April 18, 2024

How States Are Using Medicaid Waivers to Help Incarcerated Individuals Get Care and Transition Back into Their Communities 

Compared to the general population, individuals who are incarcerated have higher rates of mental illness, substance use disorder, and chronic disease. However, the federal “inmate exclusion” policy prohibits Medicaid coverage for people who are incarcerated (except for limited inpatient hospital services). When people leave incarceration, they are at greater risk of overdose death and suicide, as well as hospitalization and emergency department use. In a new explainer, KFF examines a new waiver opportunity that allows states to request a partial waiver of the inmate exclusion policy from the Centers for Medicare and Medicaid Services (CMS) to help smooth individuals’ transitions back into the community with “reentry services.” These services aim to improve health care transitions, increase continuity of health coverage, reduce disruptions in care, improve health outcomes, and reduce recidivism rates. Read more here.

Related: CSG Justice Center: 50 States, 1 Goal - Examining State-Level Recidivism Trends in the Second Chance Act Era

During Second Chance Month, HRSA Takes Policy Action, Releases First-Ever Funding Opportunity for Health Centers to Support Transitions in Care for People Leaving Incarceration

Last week, HHS took new policy action and announced the availability of $51 million for the first-ever funding opportunity for HRSA-funded health centers to implement innovative approaches to support transitions in care for people leaving incarceration. This action explicitly supports the provision of health services to individuals during the 90 days prior to their release to help them return to the community by expanding access to primary health care, including mental health and substance use disorder treatment, furthering public health and strengthening public safety. HRSA’s updated policy makes clear that health centers can provide health services to incarcerated individuals who are expected to be or are scheduled for release from a carceral setting within 90 days to help ensure continuity of care as people move home to the community. Read more here.

New Grant Opportunities from the Mother Cabrini Health Foundation

The 2024 application process for the Mother Cabrini Health Foundation is open through April 25, 2024. Established in 2018, the Mother Cabrini Health Foundation (MCHF) provides grants to improve the health and well-being of vulnerable New Yorkers, bolster the health outcomes of diverse communities, eliminate barriers to care, and bridge gaps in health services across New York State. MCHF focuses on four key areas: Access to health care; Basic needs; Health care workforce; Mental and behavioral health.

2024 Application Timeline

  • Letters of Inquiry submission: 4/1 - 4/25 
  • Invitations for full proposals: June 2024
  • Grant decision: October and December 2024

Learn more about MCHF's grants and programs here.

Nearly 1 in 4 Adults Disenrolled From Medicaid Are Now Uninsured, Survey Finds

The first national survey of adults whose Medicaid eligibility was reviewed during the unwinding found nearly half of people who lost their government coverage signed back up weeks or months later — suggesting they should never have been dropped in the first place. While 23% reported being uninsured, an additional 28% found other coverage — through an employer, Medicare, the Affordable Care Act’s insurance marketplace, or health care for members of the military, the survey by KFF found. Read more here.

Using Medicaid to Address Young People’s Mental Health Needs in School Settings

Schools offer an invaluable opportunity for providers of mental health services to meet young people where they are — approximately 49.4 million young people were enrolled in public school in fall 2021 and seven of 10 public schools report that the number of students seeking mental health services has increased since 2020. But to address students’ needs, our schools require comprehensive mental health programs, qualified staff, and adequate funding. Medicaid and the Children’s Health Insurance Program (CHIP) insure more than 41 million children in the United States, providing them with necessary physical and behavioral health services. Read more here.

The Ripple Effects of the Adolescent Behavioral Health Crisis: Recent Trends and Impacts on American Adolescents, Families, and Society

A new United Hospital Fund analysis reveals the vast and growing toll of the adolescent behavioral health crisis and its considerable, lifelong ripple effects on medical costs, productivity, and wages. Using data from multiple nationally administered surveys, as well as analytic modeling and expertise from Boston Consulting Group (BCG), The Ripple Effects of the Adolescent Behavioral Health Crisis provides a baseline analysis of the number of adolescents in the United States, New York State, and New York City who have a behavioral health condition and which groups are disproportionately affected. It also calculates the burden of unmet need and the resulting impacts on the individual, family, and society. The report discusses approaches to tackling the crisis beyond addressing the shortage of behavioral health clinicians, including empowering non-clinical staff to connect with adolescents experiencing mild conditions, fighting against stigma surrounding behavioral health, and fostering better dialogue between families, schools, and communities.  

