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What's New

3/31/2014

NAPHS comment letter to CMS proposed rule on "Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers"

3/26/2014

NAPHS release: "Millions of Disabled and Poor Americans Encounter Discrimination When They Face Mental or Addictive Disorders, Says NAPHS; NAPHS Applauds House Oversight Hearing on Challenges Facing Families in Mental Health Crisis."

3/26/2014

NAPHS letter submitted to House Energy and Commerce Oversight Committee hearing on “Where Have All the Patients Gone? Examining the Psychiatric Bed Shortage.”

3/25/2014

NEWLY UPDATED! Design Guide for the Built Environment of Behavioral Health Facilities: Edition 6.2 now available. Please allow time for the pdf to load.

3/10/2014

NAPHS release: “There is no health without mental health,”says NAPHS Board. Board urges Congress to 1) end discrimination; 2) fix gaps in the mental health and addiction treatment system; and 3) support health information technology funding.

3/10/2014

NAPHS Board ratifies new association members

3/7/2014

NAPHS comment letter on "HIPAA Privacy Rule and the National Instant Criminal Background Check System (NICS)"

2/20/2014

HHS guidance: "HIPAA Privacy Rule and Sharing Information Related to Mental Health" (including frequently asked questions)

2/4/2014

NAPHS Board elects 2014 officers

1/6/2014

2014 NAPHS Election:  “Gail Ryder Begins Term as NAPHS Board Chair; Newly Elected Board Members Take Office”

12/12/2013

NAPHS statement: "NAPHS Applauds Rep. Tim Murphy for Introduction of Comprehensive Mental Health Reform Legislation; Dialogue on Tough Challenges Will Help Advance Policy Changes"

12/10/2013

CMS final rule on Medicare Hospital Outpatient Prospective Payment System (including CY14 partial hospitalization rates).  See pages 75045-75054.

12/2/2013

Order a recording of a special training call on "Reporting SUB-1 (Alcohol Use Screening) in the IPFQR." Also download materials (files are large; please allow time for each to open): 1) Joint Commission PowerPoint; 2) Michael Miller, M.D., PowerPoint; 3) Eric Goplerud PowerPoint; 4) SBIRT Mentor brochure. Also see 5) the Telligen IPFQR newsletterAfter the training, please complete 6) an online evaluation.

11/13/2013

Final rule on federal parity law (the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008)

11/8/2013

NAPHS release: "Final Rule Governing the Federal Mental Health and Substance Use Parity Law Adds Important Health Insurance Protections for All Americans, Says NAPHS." See final rule.

11/8/2013

Departments of Labor, HHS, and Treasury: "FAQS About ACA (Part XVII) and Parity Implementation"

11/8/2013

HHS study: "Consistency of Large Employer and Group Health Plan Benefits with Requirements of the Paul Wellstone annd Pete Domenici Mental Health Parity and Addiction Equity Act"

10/29/2013

CMS final rule: "Medicare Program: Conditions of Participation (CoPs) for Community Mental Health Centers"

10/22/2013

Department of Defense final rule: "TRICARE; Removal of the Prohibition To Use Addictive Drugs in the Maintenance Treatment of Substance Dependence in TRICARE Beneficiaries"

10/1/2013

New 2014 Membership Directory / NAPHS features sources of help for psychiatric and addiction treatment. Download a news release.

9/30/2013

Behavioral Health Information Technology Coalition (BHITC) comment letter responding to Senate Finance Committee open letter seeking input on how to improve the US mental health system

9/30/2013

Mental Health Liaison Group (MHLG) comment letter responding to Senate Finance Committee open letter seeking input on how to improve the US mental health system

9/27/2013

Parity Implementation Coalition comment letter responding to HHS Office of Civil Rights "request for information regarding nondiscrimination in certain health programs or activities"

9/20/2013

NAPHS comment letter responding to Senate Finance Committee open letter seeking input on how to improve the US mental health system

9/2/2013

Revised Medicare Learning Network publication on "Mental Health Services" (ICN 903195) [View]

8/19/2013

CMS final rules: "Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals...and FY2014 Rates; Quality Reporting Requirements for Specific Providers; ....etc."  (See pages 50887-50901 for IPF quality reporting section.)

8/14/2013

Coalition for Whole Health (CWH):  Toolkit for state-level advocates working on implementation and oversight of the Affordable Care Act’s (ACA’s) essential health benefits, parity, and network adequacy protections. See an overview of key issues and short guides for working with state legislatures and insurance commissioners.

