Administration of Mental Health Services by Medicaid Agencies

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Table 4: Medicaid Mental Health ProvidersState Provider definition Must be certifiedor enrolled throughthe mental healthagencyMedicaid mentalhealth providersare capped interms of yearlyreimbursementTotal 22 7 20AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict ofColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandProviders with a psychiatric ormental health designationOther definition of Medicaidmental health providerOther definition of Medicaidmental health providerProviders with a psychiatric ormental health designationProviders with a psychiatric ormental health designationProviders with a psychiatric ormental health designationProviders with a psychiatric ormental health designationProviders with a psychiatric ormental health designationProviders with a psychiatric ormental health designationOther definition of Medicaidmental health providerProviders with a psychiatric ormental health designationProviders with a psychiatric ormental health designationOther definition of Medicaidmental health providerAny provider providing amental health serviceProviders with a psychiatric ormental health designationAny provider providing amental health serviceOther definition of Medicaidmental health providerOther definition of Medicaidmental health providerProviders with a psychiatric ormental health designationAny provider providing amental health serviceProviders with a psychiatric ormental health designationYes No YesYes No NoNo Yes YesNo No NoYes No YesNo No YesNo No NoNo No YesYes Yes YesYes No NoYes No YesNo No NoNo No NoNR Yes YesNo No NoNo No NoYes 1 No NoYes No NoYes No NoYes No NoNo No YesMedicaid mentalhealth providerspaid differentlythan otherMedicaid providersSee notes at end of table.Continued22 Administration of Mental Health Services by Medicaid Agencies
Table 4: Medicaid Mental Health Providers, continuedState Provider definition Must be certifiedor enrolled throughthe mental healthagencyMedicaid mentalhealth providersare capped interms of yearlyreimbursementTotal 22 7 20MassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaProviders with a psychiatric ormental health designationOther definition of Medicaidmental health providerOther definition of Medicaidmental health providerProviders with a psychiatric ormental health designationOther definition of Medicaidmental health providerProviders with a psychiatric ormental health designationOther definition of Medicaidmental health providerAny provider providing amental health serviceProviders with a psychiatric ormental health designationProviders with a psychiatric ormental health designationProviders with a psychiatric ormental health designationProviders with a psychiatric ormental health designationAny provider providing amental health serviceOther definition of Medicaidmental health providerAny provider providing amental health serviceProviders with a psychiatric ormental health designationOther definition of Medicaidmental health providerNo No NoYes Yes YesYes No Yes 2No No NoYes 3 No NoNo No NoNo No NoNo No NoNo No NoYes No NoNo No YesNo No NoYes No YesNo No NoYes No YesNo No NoYes Yes YesProviders with a psychiatric ormental health designationYes No YesAny provider providing a Yes No Nomental health service 4Providers with a psychiatric or No No Nomental health designationProviders with a psychiatric ormental health designationNo Yes NoMedicaid mentalhealth providerspaid differentlythan otherMedicaid providersSee notes at end of table.ContinuedAdministration of Mental Health Services by Medicaid Agencies 23
Page 1: Administrationof MentalHealthServic
Page 5 and 6: AcknowledgmentsThis report was prep
Page 8 and 9: III. Medicaid Agency Collaboration
Page 10 and 11: Tables12345678Organizational Struct
Page 13 and 14: Executive SummaryState Medicaid age
Page 15 and 16: I. IntroductionState Medicaid agenc
Page 17 and 18: with Medicaid playing a more promin
Page 19: cussions of some issues raised in r
Page 22 and 23: “Single State Agency” Requireme
Page 24 and 25: Table 1: Organizational StructureSt
Page 28 and 29: services for adults ages 22 to 64 i
Page 30 and 31: Table 2: Sources of Medicaid Fundin
Page 32 and 33: Table 2: Sources of Medicaid Fundin
Page 34 and 35: Thirty-nine States classified psych
Page 38 and 39: Table 4: Medicaid Mental Health Pro
Page 40: in providing Medicaid mental health
Page 43 and 44: Table 5: Formal Reports on Medicaid
Page 45 and 46: The other agency that most commonly
Page 47: health utilization or expenditures,
Page 50 and 51: Table 7: CollaborationMental Health
Page 52 and 53: Table 7: Collaboration, continuedMe
Page 54 and 55: 3. Director MeetingsRegularly sched
Page 56 and 57: The Medicaid director in one State
Page 58 and 59: have the Medicaid agency represente
Page 60 and 61: aid and mental health work together
Page 62 and 63: A. State ClassificationsThe State c
Page 64 and 65: ■- The Medicaid agency participat
Page 66 and 67: programs and are provided in either
Page 68 and 69: 4.2 million for all States, and thr
Page 71 and 72: V. Summary and ConclusionsThe surve
Page 73 and 74: less frequent but still regularly s
Page 75: specific nature of these State-loca
Page 79 and 80: Appendix AAdditional State-by-State
Page 81 and 82: Table A.1: Medicaid Mental Health S
Page 83 and 84: Table A.2: Services Defined as Medi
Page 85 and 86: Table A.2: Services Defined as Medi
Page 87 and 88:
Table A.3: Managed Care, continuedS
Page 89:
Table A.4: Data, continuedState MMI
Page 92:
MPR Staff:■■■■■■■Lori
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Administration of Mental Health Services by Medicaid Agencies

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