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Office of Behavioral Health, Disability, and Aging Policy (BHDAP)

The Office of Behavioral Health, Disability, and Aging Policy (BHDAP) focuses on policies and programs that support the independence, productivity, health and well-being, and long-term care needs of people with disabilities, older adults, and people with mental and substance use disorders.

Note: BHDAP was previously known as the Office of Disability, Aging, and Long-Term Care Policy (DALTCP). Only our office name has changed, not our mission, portfolio, or policy focus.

The Division of Behavioral Health Policy is responsible for the analysis, coordination, research and evaluation of policies related to mental and substance use disorders, also referred to as behavioral health. The division is the focal point for policy development and analysis related to the financing, access/delivery, organization, and quality of services for people with mental and substance use disorders, including those supported or financed by Medicaid, Medicare, and the Substance Abuse and Mental Health Services Administration (SAMHSA).

The Division of Long-Term Services and Supports is responsible for the analysis, coordination, and research and evaluation of policies related to institutional and community-based long-term care and supportive services, including formal and informal caregiving. The Division is the focal point for policy development and analysis related to the financing, delivery, organization, and quality of long-term care services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL).

The Division of Disability and Aging Policy is responsible for policy and data development, coordination, research and evaluation of policies and programs focused on the functioning and well-being of persons with disabilities and older adults. The Division is the focal point for crosscutting disability and aging collaboration within the Department and across other federal agencies. Alzheimer’s disease and related dementias and intellectual and developmental disabilities, including Autism Spectrum Disorder, are notable areas of engagement and expertise.

Helpful Information:

Reports

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Post-Acute and Long-Term Care: A Primer on Services, Expenditures and Payment Methods

ASPE awarded a small Professional Services Purchase Order to provide information to be used in the §4104(a). This Primer provides information on federal and state payment methods and sources of payments for Medicaid nursing facilities and Medicare skilled nursing facilities, home health agencies, inpatient rehabilitation and long-term care hospitals. [20 PDF pages]

Symposium on Health and Retirement Savings Accounts: Summary and Recommendations

This report summarizes feedback from issue experts to a proposal for financing long-term care services through the use of tax-advantaged Health and Retirement Savings Accounts. [14 PDF pages]

National Survey of Residential Care Facilities: Sample Frame Construction and Benchmarking Report

This report addresses the process of constructing the sample frame for the National Survey of Residential Care Facilities, how well the final sample frame matches other estimates of the number of residential care facilities (RCFs) and beds/units, final modifications to the sample design, and recommendations for conducting future surveys.

National Long-Term Care Insurance Claims Decision Study: An Empirical Analysis of the Appropriateness of Claims Adjudication Decisions and Payments

Much of the information behind the charges of critics is anecdotal and based on a relatively small number of individuals concentrated in two companies who may indeed have had legitimate grievances based on their personal experience. Yet, this information alone should not allow one to draw broad conclusions about private industry performance in general.

Congressional Report on the Feasibility of Establishing a Uniform National Database on Elder Abuse

In 2006, as part of the Tax Relief and Health Care Act of 2006, Congress directed the Secretary of HHS to conduct a study, in consultation with the Attorney General, assessing current elder abuse data collection systems and examining the feasibility of establishing a uniform national elder abuse database to improve the quality and accessibility of data (P.L. 109-432).

Survey Questions for EHR Adoption and Use in Nursing Homes: Final Report

As described in this report, the project was aimed at developing a core survey that has the sensitivity to capture change over time in nursing homes' level of automation and, whether fielded in conjunction with the NNHS or through other means, will provide a valuable snapshot of nursing home HIT use while establishing a baseline from which to track future growth.

Individuals Living in the Community with Chronic Conditions and Functional Limitations: A Closer Look

This chartbook examines the combination of chronic conditions and functional limitations as a potentially better predictor of high health care utilization. [51 PDF pages]
ASPE Issue Brief

Medicaid Contracts with Medicare Special Needs Plans Reflect Diverse State Approaches to Dually Eligible Beneficiaries

This paper is the third in a series on SNPs and their relationship to Medicaid. In the second paper of the series, we identified all states which had some kind of contractual relationship with SNPs prior to MIPPA, and classified those relationships into broad categories.

State Long-Term Care Partnership Insurer Reporting Requirements

This paper outlines the specific data elements that long-term care insurance participating in a State Partnership for Long-Term Care must provide to the Department of Health and Human Services (HHS). This system of records is required by the Deficit Reduction Act of 2005. Federal regulations supporting these data requirements were published in the Federal Register on December 18, 2008.

Substitutability Across Institutional Post-Acute Care Settings: 1998-2006

  U.S. Department of Health and Human Services