8/1/2013

CMS Notice: "Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System - Update for Fiscal Year Beginning October 1, 2013 (FY 2014)." 

7/31/2013

Behavioral Health IT Coalition release: “Mental Health and Addiction Services Organizations Applaud Rep. Murphy & Rep. Barber for Introducing the Behavioral Health Information Technology Act” (H.R.2957)

7/19/2013

CMS proposed rule on the Medicare outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY14. Also see 9.6.13 correction.

7/15/2013

Annual Survey tracks behavioral treatment trends. Download a news release and the table of contents.

7/15/2013

CMS/HHS final rule: "Medicaid and Children’s Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment"

7/2/2013

Administration delays ACA requirement for large employers to provide coverage until 2015. See Treasury Department statement and White House blog.

6/24/2013

NAPHS comment letter to CMS: "Medicare: ....Quality Reporting Requirements for Specific Providers (CMS-1599-P)"

6/7/2013

CMCS-MMCO-CM Informational Bulletin:  "Payment of Medicare Cost Sharing for Qualified Medicare Beneficiaries (QMBs)." Tells states that they “have a legal obligation to reimburse providers for any Medicare cost sharing due for QMBs according to the state’s CMS-approved Medicare cost-sharing payment methodology.” 

6/7/2013

NAPHS comment letter on HHS Notice of Proposed Rulemaking on “HIPAA and the National Instant Criminal Background Check System”

5/13/2013

NAPHS releases first study to examine readmissions within the Medicare Inpatient Psychiatric Facility Prospective Payment System (IPF PPS). View news release and study.

4/4/2013

CMS issues informational bulletin on EPSDT

3/12/2013

Design Guide for the Built Environment of Behavioral Healthcare Facilities authors receive NAPHS Quality Award on 10th anniversary of the publication

3/12/2013

NAPHS news release:    White paper offers recommendations for "Responding to the Newtown Tragedy"

3/11/2013

Office of Personnel Management final rule establishing standards for the Multi-State Plan Program, which will offer at least two multi-state plans on each state insurance exchange. 

3/11/2013

HHS interim final rule: "ACA; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014"

3/7/2013

NAPHS White Paper: Responding to the Newtown Tragedy: A White Paper on Behavioral Health as a Partner in the Solution

2/27/2013

HHS final rule on ACA "Health Insurance Market Rules; Rate Review."

2/26/2013

Joint statement from NAMI and NAPHS on the Medicare 190-day lifetime limit. Presented to the House Ways & Means Health Subcommittee hearing "Examining Traditional Medicare's Benefit Design."

2/26/2013

NAPHS comment letter to OIG on "Solicitation of New Safe Harbors and Special Fraud Alerts"

2/25/2013

HHS final rule: Standards related to essential health benefits (published in 2.25.13 Federal Register)

2/22/2013

Mental Health Liaison Group letter in support of Mental Health First Aid Act (S.153/H.R.274)

2/21/2013

NAPHS comment letter on proposed rule on Medicaid, CHIP expansion under ACA. NAPHS urges clarification that IMD restrictions should not apply. 

2/20/2013

NAPHS statement on release of essential health benefits final rule

2/20/2013

ASPE Research Brief: "Affordable Care Act will expand mental health and substance use disorder benefits and parity protections for 62 million Americans" 

2/12/2013

NAPHS letter in support of Mental Health First Aid Act (S.153 / H.R. 274)

2/7/2013

CMS proposed rule: "Medicare and Medicaid Programs; Part II--Regulatory Provisions to Promote Efficiency, Transparency, and Burden Reduction" (including proposed changes in medical staff requirements)

1/28/2013

NAPHS comment letter on Measure Applications Partnership Pre-Rulemaking Draft Report

1/25/2013

HHS final rule: "Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules"

1/25/2013

Mental Health Liaison Group (MHLG) letter to President Obama: Recommendations for "reducing violence and accessing effective mental health care"

1/24/2013

NAPHS / NAMI ad to the President and Congress (as seen in Politico):  "Thank you...for committing to fully implementing the Mental Health Parity and Addiction Equity Act this year."

1/16/2013

NAPHS statement: "NAPHS applauds commitment by President Obama to issue final parity rules"

1/16/2013

President Obama issues a plan to reduce gun violence and takes executive actions committing to (among other things) issuing a final parity rule, Medicaid guidance on parity, and guidance on essential health benefits and parity requirements within Affordable Care Act exchanges. Also see a letter to healthcare providers.

