Medicaid plans typically cover the following mental health services:.A list of the mental health services typically covered by Medicaid plans in the U.S. is presented including psycho-social rehabilitation, case management, and psychiatric hospital visits....
Objectives: Medicaid is the largest payer of mental health (MH) services in the US, and more than 80% of its enrollees are covered by Medicaid managed care (MMC). States are required to establish quantitative network adequacy standards (NAS) to regulate MMC plans’ MH care access. We exami...
Medicaid is the largest single payer formental health servicesin the country, yet previous research shows that manyhealth care providerswon't accept patients covered by Medicaid—despite the fact that it serves a population disproportionately affected bymental illness. In this study, researchers document...
This study analyzed annual service use and payment data for children in racial/ ethnic subgroups in Medicaid Programs of four States, and compared service use of youth treated with mental health or substance abuse (MH/SA) conditions to youth without such conditions. In addition to geographic varia...
State Medicaid Manual. Services to individuals age 65 or older in institutions for mental diseases, §4390 and §4390.1, Health Care Financing Administration (1990). State of Connecticut Dept. of Income Maintenance v. Heckler, 471 U.S. 524 (1985). Taube, C. A. & Barrett, S. A. (Eds....
Medicaid program, focusing on: (1) the extent of beneficiary choice in capitated mental health carveouts, the range of covered mental health services, and access to these services; (2) the states' approaches to monitoring the quality of care in their Medicaid mental health carveouts; and (...
The Centers for Medicare & Medicaid Services (CMS) has finalized its rule on in-person exam requirements for Medicare coverage of telehealth-based mental health services when the patient is located at home. The Frequently Asked Questions below are based on CMS’ policies in the2022 Physician Fee...
Little is known about how well tools such as prior authorization affect use patterns and health care costs for people with mental illnesses because they have not been widely adopted by systems that serve large numbers of these patients (such as the Department of Veterans Affairs or Medicaid). Us...
作者: World Health Organization 摘要: This DataWatch analyzes the effect of the Utah Prepaid Mental Health Plan (UPMHP) on use of mental health services by and mental health treatment expenditures for Medicaid beneficiaries from July 1991 to June 1992. During this period three community mental ...
Ensuring access to and availability of short-term stay inpatient psychiatric services. With additional demand for mental health services brought about by Medicaid expansion and insurance marketplace coverage, and a corresponding need by MCEs to ensure access to services under their contracts, CMS beli...