Senators Debbie Stabenow and Roy Blunt were joined by National Council staff and members

Senators Debbie Stabenow (D-MI) and  Roy Blunt (R-MO) yesterday introduced the Excellence in Mental Health Act (S. 264). This legislation would support the nation’s community mental health and addictions system by establishing national standards and oversight for Federally Qualified Behavioral Health Centers (FQBHCs).

The Senators were joined by cosponsors Jack Reed (D-RI), Susan Collins (R-ME), Barbara Boxer (D-CA), Marco Rubio (R-FL) and Patrick Leahy (D-VT). At a press conference to mark the introduction of the bill, several consumer and provider advocates from National Council member organizations spoke about the importance of increasing access to community behavioral health services.

Malkia Newman, Board Chair of Oakland County Community Mental Health Authority, said: “I lived over 30 years with undiagnosed Bi-Polar Disorder. But I’m proof that recovery is possible. I don’t want anyone to have to live the way that I did during those dark years, when hope and help are available. My message to Congress is: please pass this bill so that everyone can get the mental health help they need.”

Nancy Smith, mother of a daughter with a severe emotional disorder who received treatment at Community Connections in Washington DC, added, “Too many young people don’t have access to a full range of mental health services. Too many fall through the cracks after being hospitalized, like our daughter did for so many years. The Excellence in Mental Health Act will enable community mental health programs to offer a broader array of services. The fact is, these services really do change lives.”

Joining Ms. Newman and Ms. Smith at the press conference were Gallatin County Sheriff Brian Gootkin, who spoke about the burden on law enforcement of responding to calls for people with untreated mental illness, and National Council President & CEO Linda Rosenberg, who expressed the National Council’s support for this bill.

“Behavioral health has long been left out of the federal dictionary,” said Linda. “As a result, mental health and addiction providers cannot receive the critical federal funds that support other safety net providers. They share the unique responsibilities of the safety-net — but none of the protections.”

Community mental health and addiction providers struggle to meet the existing needs of vulnerable Americans because of cobbled funding streams and insufficient resources. The Excellence Act would begin to remedy this problem by providing a stable reimbursement stream for organizations that meet the standards and oversight requirements to become FQBHCs. To learn more about this legislation and see a 1-page fact sheet on the bill, visit our website http://www.thenationalcouncil.org/cs/public_policy/resources_and_issues/federally_qualified_behavioral_health_centers.

You can also check out the press coverage of this legislation from the Washington Post (http://www.washingtonpost.com/national/health-science/measure-would-strengthen-mental-health-care-system/2013/02/07/dd64db44-714d-11e2-ac36-3d8d9dcaa2e2_story.html), the New York Times (http://thecaucus.blogs.nytimes.com/2013/02/06/eyes-on-gun-violence-lawmakers-propose-expanded-mental-health-access/), and The Hill. (http://thehill.com/blogs/healthwatch/mental-health/281769-senators-film-director-unveil-mental-health-bill)

Stay tuned next week for an opportunity to write to your Senators and urge them to become cosponsors of this important legislation!

 

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Are the payers you work with creating new definitions for the 2013 CPT codes? Or not accepting claims submissions with 2013 CPT codes? Both are HIPAA violations.

The AMA recently released two Practice Management Alerts (on January 7th and January 8th) encouraging providers to report HIPAA violations.

While payers can make benefit and reimbursement decisions, they must ”use the current applicable medical data code set valid at the time the health care is furnished.” This includes not making changes that are contrary to the guidelines provided in the CPT code set, even if they are using 2013 codes.

The AMA recommends filing a complaint through the Centers for Medicare and Medicaid Services website and/or through the AMA’s Health Plan Complaint Form. AMA members and their practice staff can also download sample appeal letters and customize them for use in their practices.

Are you up to speed on CPT code changes for 2013? Check out our CPT resource page: www.thenationalcouncil.org/cs/cpt_codes.

 

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Each year, only 38.5% of people with a mental health condition are able to get treatment, according to testimony by Administrator Pamela Hyde of the Substance Abuse and Mental Health Services Administration at a congressional hearing yesterday. In fact, the average length of time between identification of a mental health condition and first treatment is 8-10 years.

