Insurance

The Medicaid Health Home State Plan Option, authorized by the Affordable Care Act in 2011, gives states the ability to create health home programs that provide comprehensive care coordination for Medicaid beneficiaries. Health home programs are required to “integrate and coordinate all primary, acute, behavioral health and long term services and supports” to treat the patient across his or her lifespan. Health home services must include all six of the following components: comprehensive case management; care coordination; health promotion; comprehensive transitional care/follow-up; patient and family support; and referral to community and social support services. This fact sheet provides an overview of Medicaid health homes, which are designed to assist beneficiaries in obtaining care for chronic conditions, including substance use disorder....

The Mental Health and Substance Use Disorder Parity Act aims to empower effective enforcement of mental health and substance use disorder (SUD) parity standards at the state level. This model legislation requires: (1) health benefit plans to provide mental health and SUD benefits on terms no more restrictive than those for medical/surgical benefits; and (2) health insurers to demonstrate compliance with the Mental Health Parity and Addiction Equity Act for all state-regulated health benefit plans subject to the parameters of this legislation. The overarching purpose of this Act is to save lives and improve health and quality of life by expanding access to mental health and SUD treatment....

The Model Medicaid Reentry Section 1115 Demonstration Waiver Act: (1) requires a state department of health and human services to apply for a Medicaid reentry Section 1115 demonstration waiver to allow a state Medicaid program to cover pre-release services for a Medicaid eligible incarcerated individual for up to 90 days prior to the individual’s expected release date; and (2) requires a state department of health and human services to conduct comprehensive monitoring and evaluation of the Medicaid reentry demonstration, if the waiver is approved....