Related: Bringing the Hospital Home: Meeting Teens in Crisis Where They Are

A Wearable Tech Gives Pharmas & Therapists Better Feel for Changes in Mental Health

When it comes to evaluating the health of a patient, each therapeutic area has its own data-gathering tools. Think glucose monitors in diabetes and heart monitors for cardiovascular disease. But in mental health, a clinician relies on what a patient says. Self-reporting is incomplete and lacks objectivity, says George Eleftheriou, CEO and co-founder of Feel Therapeutics.

Feel is trying to bring more complete and objective data collection to the field of mental health. The San Francisco-based startup does it with wearable technology that continuously collects data and provides recommendations. Read more here.

Only Two Percent of Psychiatrists are Black, Leading Some to Creative Solutions to Fill the Void

Dr. Itoro Ibia’s patient was set to be released from a hospital in Virginia last year when she told a nurse she felt like demonic spirits were hanging around. The woman was being treated for psychosis related to a bipolar manic episode; her confession led hospital staff to believe she was delusional, Ibia said. “She was just being herself and expressing her religious view, but she was about to be detained longer in hospital for expressing those religious views,” said Ibia, a Virginia psychiatrist and fellow of the American Society of Clinical Psychopharmacologists. “The person at the hospital did not understand that. But I did.” Dr. Racquel Reid had a similar experience as a psychiatric resident. While briefing an attending physician, another resident described a patient who was talking about how police were out to get him as delusional. “That’s not psychosis,” said Reid, a Los Angeles-based psychiatrist and mental health activist who runs Radical Imagination Mental Health. “He lives in Atlanta, in a neighborhood that was being gentrified. Of course he feels like the police are out to get him.” Read more here.

Suicidal Thoughts Alarmingly Common Among Young Kids With Autism, Survey Finds

New research suggests that more than a third of children with autism ages 8 and under have had suicidal thoughts and not all of these kids are necessarily displaying warning signs. In a survey of 968 caregivers of kids with autism ages 8 to 17 across the nation, more than 40% reported that their child wanted to die. The findings were even more striking when researchers looked specifically at children ages 8 and younger. Among this group, 36.2% reported wanting to die, 35.3% reported wanting to end their own life and 18.1% reported having a suicide planned. Read more here.

Behavioral Health Parity – Pervasive Disparities in Access to In-Network Care Continue

The Mental Health Parity and Addictions Equity Act (MHPAEA) of 2008 aimed to eliminate discriminatory health plan coverage that prevents individuals from receiving effective mental health and substance use disorder treatment. MHPAEA requires that health plans not design or apply financial requirements and treatment limitations that impose a greater burden on access (that is, are more restrictive) to in-network mental health and substance use disorder benefits than plans and issuers impose on access to comparable medical/surgical benefits. In this study, Research Triangle Institute (RTI) used 2019–2021 information from one of the largest commercial insurance claims databases to evaluate a key measure of health plan benefits that indicates whether individuals can access in-network behavioral health treatment as readily as medical/surgical treatment: the rate of use of out-of-network behavioral health providers. Read the report here.

Integrated Addiction, Primary Care Shows Promise with Team Approach but Faces Billing Hurdles

When family medicine physician Dr. Jennifer Thomas started her first job after her residency, she said she had “no clue” how often she would encounter substance use disorder (SUD) needs in the primary care setting. Thomas, co-national medical director for integrated care at the Collaborative Family Healthcare Association (CFHA), is now part of the movement to better integrate SUD screenings, treatment pipelines and follow-ups into primary care. “We in integrated care should be a place, or aspire to be at a place, where behavioral health screenings and substance use screenings are part of all your visits,” Thomas told Addiction Treatment Business. “If we systematically screen the population we’ll catch folks a lot earlier and have a better chance at intervening early, decreasing morbidity mortality.” Read more here.

