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U.S. Department of Health and Human Services Department of Health and Human Services
Substance Abuse and Mental Health Services Administration

Substance Abuse & Mental Health Services Administration

Last Updated: 2/25/2014

SAMHSA’s Resource Center to Promote Acceptance,
Dignity and Social Inclusion Associated with
Mental Health (ADS Center)


Time to Get Insured: Learn the Who, What, Why, and How to Enroll in Health Insurance through the Medicaid Expansion or the State or Federal Marketplace

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  • Ron Manderscheid, Ph.D., Executive Director of the National Association of County Behavioral Health and Developmental Disability Directors and Adjunct Professor in the Department of Mental Health at the Johns Hopkins University Bloomberg School of Public Health.
  • Adela Flores-Brennan, J.D., Assistance Network Manager with Connect for Health Colorado.
  • Nyi Myint, M.S.W., M.B.A., LCSW-A, LCAS-A, Navigator Project Manager with Project Jumpstart of the Alcohol/Drug Council of North Carolina.

Teleconference Overview

Enrollment in health insurance under the Affordable Care Act is in full swing. Health insurance coverage is now accessible for many Americans through either the new Medicaid expansion or the new health insurance marketplaces—and both require coverage for mental health and substance use conditions with parity to coverage for physical health conditions.

The Medicaid expansion is being offered by 25 States and the District of Columbia
( This coverage is different from traditional Medicaid and available to any individual or family making less than 133 percent of the Federal poverty level (FPL), regardless of age or disability. The Health Insurance Marketplace is available in every State and the District of Columbia to individuals and small businesses. Some States are allowing the Federal Government to operate the Marketplace in their State, while others are running it themselves ( Regardless of the State you live in, subsidies are available to individuals and families who make between 100 and 400 percent of the FPL. This health insurance is more affordable than the insurance most Americans previously were able to buy.

The Affordable Care Act requires that all Americans have insurance in 2014 or else pay a penalty. To get covered and avoid this penalty, all are encouraged to learn what types of coverage and financial subsidies they are eligible for and make sure they are covered by the end of the open enrollment period on March 31, 2014.

This teleconference will provide easy-to-understand, practical “how-to” information about insurance and subsidies you may be eligible for, how to enroll in the insurance that is best for you, what you'll need to enroll, the timeline of enrollment, how to obtain assistance with enrollment, and other key topics to assist you in obtaining affordable, comprehensive health coverage in 2014.

Join us to learn how to navigate the new insurance landscape and better equip yourself to enroll yourself, your family, your clients, or your loved ones in the new coverage available under the Affordable Care Act.

Learning Objectives:

  • Learn about the two new types of health insurance now available to Americans through the Medicaid expansion and Health Insurance Marketplace and understand what types of coverage are available in your State and the type of insurance benefits and subsidies to which you are entitled.
  • Learn the different methods of enrollment available to you and how to obtain help when you need it. Experts working on enrollment will provide examples of available resources in their States and how you can learn about the resources and one-on-one help available to you in your State.
  • Learn what information you need to have handy in order to enroll and the timeline for coverage once you have filled out the insurance application.

Target Audiences:

  • People in recovery from mental health, substance use, and trauma-related challenges, especially those who currently lack insurance through Medicaid or their employer
  • Families and friends of those in recovery who lack health insurance
  • Mental health and substance use treatment service providers
  • Leaders of community- and faith-based organizations
  • Healthcare providers
  • Federal, State, and local policymakers and officials interested in health insurance coverage

Speaker Biographies:

Ron Manderscheid, Ph.D., serves as Executive Director of the National Association of County Behavioral Health and Developmental Disability Directors (NACBHDD). The NACBHDD represents county and local authorities in Washington, DC, and provides a national program of technical assistance and support. Concurrently, he is Adjunct Professor in the Department of Mental Health at the Johns Hopkins University Bloomberg School of Public Health, and Immediate Past President of ACMHA—The College for Behavioral Health Leadership. Dr. Manderscheid serves on the boards of the Employee Assistance Research Foundation, the Danya Institute, the FrameWorks Institute, the Council on Quality and Leadership, the International Credentialing and Reciprocity Consortium, and the National Research Institute. He also serves as Co-Chair of the Coalition for Whole Health. Previously, he was Director of Mental Health and Substance Use Programs at the Global Health Sector of SRA International and held several leadership roles in the U.S. Department of Health and Human Services (HHS). Throughout his career, he has emphasized and promoted peer and family concerns. During the national healthcare reform debate under the Clinton Administration, he served as Senior Policy Advisor on National Health Care Reform in the HHS Office of the Assistant Secretary for Health. At the same time, he was a member of the Mental Health and Substance Abuse Work Group of the President's Task Force on Health Care Reform. He has continued this work in support of the implementation of the Affordable Care Act of 2010. His writing and editing credits include co-editing a new text, Outcome Measurement in the Human Services: Cross-Cutting Issues and Methods in the Era of Health Reform, and preparing a monthly commentary for Behavioral Healthcare. He has received many awards, including the HHS Secretary's Distinguished Service Award in five different years; the American Public Health Association's Mental Health Section Award; and the National Association of State Mental Health Program Directors’ Career Distinguished Service Award.

Adela Flores-Brennan, J.D., joined Connect for Health Colorado in November 2012 as the Assistance Network Manager. She is responsible for implementing statewide programs for local application and enrollment assistance. She comes to the Marketplace from the Colorado Center on Law and Policy. While there she spent more than 5 years working on a range of health policy, Federal policy, and legal issues including health reform implementation, and Medicaid and Children’s Health Insurance Program eligibility and enrollment issues. She also spent 3 years working on tax and budget policy. Ms. Flores-Brennan has 12 years of experience in law and public policy in Colorado and is a graduate of the University of Colorado School of Law. She also received bachelor's and master's degrees in international studies from the University of Denver.

Nyi Myint, M.S.W., M.B.A., LCSW-A, LCAS-A, is Navigator Project Manager with Project Jumpstart of the Alcohol/Drug Council of North Carolina (ADCNC). Project Jumpstart is supported by a grant from the Centers for Medicare and Medicaid Services awarded to the ADCNC in August 2013 to provide Affordable Care Act Navigation services specifically to people in recovery in North Carolina. The project is providing outreach to people and assisting them with enrolling in the Federal Health Insurance Marketplace. Mr. Myint is providing leadership to the project’s network of navigators, who are primarily people in recovery or clinical specialists in behavioral health who are committed to improving people’s access to whole-health services through access to healthcare insurance. Mr. Myint joined the staff of the ADCNC in 2013, becoming the Clinical Program Manager on a project that provides no-cost substance abuse assessments and brief intervention services to members of the North Carolina National Guard. He has worked clinically as a substance abuse counselor at the Freedom House Recovery Center.  He is also a paramedic and trained in the treatment of posttraumatic stress disorder. Mr. Myint served in the U.S. Army for 25 years, retiring at the rank of major to pursue a career in human services. He is a veteran of Operation Desert Storm and Operation Iraqi Freedom, and he did a tour of duty in Bosnia. He has a master of business administration from Pfeiffer University, a master of social work degree from the University of North Carolina at Charlotte, and a graduate certificate in substance abuse from the School of Social Work of the University of North Carolina at Chapel Hill.

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This Web site was developed under contract with the Office of Consumer Affairs in SAMHSA’s Center for Mental Health Services. The views, opinions, and content provided on this Web site do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS. The resources listed in this Web site are not all-inclusive and inclusion on this Web site does not constitute an endorsement by SAMHSA or HHS.