1/14/2013

Mental Health Liaison Group letter to Vice President Biden Task Force on Newtown, CT and news release.

1/14/2013

OIG Report: "Vulnerabilities in CMS's and Contractors' Activities To Detect and Deter Fraud in Community Mental Health Centers" (OEI-04-11-00101) 

1/10/2013

NAPHS letter to Vice President Biden on Newtown Task Force; NAPHS calls for a focus on coverage, access, and resources.

12/21/2012

Coalition for Whole Health (CWH) comments on essential health benefits' proposed rule

12/21/2012

NAPHS comment letter on essential health benefits proposed rule

12/21/2012

Parity Implementation Coalition comment letter on essential health benefits proposed rule.

12/20/2012

NAPHS ad as seen in Politico: "It's time to address the need for access to all levels of behavioral health care in a final parity rule."

12/17/2012

NAPHS release:  "Americans support all levels of care for mental and addictive disorders, national internet survey finds." View key findings.

12/15/2012

NAPHS statement on the shooting tragedy in Sandy Hook, CT

12/10/2012

CMS: Frequently Asked Questions on Exchanges, Market Reforms and Medicaid.  Also see a letter from HHS Secretary Sebelius to governors outlining additional information to help guide their work implementing the Affordable Care Act.

12/6/2012

SAMHSA final rule: Opioid Drugs in Maintenance and Detoxification Treatment of Opiate Addiction; Proposed Modification of Dispensing Restrictions for Buprenorphine and Buprenorphine Combination as Used in Approved Opioid Treatment Medications 

12/3/2012

Center for Medicaid & CHIP Services Informational Bulletin: "Coverage and Service Design Opportunities for Individuals with Mental Illness and Substance Use Disorders"

11/28/2012

CMS' Center for Medicaid and CHIP Services Informational Bulletin (guidance on the mechanisms states may use to reimburse the cost of medical care for children residing in psychiatric hospitals or PRTFs)

11/26/2012

HHS proposed rule on ACA "Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation."  EHBs include "mental health and substance use disorder services, including behavioral health treatment" as one of the 10 core essential health benefits. Also see HHS fact sheet.

11/15/2012

CMS final rule with comment period: "CMS-1589-FC: Medicare: Hospital Outpatient Prospective Payment System..." (including CY13 partial hospitalization rates, pages 68404-68418).

11/15/2012

Appendices and other details for CMS-1589-FC are also online

9/5/2012

CMS final rule setting compliance deadline for converting to the ICD-10 system as October 1, 2014.  Also see 10.4.12 corrections

8/31/2012

CMS final rule on quality reporting requirements for inpatient psychiatric facilities (see pages 53644-53680). [View]

8/24/2012

ICD-10 compliance deadline delayed to October 1, 2014. See HHS news release. [View]

8/21/2012

OIG report on "Questionable Billing by Community Mental Health Centers" [View]

8/17/2012

Medicare Learning Matters (MM8000): "Update: Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year 2013" [View]

8/10/2012

HHS interim final rule: "Administrative simplification: Health care electronic funds transfers and remittance advice transactions" [View]

8/2/2012

Mental Health Liaison Group (MHLG) ad on demonstration programs for dual-eligibles (as seen in Politico): "Living with mental and addictive disorders is hard enough...don't make it worse for us" [View]

7/30/2012

CMS proposed rule on the Medicare outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY13 [View]

7/24/2012

CMS notice: "Disproportionate Share Hospital Allotments and Institutions for Mental Diseases Disproportionate Share Hospital Limits for FYs 2010, 2011, and Preliminary FY12 DSH Allotments and Limits " [View]

7/20/2012

HHS final rule: "Patient Protection & Affordable Care Act: Data collection to define essential health benefits; Recognition of entities for the accreditation of Qualified Health Plans" [View]

7/18/2012

Mental Health Liaison Group (MHLG) release: "Mental health groups raise concerns about the current structure of dual-eligible demonstrations." Also see a MHLG letter to the Senate Special Committee on Aging

7/12/2012

Department of Labor: Updated "Self-compliance tool for Part 7 of ERISA: HIPAA and other healthcare-related provisions (including mental health parity)" [View]

7/11/2012

Medicare Payment Advisory Commission (MedPAC) letter to CMS on dual-eligible demonstrations, recommending, among other things, limiting the demonstrations to only a few states [View]

7/2/2012

NAPHS statement on introduction of H.R.6043, the Behavioral Health Information Technology Act of 2012 [View]