ALBANY: Mental health app available to first responders

ALLEGANY: Allegany County to purchase Wellsville property for new Community Services location

CAYUGA: Cayuga County officials outline growing homeless problem due to affordable housing shortage

COLUMBIA: Panel meets to address county's overdose crisis

ERIE: Surge in inmates with mental health issues spurs the need for more beds at ECMC

ERIE: City of Buffalo introduces program to help veterans get access to resources

ERIE: Two Health Care Facilities Coming to Buffalo's East Side

ERIE: 'We are removing any barrier' Child and Family Services opens new office on Buffalo's East Side

ESSEX: Plans underway for new Lake Placid health center

GENESEE: Rainbow Resilience to bring mental health, suicide insights to the stage

GENESEE: Sheriff's Office reports increased calls for children in crisis, mental health needs

NYC: At least half of NYC’s mental health clubhouses lose funding as city bets on bigger ones

NYC: Mayor Adams, NYC Health + Hospitals to Open 16 Mental Health Clinics in New York City Public Schools

NYC: Alliance for Positive Change gets federal funding amid overdose crisis

NYC: NYC’s new ‘Project Home’ aims to provide domestic violence survivors with permanent housing more quickly

NYC: Speaker Adrienne Adams, Council Members Celebrate Opening of New Brooklyn Trauma Recovery Center as Latest Result of Council Investments in Crime Victim Services

ONONDAGA: The Mid-State Regional Partnership Center: Supporting Those Who Support Students with Disabilities

ORANGE: Independent Living establishes Darcie M. Miller Award

PUTNAM: Carmel Police Awarded $162K In 2 Grants From U.S. Justice Department

SENECA: INSIDE THE FLX: Is there a mental health crisis in the Finger Lakes? (podcast)

SCHENECTADY: Mohonasen works to expand student mental health treatment

ST. LAWRENCE: Groups give away Narcan kits, fentanyl test strips in Massena

STEUBEN: Steuben County is training schools on using Narcan, which can reverse an opioid overdose

SUFFOLK: Suffolk Sheriff's Office Launches First Annual Wellness Conference

SUFFOLK: Advocates for inclusive housing to discuss solutions 

WESTCHESTER: Governor Hochul Announces Start of Construction on 56-Unit Senior Housing Development in White Plains

New Resource: Financing Peer Recovery Support: Opportunities to Enhance the Substance Use Disorder Peer Workforce

This report explores and summarizes the financing, utilization, and regulatory structures of providing peer recovery support services (PRSS) for substance use disorder (SUD) recovery process within federal grant programs and state Medicaid programs. Based on analyses and input from an expert panel of behavioral health peer services experts, the report identifies challenges and opportunities to finance and strengthen the PRSS workforce. Read more here.

Counties directly eligible for funding to combat and prevent youth homelessness

AAP: Improving Employee Safety Through a Comprehensive Patient Behavioral Program

Study Investigates Mental Health Stigma in College Students

NYT Guest Editorial by Manhattan DA Alvin Bragg: What Martin Luther King Jr. Knew About Crime and Mental Illness

N.J. announces $12M for pilot program centered around police mental health response

To Stop Fentanyl Deaths in Philadelphia, Knocking on Doors and Handing Out Overdose Kits

JAMA: Measures of Referral vs Receipt of Social Services Among Patients With Health-Related Social Needs

5 Strategies for Improving Mental Health at Work


Connecting to Serve: Promising Practices for 988 & 911 Collaboration

April 18, 1 - 2 pm, SAMHSA

Meeting Youth Where They Are: Prevention Programming to Support Mental Health

April 18, 1 - 2:30 pm, NASMHPD

Outreach and Unsheltered Homelessness: Strategies for Health Centers and Service Providers

April 18, 2 - 3 pm, HRSA

The Clubhouse Model: Designing Communities to Empower People with Serious Mental Illness

April 18, 2 - 3:15 pm, The Better Care Playbook

The Essentials and Beyond of Perinatal Psychiatry: Psychopharmacology & Psychotherapy

April 21, 12 - 4 pm, Project TEACH

Black 365: Infiltrate, Educate, Vacate: Empowering Mental Health Professionals for Community Impact

April 22, 2 - 3:30 pm, NTTAC

Optimizing Medicare-Medicaid Integration for Dually Eligible Beneficiaries

April 23, 12:30 - 1:30 pm, Bipartisan Policy Center

Leveraging Relationships with Community-Based Organizations to Meet Health-Related Social Needs

April 24, 12 - 1 pm, CMS

Navigating Mental Health Care for Immigrant and Forcibly Displaced Communities

April 24, 12 - 1 pm, National Council for Mental Wellbeing

Understanding, Connecting & Helping Youth Mental Health Through Screening featuring MHA Oklahoma

April 24, 2 - 3 pm, NASMHPD

Clinical Intensive on Trauma-Responsive Telehealth for Children, Adolescents and their Families