The hearing witnesses testified that this shocking situation is due in part to a lack of public education about mental illness and barriers to accessing treatment in the community mental health system. Please help the National Council win President Obama’s support for mental health treatment by signing this petition. We need 16,500  more signatures by February 2 to receive an official response from the White House – please sign on to help us reach our goal!

Right now, we have a powerful opportunity to build political support for mental health and addiction treatment. For the first time in years, Congress has been holding a series of hearings on how to improve the U.S. behavioral healthcare system. Congress is listening – now is the time to act!

Chairman Harkin holds a hearing on mental healthcare in America

The Senate HELP Committee holds a hearing on "Assessing the State of the U.S. Mental Health System"

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Senator Mark Begich

A bill introduced with bipartisan support in the Senate would provide funding to train Americans in Mental Health First Aid. The Mental Health First Aid Act of 2013 was introduced by lead sponsors Senators Mark Begich (D-AK), Kelly Ayotte (R-NH), and Richard Blumenthal (D-CT). They were joined by cosponsors Jack Reed (D-RI), Debbie Stabenow (D-MI), Jeanne Shaheen (D-NH), Michael Bennet (D-CO), Roy Blunt (R-MO), and Marco Rubio (R-FL).

The Mental Health First Aid Act authorizes $20 million in grants to organizations for training emergency services personnel, teachers/school administrators, faith community leaders, primary care professionals, students, and police officers in Mental Health First Aid. Mental Health First Aid is a public education program that builds understanding of the signs and symptoms of mental illness and addiction and teaches participants how to respond to a person in crisis. Learn more about Mental Health First Aid.

“The broad bipartisan support for this bill shows that politics have no place when it comes to keeping our families and communities safe and providing adequate support for those who may be experiencing a mental health crisis,” said Senator Begich. “This bill makes smart investments to increase awareness and resources for mental health services in Alaska and across the country. I look forward to seeing it move forward in the Senate.”

“Our bipartisan legislation takes an important first step toward strengthening our mental health system,” said Senator Ayotte. “Improving mental health training for those who work in our schools, communities and hospitals will give them the tools they need to identify warning signs and help individuals get treatment.”

This bill is a companion to identical legislation introduced last week by Congressman Ron Barber (D-AZ) in the House.

 

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SAMHSA Administrator Pamela Hyde testifies at Senate HELP hearing

This week, several congressional committees held hearings on the U.S. mental healthcare system. The National Council congratulates our staff and members who testified at these hearings on the need for better integrated care, public education, and improvements in delivery and payment structures:

Jeannie Campbell, National Council Executive Vice President: At a hearing on gun violence held by the House Gun Violence Prevention Task Force,  Jeannie testified on the ongoing need for improved treatment for mental health disorders among veterans and the need for better public education about the nature of mental illness and addiction. She explained to the Task Force that 30% of the 2.4 million active duty and reserve military personnel who were deployed to the wars in Iraq and Afghanistan will have a mental health condition requiring treatment. Yet, recent efforts to expand treatment capacity for veterans and military service members have not been sufficient to meet the need for treatment. Jeannie thanked Representative Ron Barber (D-AZ) for introducing the Mental Health First Aid Act (HR 274). She added that in some form or fashion, most of the proposals that have been brought forward in the wake of the Newtown shooting all endorse “early detection” of mental illnesses: “The National Council strongly endorses Mental Health First Aid because – from a prevention standpoint – that is exactly what the program does.” Read Jeannie’s testimony here. View the hearing here (Jeannie’s testimony begins at 36:20).

Larry Fricks, National Council Senior Consultant: Larry was invited to speak at the Senate Health Education, Labor and Pension (HELP) Committee’s January 24 hearing on “Assessing the State of America’s Mental Health System.” Larry spoke eloquently about his lived experience in recovery and the ongoing stigma and discrimination that surround behavioral health disorders. He also addressed the critical role of peer support in promoting recovery, pointing out that “peer specialists are unique in their ability to connect with other peers to ignite hope and teach skills for recovery, self-management, and promoting whole health.” He encouraged the committee to support flexible funding streams for the recovery and whole health outcomes that peer support services can deliver. Larry also addressed the importance of a whole health approach when it comes to improving our healthcare system, highlighting the Primary Care-Behavioral Health Integration grant program funded through the Substance Abuse and Mental Health Services Administration. Read Larry’s testimony here. View the hearing here (Larry’s testimony begins at 1:50:55).

