Administration of Mental Health Services by Medicaid Agencies

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Table A.2: Services Defined as Medicaid Mental Health Services for Rate-setting or State Budgeting Purposes,continuedStateInpatient 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 25Michigan Yes Yes Yes Yes No No Yes YesMinnesota Yes No Yes Yes No Yes Yes NRMississippi Yes Yes 1 Yes Yes 4 Other 5 Yes Yes YesMissouri Yes Yes 1 Yes Yes Yes Yes Yes 6 YesMontana Yes Yes 1 Yes Yes Yes Yes Yes YesNebraska Yes Yes Yes Yes Yes Yes Yes YesNevada Yes Yes Yes Yes Yes Yes Yes YesNew Hampshire Yes No Yes Yes Yes Yes Yes NoNew Jersey No Yes Yes Yes 7 No No Yes NoNew Mexico Yes Yes Yes Yes No No Yes YesNew York Yes Yes Yes Yes Yes Yes Yes YesNorth Carolina Yes Yes Yes Yes Yes Yes Yes NoNorth Dakota Yes Yes Yes Yes Yes Yes Yes YesOhio Yes No No Yes Yes Yes No NoOklahoma Yes Yes Yes Yes Yes Yes Yes NoOregon Yes Yes Yes Yes No Other Other NRPennsylvania Yes Yes Yes Yes No Yes Yes YesRhode Island Yes Yes Yes Yes 8 Yes Yes Yes YesSouth Carolina No Yes 1 Yes Yes 1 No Yes Yes NoSouth Dakota Yes Yes No Yes Yes Yes No NoTennessee Yes Yes Yes Yes Yes Yes Yes NROtherservicesSee notes at end of table. Continued70 Administration of Mental Health Services by Medicaid Agencies
Table A.2: Services Defined as Medicaid Mental Health Services for Rate-setting or State Budgeting Purposes,continuedStateInpatient 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 25Texas Yes Yes Yes Yes Yes Yes Yes YesUtah Yes Yes Yes Yes No Yes Yes YesVermont Yes Yes Yes Yes Yes Yes Yes YesVirginia Yes Yes Yes Yes No Yes Yes NRWashington Yes Yes Yes Yes Yes Yes Yes NoWest Virginia No Yes Yes Yes No No Yes NoWisconsin Yes Yes Yes Yes No No Yes YesWyoming Other 9 Yes 1 Yes Yes Yes Yes Yes YesOtherservicesNR = No response1Up to age 21.2Psychotropic drugs are covered medical services. However, antipsychotic drugs are reported separately as mental health services for informational purposes.3The State mental health authority administers all Medicaid mental health services and sets all rates.412 visits per year.5General physicians are not allowed to bill for psychological services.6For some services.7Only psychologists and community mental health clinics.8Adults are limited to psychiatrist, hospital outpatient, or community mental health center.9Acute stabilization only.Administration of Mental Health Services by Medicaid Agencies 71
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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
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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
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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 and 82: Table A.1: Medicaid Mental Health S
Page 83: 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
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