April 25, 10 am - 12 pm, CTAC/MCTAC

Transforming Behavioral Health Systems through Measurement-Based Care

April 25, 1 - 2 pm, Greenspace Health

Discussion Panel: Supporting Young Adults in Reentry through Medicaid Funding

April 25, 2 - 3 pm, CSG Justice Center

Beyond the Numbers and Visuals: Building Your CBO Data-Driven Digital Marketing Strategy

April 25, 2 - 3:30 pm, SAMHSA

Training Treatment Court Teams: Navigating Harm Reduction in Drug Courts

April 29, 2 - 3:30 pm, SAMHSA's GAINS Center

Implementing Evidence-Based Strategies to Reduce Overdose Risk during Reentry

April 29, 3 - 4:30 pm, CSG Justice Center

Social Media and Health: A Primer for Health Care Practitioners and Mental Health Professionals

April 30, 11 am - 12:15 pm, Poison Control Center NYC

Is It MDD Or Bipolar Disorder?

May 1, 12 - 1 pm, PsychU

The Integrative and Systemic Approach to Substance Use Treatment: Therapeutic Tools for Mental Health Therapists

May 1, 12:30 - 1:30 pm, National Council for Mental Wellbeing

Telehealth: A Vital Piece of the Care Access Puzzle

May 1, 2 - 3 pm, NIHCM Foundation

Treatment While Unhoused: Providing MOUD to Populations Experiencing Homelessness

May 1, 3 - 4 pm, National Council for Mental Wellbeing

Implicit Bias: Using Brain Science To Understand, Recognize and Counter It

May 2, 2 - 3:30 pm, National Council for Mental Wellbeing

Screens and Young Children: Strengths-Based Approaches to Support Early Mental and Relational Health

May 8, 2 - 3:30 pm, TTAC

Consumer Perspectives on the Camden Coalition care Management RCT Study Findings

May 9, 12 - 1 pm, Camden Coalition

Beyond Stigma: Mental Health Help-Seeking Behaviors in Teens

May 9, 12 - 1 pm, The JED Foundation

2024 System of Care Virtual Summit 

May 14 - 16, 12 - 5 pm, NCCTAC

Advancing Equity in Adoption Through Innovative Provider Payments and Data-Driven Policy Changes

May 15, 1 - 2 pm, Social Current

Innovative Approaches for Improving the Transition from Hospitals to Schools: Supporting Youth During and Following a Suicide-Related Crisis

May 16, 12 - 1 pm, American Foundation for Suicide Prevention

Identifying Sexual Orientation and Gender Identity in a Death Investigation

May 16, 2 - 3 pm, OMH SPCNY

Care Coordination For Adult Patients With SMI – From Inpatient To Outpatient

May 22, 12 - 1 pm, PsychU

Translating EDI Practice Into Action: Cultural Humility

June 6, 12 - 1 pm, Social Current

4th Annual Ask a Medicaid Managed Care Plan (MMCP): Billing Event

June 11, 10 am - 3 pm, Albany Capital Center

Introduction to Psychedelics for the Treatment of Substance Use Disorder

June 13, 1 - 3 pm, National Council for Mental Wellbeing


Bureau of Justice Assistance (BJA)

HRSA Health Workforce

NYS Grants Gateway

NY Health Foundation

OASAS Procurements

OMH Procurements

OPWDD Procurements

Rural Health Information Hub - New York

SAMHSA Grants Dashboard



Executive Committee Meeting

May 1: 8 - 9 am

Quarterly LGU Billing Staff Call

May 7: 11 am - 12 pm

CLMHD Spring Full Membership Meeting

May 8 - 10, Lake George, NY

LGU Clinic Operators Meeting

May 14: 10 - 11:30 am

Membership Call

May 15: 9 - 10:30 am

Children & Families Committee Meeting

May 21: 11:30 am - 1 pm

LSP Support Session

May 23: 1 - 2:30 pm

Links to State Guidance and Updates on COVID-19

NYS Coronavirus Vaccination Information

The Conference of Local Mental Hygiene Directors advances public policies and awareness for people with mental illness, chemical dependency and developmental disabilities. We are a statewide membership organization that consists of the Commissioner/ Director of each of the state's 57 county mental hygiene departments and the mental hygiene department of the City of New York.

Affiliated with the NYS Association of Counties (NYSAC)
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