George DelGrosso, CEO, Colorado Behavioral Healthcare Council: George also spoke at the Senate HELP Committee’s hearing on “Assessing the State of America’s Mental Health System.” George described the widespread efforts within the state of Colorado to bring Mental Health First Aid training to a diverse array of audiences, including the State Sheriff’s Association, the Colorado Department of Corrections, and Governor Hickenlooper’s Cabinet members. He also spoke about behavioral health advocates’ desire to extend the training to school districts and institutions of higher education throughout the state. The Mental Health First Aid Act, soon to be introduced with bipartisan support in the Senate, would provide much-needed funding to support these efforts. Read George’s testimony here. View the hearing here (George’s testimony begins at 1:45:10).

Bob Vero, CEO, Centerstone: In his testimony before the Senate HELP Committee, Bob pointed out many of the barriers to accessing high-quality children’s mental health services. Among these is the lack of a federal definition of what services a community mental health center should offer: “consequently, many towns and cities, especially rural ones, do not have access to a  continuum of evidence-based services designed for  children and youth.” Bob encouraged Congress to pass the Excellence in Mental Health Act, which would establish just such a definition. He also addressed the important role that technology plays in supporting care coordination and communication among mental and primary care providers, urging support for the Behavioral Health IT Act, legislation that would extend federal incentive payments for health IT to certain eligible behavioral health facilities and professionals. Read Bob’s testimony here. View the hearing here (Bob’s testimony begins at 1:37:40).

Joining Larry, George, and Bob at the Senate HELP hearing was Dr. Michael Hogan, former Commissioner of the New York State Office of Mental Health. Dr. Hogan described the many challenges that exist within the mental healthcare system, including the need to integrate mental healthcare into healthcare. With the upcoming health insurance expansions under the Affordable Care Act, “the opportunity before us is that health coverage that includes mental health care will become available for many Americans. We must use this opportunity to provide integrated primary care that includes basic mental health care.” He also spoke against cuts to the safety net and the importance of addressing gaps in children’s mental healthcare. Read his testimony here.

Also speaking at the hearing were SAMHSA Administrator Pamela Hyde and National Institutes of Mental Health Director Thomas Insel. Administrator Hyde’s and Dr. Insel’s testimony are also available online.

 

 

 

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The Centers for Medicare and Medicaid Services has released a State Medicaid Directors Letter (SMDL) clarifying how the requirements of the 2008 parity law apply to Medicaid expansion plans under the Affordable Care Act.

The letter notes that all Medicaid Alternative Benefit plans (including benchmark equivalent and Secretary–approved benchmark plans) are required to meet the law’s parity requirements, regardless of whether services are delivered in managed care or non-managed care arrangements.  This includes evaluating Alternative Benefit Plans to ensure that financial requirements, treatment limitations, medical necessity criteria, and availability of out-of-network services are no more restrictive for mental health and substance use services than they are for medical/surgical services.

The letter also briefly addresses the application of parity to Medicaid Managed Care plans (MCOs). It notes that, “to the extent that the benefits offered by the MCO reflect the financial limitations, quantitative treatment limitations, nonquantitative treatment limitations, and disclosure requirements set forth in the Medicaid state plan,” CMS will not find the MCO to be in violation of parity. However, any additional limitations or financial requirements that the MCO wishes to impose must be evaluated to ensure they are comparable to and no more stringent than those on the medical/surgical side.

In his recent proposals on mental health and gun violence, President Obama promised that his Administration would soon release a final parity regulation. The National Council’s Chuck Ingoglia, Senior Vice President for Public Policy and Practice Improvement commented on the announcement in an article for the Connecticut Mirror, saying “we’re very thrilled that the President included this in his announcement…In a way, it’s long overdue.” The Interim Final Rule, which has been in effect for nearly two years, lacks critical details on the scope of behavioral health services that must be provided to comply with parity, a detailed description of how the parity law applies to managed care, and certain other critical issues. The Administration has not yet stated when the final rule will be released.

