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A Technical Assistance Publication (TAP) is being developed for CSAT/SAMHSA that will present information valuable to all those who are involved in developing requests for proposals (RFPs) and contracts with managed care organizations (MCOs) for mental health and substance abuse (MH/SA) treatment. The primary focus of this document will be to provide a hands-on and pragmatic guide for conceptualizing, developing, and monitoring contracts for publicly funded managed MH/SA services.

The following selected bibliography serves as a resource for those interested in becoming more knowledgeable about developing RFPs and contracts for mental health and substance abuse services in the managed care arena.

Agency for Health Care Policy and Research (AHCPR). Medical Necessity: A Symposium on Policy Issues, Implemented Challenges and Tough Choices. Proceedings. Washington, DC: April 28, 1995.

American Managed Behavioral Healthcare Association. Performance Measurement Systems 1.0 (PERMS 1.0). Washington, DC: American Managed Behavioral Healthcare Association, 1995.

American Society of Addiction Medicine (ASAM). Patient Placement Criteria for the Treatment of Substance-Related Disorders , second edition. Chevy Chase, MD: American Society of Addiction Medicine, Inc. 1996.

Bazelon Center for Mental Health Law. Assessing Approaches to Medicaid Managed Behavioral Health Care. Washington, DC: Bazelon Center for Mental Health Law, 1996

Bazelon Center for Mental Health Law. Managed Managed Care for Publicly Funded Mental Health Services . Washington, DC: Bazelon Center for Mental Health Law, 1995.

Bergthold, Linda. "Medical Necessity: Do We Need It?" Health Affairs 14, no. 4 (Winter 1995): 180-190.

Brooks, R.H., E.A. McGlynn, and P.D. Cleary. "Part 2: Measuring Quality of Care." New England Journal of Medicine 335, no. 13 (September 26, 1996): 966-970.

Center for Mental Health Services. MHSIP: Consumer-Oriented Mental Health Report Card. Final Report of the Mental Health Statistics Improvement Program (MHSIP) Task Force on a Consumer-Oriented Mental Health Report Card. Rockville, MD: Center for Mental Health

Center for Mental Health Services. MHSIP Mental Health Report Card Phase II . Task force progress report presented at the National Conference on Mental Health Statistics. Washington, DC: Center for Mental Health Services, 1995.

Center for Substance Abuse Treatment (CSAT). Purchasing Managed Care for Alcohol and Other Drug Treatment: Essential Elements and Policy Issues. Technical Assistance Publication 16. Rockville, MD: U.S. Department of Health and Human Services, 1995c.

Center for Substance Abuse Treatment (CSAT) . Speaking With a Common Language: Past, Present and Future Data Standards for Managed Behavioral Healthcare. Rockville, MD: U.S. Department of Health and Human Services, 1995d.

Digital Equipment Corporation. HMO Performance Standards: 1995. Maynard, MA: Digital Equipment Corporation, 1995.

Division of Medical Assistance (DMA). Commonwealth of Massachusetts, Department of Health and Human Services. Workgroup on Cultural Competence. Report and Recommendations . January 8, 1996.

Dougherty, R.H. Managed Behavioral Healthcare Procurement: Design, Financing, Procurement and Monitoring of Managed Behavioral Healthcare Plans. Washington, DC: U.S. Department of Health and Human Services, 1996.

The Evaluation Center@HSRI. Candidate Indicators for County Performance Outcomes Project . Rockville, MD: Center for Mental Health Services, 1996.

Fogle, D. Options for State/Plan Medicaid Managed Care Contracting . Washington, DC: The Medicaid Management Institute of The American Public Welfare Association, 1996.

Frank, R.G., H.A. Huskamp, T.G. McGuire, and J.P. Newhouse. "Some Economics of Mental Health 'Carve-Outs'." Archives of General Psychiatry 53 (October 1996): 933-937.

Frank, R.G. and T.G. McGuire. "Estimating Costs of Mental Health and Substance Abuse Coverage." Health Affairs 14, no. 3 (Fall 1995): 102-15.

Frank, R.G., T.G. McGuire, and J.P. Newhouse. "Risk Contracts in Managed Mental Health Care." Health Affairs 14, no. 3 (Fall 1995): 51-64.

Health Care Financing Administration (HCFA) . A Health Care Quality Improvement System for Medicaid Managed Care: A Guide for States. Washington, DC: U.S. Department of Health and Human Services, 1993.

Health Resources and Services Administration (HRSA). A Guide for Providers of Mental Health and Addictive Disorder Services in Managed Care Contracting . Prepared for HRSA by Feldsman, Tucker, Leifer, Fidell, and Bank, Inc. Working draft, 1997.

Horvath, J., and N. Kaye, eds. Medicaid Managed Care: A Guide for States , second edition. Portland, ME: National Academy for State Health Policy, 1995.

Huskamp, H. State Requirements for Managed Behavioral Health Care Carve-Outs and What They Mean for People with Severe Mental Illness . Boston, MA: The National Alliance for the Mentally Ill, 1996.

Institute of Medicine. Managing Managed Care: Quality Improvement in Behavioral Health . Volumes 1 and 2. Prepublication copy. Washington, DC: National Academy Press, 1996.

Medicaid Bureau. A Health Care Quality Improvement Systems for Medicaid Managed Care: A Guide for States . Washington, DC: U.S. Government Printing Office, 1993.

Medicaid Managed Mental Healthcare. A collaboration of the National Academy for State Health Policy and the Institute for Health Policy Brandeis University. Portland, ME and Waltham, MA: The Center for Vulnerable Populations, 1995.

Moss, S. "Should Public Sector Mental Health and Substance Abuse Funding Be Merged?" Behavioral Healthcare Tomorrow , (November/December 1995): 40-46.

National Committee for Quality Assurance. Health Plan Employer Data and Information Set 3.0 (HEDIS 3.0). Washington, DC: National Committee for Quality Assurance, 1997.

Office of Alcohol and Drug Abuse Programs, State of Oregon. ScoreCard Evaluation Tool . Salem, OR: September 1996.

Petrilla, J. "Key Advocacy Issues for Families and Consumers in Managed Behavioral Health Care Contracting." In Huskamp, State Requirements for Management Behavioral Health Care Carve-outs and What They Mean for People with Severe Mental Illness , 1996.

Public Sector Moves to Forefront of BH Services: Tracking and Monitoring Managed Behavioral Healthcare in the Public Sector. Prepared by the Policy Resource Center and Center for Health Policy Research at The George Washington University. Washington, DC: U.S. Department of Health and Human Services, 1996.

Rosenbaum, S., P. Shin, B. Smith, et al. Negotiating the New Health System: A Nationwide Study of Medicaid Managed Care Contracts, Vols. 1-2. Washington, DC: Center for Health Policy Research, The George Washington University Medical Center, 1997.

Zieman, G. L., ed. The Complete Capitation Handbook: How to Design and Implement At-Risk Contracts for Behavioral Healthcare. Tiburon, CA: CentraLink Publications in cooperation with Jossey-Bass, Inc.

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