Resources for Advocates

• Guides to Making Managed Care Work
• Policy Issue Briefs
• Other Papers and Publications

Guides to Making Managed Care Work

The Bazelon Center has prepared a series of guides on the subject for:

• Mental health consumers
• Children with mental, emotional or behavioral disorders and their families
• Legal advocates

Policy Issue Briefs

• Issue Paper #1: Defining "Medically Necessary" Services to Protect Plan Members (HTML)
  Issue Paper #1: Defining "Medically Necessary" Services to Protect Plan Members (PDF)
• Issue Paper #2: NCQA Standards (PDF)
• Issue Paper #3: An Evaluation of State EPSDT Screening Tools (HTML)

You will need the free Acrobat Reader to view files in PDF format.

Other papers in this series available through our publications page, include:

• Assessing Report Cards
• Customer Satisfaction in Children's Services

Other Papers and Publications

• Partners in Planning: Consumers' Role in Contracting for Public-Sector Managed Mental Health and Addiction Services, a technical assistance guide, can be purchased from our Bookstore or downloaded from SAMHSA's site: http://www.samhsa.gov/mc/managed%20care%20contracting/pip/contents.htm
• Prescription Drugs: A survey of how Medicaid formulary policies affect access to high-cost mental health medications.
• Effective Public Management of Mental Health Care: Views from States on Medicaid Reforms That Enhance Service Integration and Accountability is a report prepared by the Bazelon Center for the Milbank Memorial Fund, distilling the experience of senior officials in various states.

Additional Resources

• The Center for Health Care Strategies has extensive resources on managed care, including reviews of Medicaid managed care contracts in most states.
• Managed Care Central, an on-line resource by Families USA
• The National Clearinghouse on Managed Care and Long-Term Support and Services for People with Developmental Disabilities and their Families
• SAMHSA's managed care page
• Dr. John Grohol's article Why Managed Care Hurts You