 

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Thank you to those of you who have already signed our petition asking President Obama to invest in mental health and addiction treatment services! (If you haven’t already signed, you can do so here.)

The work isn’t done yet: to reach our goal of 25,000 signatures by February 2nd, we need to collect at least 940 signatures each day for the rest of the month! Please help reach this goal by sharing the petition with your networks via email and social media.

We’ve drafted some sample text to make it easy:

EMAIL

Dear ________,

2013 is going to be an important year for behavioral health advocacy, with continued debates in Congress over how to cut federal spending and the upcoming rollout of the major provisions of the ACA.

The National Council has launched a petition calling on President Obama to take concrete steps to expand public education about mental illness and to improve the behavioral health system’s capacity to serve people in need of care. We are asking our grassroots to join us in signing the petition, which needs 25,000 signatures by February 2 in order to get an official response from the White House.

Please consider adding your name to the petition and sharing it with your networks via social media or email: http://wh.gov/UmJo. If we can get the President to address this issue, it would go a long way toward building political support for investing in mental health and substance use treatment.

More details about the specific asks in the petition can be found in our recent letter to Vice President Biden. Please don’t hesitate to let me know if you have any questions.

Thank you for your help reaching our goal of 25,000 signatures!

Sincerely,

___________

TWITTER

We’re 20% there! Help reach 25,000 signatures on petition asking @BarackObama to invest in #mentalhealth http://www.wh.gov/UmJo @nationalcouncil

4,300 signatures & counting! Sign petition to win Pres. Obama’s support 4 investing in #mentalhealth http://www.wh.gov/UmJo @nationalcouncil

New year, new opportunity to speak up for #behavioralhealth! Sign petition to @BarackObama http://wh.gov/UmJo #mhsm @nationalcouncil

FACEBOOK

Have you seen this petition asking President Obama to invest in behavioral health? Please help reach our goal of 25,000 signatures in favor of taking meaningful action to strengthen our investment in prevention, treatment, and recovery! www.wh.gov/UmJo

Will you join us in standing together for behavioral health in 2013? Please sign this petition to President Obama asking him to take concrete actions to promote mental health and addiction treatment! http://wh.gov/UmJo

 

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In the wake of last month’s tragic shooting in Newtown, the National Council joined hundreds of our colleagues in the behavioral health field in signing on to a letter urging Congress and the President to strengthen federal support for mental health services. As the recent debates over federal spending cuts have shown, 2013 will be a tough year for advocates seeking greater investments in our nation’s healthcare. Yet, with so much attention in Congress focused on the dire state of our country’s mental health system, we have a unique opportunity to speak up now for lasting change.

The National Council has submitted a letter to the Obama Administration recommending four concrete actions that will increase Americans’ access to mental health & addictions services by expanding public education about mental illness and increasing the capacity of the nation’s behavioral healthcare system. But we know that alone, our efforts can only take us so far. That’s why we’ve created an online petition to give the thousands of Americans who care about behavioral health a chance to join together and make a difference! The petition requests President Obama’s support for the four recommendations outlined in our letter.

Our goal is to have at least 25,000 signatures to get an official response from the White House. Please help us reach this goal by signing the petition today! Signing on is simple. Here’s how it works:

  1. Click “Create an Account” on the petitions website. You will be asked to enter your name, email address, and zip code.
  2. When you receive a verification email, click the link to complete the registration process.
  3. Click “Sign This Petition” on our petition page.

2013 will be a pivotal year for behavioral health, as Congress continues to debate massive federal spending cuts and states prepare for the rollout of the Affordable Care Act on January 1, 2014. Your advocacy will be crucial to preventing cuts and promoting legislation to strengthen the behavioral health system.

Please help us start the new year off right by signing the White House petition for behavioral health today!

 

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Do You Know What You Don’t Know? Protect Yourself from Audits with Compliance Watch

By Guest Columnist Nina Marshall, Director of Public Policy, National Council for Community Behavioral Healthcare It’s always dangerous when you don’t know what you don’t [...]

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Fiscal Cliff Talks Continue; Thank You for Taking Action

Deficit reduction negotiations continued this week within the Beltway, with little apparent progress. House Speaker John Boehner (R-OH) indicated that he might be open to [...]

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Read the full article →