Administration of Mental Health Services by Medicaid Agencies

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Inpatient mentalhealth—psychiatrichospitalInpatient mentalhealth—generalhospitalHome- andcommunity-basedservices469———NoNoNo———NoNoYes—————————Yes 2NoYes———NoNoYes——————NoNoNoSchool-based7services—No—No———Yes 1—No——NoRespite care10—Yes—No———Yes—No——NoTable A.1: Medicaid Mental Health Services and Spending, continuedWhich services?Individual, group,8or family therapyFamily supportservicesClinicalPhysician servicesServices ofother licensedprofessionalsMental healthclinicOutpatient hospitalservicesPartial daytreatmentPsychosocialrehabilitationTargeted casemanagementPsychiatric socialworkersResidentialtreatmentThe mentalhealth agencysets Medicaidrates for someMedicaidmental healthservicesState8psychologists—No—No———No—No——No10—No—No———No—No——Yes—Yes—No———No—No——No7—No—No———No—No——No10—Yes—No———No—No——Yes16—Yes—No———Yes—No——Yes9—No—No———No—No——Yes16—Yes—No———No—No——Yes15—Yes—No———Yes—No——Yes16—Yes—No———Yes—No——Yes13—Yes—No———No—No——Yes17—Yes—No———Yes—No——Yes25NoYesNoYesNoNoNoYesNoYesNoNoYesTotalPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming1Mental health centers contract with specific schools to provide some mental health services (not including special education).2Rates are set by both mental health and Medicaid agencies.68 Administration of Mental Health Services by Medicaid Agencies
Table A.2: Services Defined as Medicaid Mental Health Services for Rate-setting or State Budgeting PurposesStateInpatient mentalhealth services in ageneral hospitalInpatient mentalhealth servicesin a psychiatrichospitalOutpatientservices atcommunity mentalhealth centersOutpatient servicesprovided bypsychiatric ordesignated mentalhealth providersOutpatient mentalhealth servicesprovided by ageneral or familyphysicianPsychotropicdrugsServicesprovidedunder therehab optionTotal 43 46 49 49 31 39 46 25Alabama Yes Yes Yes Yes No Yes Yes NoAlaska No Yes Yes Yes Yes No Yes NoArizona Yes Yes Yes Yes Yes Yes Yes NoArkansas Yes Yes 1 Yes Yes Yes Yes Yes YesCalifornia Yes Yes Yes Yes No No Yes YesColorado Yes Yes Yes Yes Yes Other 2 Yes YesConnecticut Yes Yes Yes Yes No No Yes YesDelaware Yes Yes Yes Yes Yes Yes Yes YesDistrict of Columbia No Yes Yes Yes No Yes Yes NoFlorida Yes Yes Yes Yes No No Yes NoGeorgia Yes No Yes Yes Yes Yes Yes NoHawaii Yes Yes Yes Yes Yes Yes Yes NoIdaho Yes Yes Yes Yes Yes Yes Yes YesIllinois Yes Yes Yes Yes Yes Yes Yes NoIndiana Yes Yes Yes Yes Yes Yes Yes NoIowa Yes Yes Yes Yes Yes Yes Yes YesKansas Yes Yes Yes Yes No Yes Yes NoKentucky Yes Yes Yes Yes Yes Yes Yes YesLouisiana Yes Yes Yes Yes Yes Yes Yes NoMaine No Yes Yes Yes Yes Yes Yes NoMaryland No No Yes 3 Yes 3 No No Yes 3 NoMassachusetts Yes Yes Yes Yes No No No YesOtherservicesSee notes at end of table. ContinuedAdministration of Mental Health Services by Medicaid Agencies 69
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Administrationof MentalHealthServic
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AcknowledgmentsThis report was prep
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III. Medicaid Agency Collaboration
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Tables12345678Organizational Struct
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Executive SummaryState Medicaid age
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I. IntroductionState Medicaid agenc
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with Medicaid playing a more promin
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cussions of some issues raised in r
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“Single State Agency” Requireme
Page 24 and 25:
Table 1: Organizational StructureSt
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services for adults ages 22 to 64 i
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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 36 and 37: Table 4: Medicaid Mental Health Pro
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: Table A.1: Medicaid Mental Health S
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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