6/25/2012

NAPHS comment letter to CMS on psychiatric inpatient quality reporting measures [View]

6/6/2012

Mental Health Liaison Group letter to CMS on concerns related to dual-eligible demonstrations as they impact individuals with mental illness [View]

6/1/2012

MedPAC chapter (Section 6) on specialty inpatient psychiatric facilities (from A Data Book: Health Care Spending and the Medicare Program) [View]

6/1/2012

MedPAC Chapter 3 on dual eligibles (from A Data Book: Health care spending and the Medicare Program)

5/24/2012

Kaiser Commission on Medicaid & the Uninsured: "Geographic Variation in Dual-Eligible Enrollment" (by state) [View]

5/22/2012

CMS final decisions on the recommendations of the Hospital Outpatient Payment Panel on supervision levels for select services (also see 5/18/12 NAPHS comment letter) [View]

5/18/2012

NAPHS comment letter on CMS' preliminary decisions on the recommendations of the Hospital Outpatient Panel on Supervision Levels for Select Services

5/16/2012

CMS final rule: "Medicare and Medicaid Programs: Reform of Hospital and Critical Access Hospital Conditions of Participation" [View]

5/16/2012

CMS final rule: "Medicare and Medicaid Programs: Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction" [View]

5/11/2012

CMS proposed rule on psychiatric inpatient quality reporting measures. See pages 28105-28116 in "Medicare Program: Hospital Inpatient PPS for Acute Care Hospitals and Long-Term Care Hospital PPS and FY13 Rates; Hospitals' Resident Caps for Graduate Medical Education Payment Purposes; Quality Reporting Requirements for Specific Providers and for Ambulatory Surgical Centers" [View]

5/9/2012

Department of Labor Employee Benefits Security Administration: Frequently Asked Questions: "Understanding Implementation of the Mental Health Parity and Addiction Equity Act of 2008" [View]

5/3/2012

NAPHS comments to Office of Surgeon General on prescription medication adherence (in response to 4/5/12 request for information)

4/27/2012

CMS final rule: "Medicare & Medicaid: Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements; and Changes in Provider Agreements" (including use of NPI) [View]

4/17/2012

HHS proposed rule: "Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to Compliance Date for ICD-10-CM and ICD-10-PCS Medical Data Code Sets" [View]

4/7/2012

HHS proposed rule: "Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to Compliance Date for ICD-10-CM and ICD-10-PCS Medical Data Code Sets" [View]

3/28/2012

NAPHS comment letter to CMS on EMTALA application to specialized capabilities hospitals [View]

3/27/2012

HHS final rule (and interim final rule for some sections): "Affordable Care Act: establishment of exchanges and qualified health plans; exchange standards for employers" (also see 5.29.12 corrections)

3/23/2012

CMS final rule (and interim final rule for some sections): "Medicaid Program: eligibility changes under the Affordable Care Act of 2010" [View]

3/23/2012

HHS final rule: "Affordable Care Act: Standards related to reinsurance, risk corridors, and risk adjustment." Also see fact sheet.

3/19/2012

NAPHS comment letter and position paper on dual-eligible demonstrations sent to CMS Medicare-Medicaid Coordination Office (in response to request for feedback on Massachusetts dual-eligible demonstration). [NOTE: Check periodically online to view additional state demonstrations as they become available for comment.]

3/13/2012

CMS release: "Affordable Care Act Demonstration to Expand Access to Emergency Psychiatric Care; New Demonstration Program to Help States Improve the Quality of Care for Patients with Psychiatric Emergency." Also see additional information.

2/27/2012

CMS final rule: "Medicaid Program: Review and Approval Process for Section 1115 Demonstrations" [View]

2/27/2012

NAPHS comment letter to HHS OIG on "Solicition of New Safe Harbors and Special Fraud Alerts" with recommendations on complimentary transportation [View]

2/17/2012

HHS Frequently Asked Questions on essential health benefits under the Affordable Care Act [View]

2/16/2012

CMS proposed rule: "Medicare Program: Reporting and Returning of Overpayments." Also see 2/14/12 CMS release: "Affordable Care Act Gives CMS New Authority To Recover Overpayments From Providers and Suppliers More Quickly"

2/9/2012

Parity Implementation Coalition applauds new URAC parity standards [View]

2/2/2012

CMS request for comments: "Medicare Program; EMTALA Applicability to Hospital Inpatients and Hospitals with Specialized Capabilities" [View]

1/31/2012

Coalition for Whole Health comment letter on essential health benefits, including consensus principles and service recommendations

