NAMI
National Alliance on Mental Illness
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Managed Care
Understanding the Issue:

CMS Releases Final Regulations on Medicare Drug Benefit, Dual Eligibles to Be "Auto-Enrolled"
1/28/2005
The Centers for Medicare and Medicaid Services (CMS) has issued final regulations implementing the new Medicare prescription drug benefit -part of the Medicare Modernization Act of 2003 (MMA).

NAMI Submits Comments to CMS; USP Issues Final Classification Listing
1/07/2005
Efforts to implement the upcoming prescription drug benefit under Medicare have picked up pace in recent weeks with the publication of new guidance for prescription drug plans on formulary guidance and access restrictions and the publication this week of final guidelines for the model therapeutic classification system. Taken together, these two announcements establish important standards for the private sector drug plans that will be offering drug coverage to Medicare beneficiaries beginning in January 2006.

Regulations for Medicare Prescription Drug Benefit Issued
8/05/2004
The first set of proposed regulations implementing the new Medicare prescription drug benefit were published on August 3. This first "Notice of Proposed Rulemaking" (NPRM) runs more than 1,300 pages and sets forth initial guidelines for the new drug benefit that will go into effect in January 2006.



NAMI's Position on the Issue:

Medicaid Funding of Mental Illness Treatment
Medicaid is now the dominant source of funding for treatment and support services for both children and adults living with severe mental illness - currently, Medicaid comprises 50% of overall public mental health spending, a figure that is expected to rise to 60% by 2010.

National Managed Care Patient Bill of Rights - WHERE WE STAND
NAMI supports health care for all persons with brain disorders that is affordable, nondiscriminatory, and includes coverage for effective and appropriate treatment.

Managed Care: A National Overview - WHERE WE STAND
NAMI supports health care for all persons with brain disorders that is affordable, nondiscriminatory, and includes coverage for effective and appropriate treatment. NAMI supports federally mandated minimum standards for health insurance coverage.



Take Action!

Contact Your Representatives about Managed Care
Use our online advocacy tool to send a letter to your congressional representatives right now and make your voice heard on this issue. Use our suggested text or compose a letter of your own.

Sign Up for E-News Alerts
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Other Resources:

State Budgets at the Crossroads
This presentation provides a detailed overview of the current budget situation that the states are faced with and what it means for mental illness services.


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