, S., Mauery, D.R., Kamoie, B. Issue Brief 11 & 12Care Coordination and Physical and Behavioral Service Integration in Managed Care Contracts: Analysis and Sample Purchasing Specifications. May 2001. 23 pages. 712K

Rosenbaum, S., Smith, B.M. Issue Brief 10: Medicare, Managed Care, and Behavioral Health Care. November 2000. 20 pages. 721K

Rosenbaum, S., Teitelbaum, J., Mauery, D.R. Issue Brief 9: An Evaluation of Agreements Between Managed Care Organizations and Community-Based Mental Illness and Addiction Disorder Treatment and Prevention Providers. March 2000. 34 pages. 1.18MB

Rosenbaum, S., Teitelbaum, J. Issue Brief 8: Coverage Decisions Versus the Quality of Care: An Analysis of Recent ERISA Judicial Decisions and Their Implications for Employer-Insured Individuals . April 2000. 17 pages. 626K

Rosenbaum S., Teitelbaum, J. Issue Brief 7: Designing a Complaint and Grievance System and Other Member Assistance Services Under Medicaid Managed Care. February 2000. 13 pages. 455K

Rosenbaum S., Teitelbaum, J. Issue Brief 5 & 6: The Americans With Disabilities Act: Implications for Managed Care for Persons with Mental Illness and Addiction Disorders. December 1999. 36 pages. 1.11MB

Rosenbaum S., Teitelbaum, J. Issue Brief 4: Cultural Competence in Medicaid Managed Care Purchasing: General and Behavioral Health Services for Persons With Mental and Addiction-Related Illnesses and Disorders. May 1999. 18 pages. 666K

Teitelbaum, J., Rosenbaum S., Burgess, W., DeCourcy L. Issue Brief 3: Selected Key Issues in the Development and Drafting of Public Managed Behavioral Health Care Carve-Out Contracts. December 1998. 10 pages. 420K

Rosenbaum, S., Teitelbaum, J., and Kirby C. Issue Brief 2. An Overview of Medicaid Managed Care Litigation. October 1998. 9 pages. 387K

Rosenbaum S., Teitelbaum, J. Issue Brief 1: Coverage Decision-Making in Medicaid Managed Care: Key Issues in Developing Managed Care Contracts. May 1998. 9 pages. 391K

Reports

Markus, A., Rosenbaum, S., and Cyprien, S. SCHIP-Enrolled Children with Special Health Care Needs: An Assessment of Coordination Efforts Between State SCHIP and Title V Programs. Kaiser Commission on Medicaid and the Uninsured. March 2004.

Rosenbaum, S., Kamoie, B., Mauery, D. R., Walitt, B. (2003). Medical Necessity in Private Health Plans: Implications for Behavioral Health Care. DHHS Pub. No. (SMA) 03-3790. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration. November 2003.

Mauery, R., Collins, J., McCarthy, J., McCullough, C., and Pires, S. Contracting for Coordination of Behavioral Health Services in Privatized Child Welfare and Medicaid Managed Care. Center for Health Care Strategies, Inc. June 2003.

Rosenbaum, S., Managed Care Corporate Failures: An Overview of Bankruptcy and Insurance Insolvency Procedures. March 2003. 10 pages. 330K

Rosenbaum, S., Teitelbaum, J., and Mauery, D.R. An Analysis of the Medicaid IMD Exclusion. December 19, 2002. 18 pages. 597K

Rosenbaum, S., Teitelbaum, J., Kamoie, B., and Mauery, D.R. Model Managed Care Contract for Health Professionals and Clinical Providers of Mental Illness and Addiction Disorder Treatment and Prevention Services. May 2002. 24 pages. 671K

Rosenbaum, S., Teitelbaum, J., Kamoie, B. The Ticket to Work and Work Incentives Improvement Act of 1999: Implications for the Design and Support of Comprehensive Integrated Health Systems for Persons with Mental Illness and Addiction Disorder Disabilities. October 2001. 23 pages. 747K

Rosenbaum, S., Markus, A., Teitelbaum, J., Zakheim, M., Golde, M. The Devolution of Managed Care Contractor Duties: Analysis and Implications for Public Policy in Managed Behavioral Health Care. September 2001. 70 pages. 1.92MB

Rosenbaum, S., Teitelbaum, J. Pegram v Herdrich: Implications for Consumer Protections in Managed Care. November 2000. 9 pages. 321K

Rosenbaum, S., Teitelbaum, J., Mauery, D.R. Special Report: Mental Illness and Addiction Disorders and Medicaid Managed Care. Negotiating the New Health System: A Nationwide Study of Medicaid Managed Care Contracts, 3rd Edition. May 2000. 75 pages. 2.47MB

Rosenbaum, S., Teitelbaum, J., Mauery, D.R. An Evaluation of Agreements Between Managed Care Organizations and Community-Based Mental Illness and Addiction Disorder Treatment and Prevention Providers (2nd Edition). November 1999. 111 pages. 3.62MB

Teitelbaum, J., Mauery, D.R., Rosenbaum, S. Sub-State Purchasing of Managed Behavioral Health Care: An Analysis of County-Level Managed Care Contracts. October 1999. 32pags. 965K

Rosenbaum, S., Shin, P., Zakheim, M., Shaw, K., and Teitelbaum, J. Special Report: Mental Illness and Addiction Disorder Treatment and Prevention. Negotiating the New Health System: A Nationwide Study of Medicaid Managed Care Contracts, 2nd Edition. March 1998. 75 pages. 2.55MB

Rosenbaum, S., Silver, K., and Wehr, E. An Evaluation of Agreements Between Managed Care Organizations and Community-Based Mental Illness and Addiction Disorder Treatment and Prevention Providers (1st Edition). April 1997. 79 pages. 411K