1/30/2012

NAPHS comment letter to HHS on "Essential Health Benefits Bulletin" [View]

1/10/2012

HHS interim final rule: "Administrative Simplification: Adoption of Standards for Health Care Electronic Funds Transfer (EFTs) and Remittance Advice" [View]

1/4/2012

HHS final notice: "Medicaid Program: Initial Core Set of Health Care Quality Measures for Medicaid Eligible Adults" [View]

12/21/2011

NAPHS comment letter to CMS on proposed rule on "Reform of Hospital and Critical Access Hospital Conditions of Participation" [View]

12/16/2011

HHS Essential Health Benefits Bulletin outlining proposal to give states flexibility in implementing essential health benefits. Comments are due 1/31/12. Also see an ASPE Research Brief on "Comparing Benefits in Small Group Products and State and Federal Employee Plans" and a fact sheet on individual market coverage.

12/14/2011

GAO Letter Report: "Foster Children: HHS Guidance Could Help States Improve Oversight of Psychotropic Prescriptions" (GAO-12-201) [View]

12/13/2011

CMS final rule on "Patient Protection & Affordable Care Act; Establishment of Consumer Operated and Oriented Plan (CO-OP) Program" [View]

12/7/2011

CMS final rule on "Medical Loss Ratio Requirements Under the Patient Protection and Affordable Care Act." Also see interim final rule on "Medical Loss Ratio Rebate Requirements for Non-Federal Governmental Plans."

12/1/2011

Frequently Asked Questions on the Medicaid RAC Program [View]

11/2/2011

CMS final rule governing creation of accountable care organizations (ACOs) under the Medicare Shared Savings Program. Also see IRS fact sheet and 10.28.11 FTC/DOJ antitrust enforcement information.

11/2/2011

CMS/OIG interim final rule with comment period: "Medicare Program: Final Waivers in Connection with the Shared Savings Program." [View]

11/2/2011

CMS notice: "Medicare Program; Advanced Payment Model" to test whether pre-paying a portion of future shared savings will increase participation or savings in the Medicare Shared Savings Program. Also see http://www.innovations.cms.gov/initiatives/aco/advance-payment/index.html for ongoing updates and deadlines.

10/31/2011

NAPHS comment letter to CMS on proposed rule (with extension of comment period) on "Establishment of Exchanges and Qualified Health Plans"

10/28/2011

FTC/DOJ final policy statement: "Statement of Antitrust Enforcement Policy Regarding ACOs Participating in the Medicare Shared Savings Program" [View]

10/11/2011

Robert Wood Johnson Foundation: Report on "Refocusing Responsibility for Dual Eligibles: Why Medicare Should Take the Lead"

10/6/2011

Institute of Medicine (IOM) consensus report: Essential Health Benefits: Balancing Coverage and Cost [View]

9/16/2011

CMS final rule: "Medicaid Program: Recovery Audit Contractors" [View]

9/13/2011

NAPHS signs on to Coalition for Whole Health recommendations for coverage of mental and substance use disorder services in an essential benefit package. See list of supporters.

9/11/2011

CMS Integrated Care Resource Center to help states learn about best practices for delivering coordinated health care to Medicaid’s high-need, high-cost beneficiaries (including dual eligibles) [View]

8/15/2011

NAPHS statement on introduction of H.R.2783, the Medicare Mental Health Inpatient Equity Act (to eliminate 190-day lifetime limit). Also see Mental Health Liaison Group letter of support for H.R.2783 (56 organizations).

8/1/2011

Kaiser Family Foundation Policy Brief: "Proposed Models to Integrate Medicare and Medicaid Benefits for Dual Eligibles: A Look at the 15 State Design Contracts Funded by CMS" [View]

7/11/2011

NAPHS comment letter: "Medicare and Medicaid Programs: Opportunities for Alignment Under Medicaid and Medicare" [View]

6/2/2011

NAPHS comment letter to CMS: Medicare Shared Savings Program: Accountable Care Organizations (ACOs) [View]

4/5/2011

CMS launches dedicated Web site for the Medicare Shared Savings Program (including ACOs) at www.cms.gov/sharedsavingsprogram.  Check back periodically for updates. [View]

2/25/2011

Final notice: "Medicare and Medicaid: Approval of the Joint Commission for Deeming Authority for Psychiatric Hospitals" [View]

4/1/2010

Summary of behavioral health provisions in The Patient Protection and Affordable Care Act (Public Laws 111-148, 111-152) [View]

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