Administration of Mental Health Services by Medicaid Agencies

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Table A.3: Managed CareStateState contracts with a BHO or an ASO formental health service delivery 1Total 26 34Alabama No Other 2Alaska No Other 2Arizona Yes YesArkansas No NoCalifornia No YesColorado Yes YesConnecticut Yes 3 YesDelaware Yes NoDistrict of Columbia No YesFlorida Yes YesGeorgia Yes YesHawaii Yes YesIdaho No NoIllinois No NoIndiana No YesIowa Yes YesKansas No YesKentucky No YesLouisiana No NoMaine No NoMaryland Yes YesMassachusetts Yes Yes 4Michigan Yes YesMinnesota No NoMississippi No Other 2Missouri Yes YesMontana No NoNebraska Yes YesNevada Yes YesNew Hampshire No NoNew Jersey No YesNew Mexico Yes YesNew York No YesNorth Carolina Yes YesNorth Dakota Yes 5 NoOhio No YesOklahoma No NoMental health services or populations carvedout of managed careSee notes at end of table.Continued72 Administration of Mental Health Services by Medicaid Agencies
Table A.3: Managed Care, continuedStateState contracts with a BHO or an ASO formental health service delivery 1Total 26 34Oregon Yes YesPennsylvania Yes YesRhode Island Yes YesSouth Carolina No YesSouth Dakota No NoTennessee Yes NoTexas Yes YesUtahVermont Yes 6 Yes 6Virginia No Yes 7Washington Yes 8 YesWest Virginia Yes YesWisconsin No YesWyoming No Other 2Mental health services or populations carvedout of managed careYes1Behavioral managed care organization (BHO) or administrative services organization (ASO).2Not applicable; no Medicaid managed care for any services in the State.3For Family Medicaid only.4Mental health services are carved out of the primary care case management program but not carved out of the fully capitated managed care program.5Behavioral and physical health covered by one managed care organization.6The Medicaid agency contracts with the mental health agency to provide care to adults with severe persistent mental illness, who are carved out of primary care case management.7Outpatient services are provided by managed care organizations, while mental health rehab services are carved out.8The State contracts with regional support networks, which in turn subcontract with BHOs.Administration of Mental Health Services by Medicaid Agencies 73
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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
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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 and 84: Table A.2: Services Defined as Medi
Page 85: Table A.2: Services Defined as Medi
Page 89: Table A.4: Data, continuedState MMI
Page 92: MPR Staff:■■■■■■■Lori
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