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How Medicaid Agencies Administer Mental Health Services

Armen Hareyan's picture

A new report provides a state-by-state analysis of how Medicaid agencies are exercising their responsibilities for mental health services.

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Administration of Mental Health Services by Medicaid Agencies combines the results of a series of hour-long telephone interviews conducted in 2005-2006 with State Medicaid directors in all 50 states and the District of Columbia. The report explores how state Medicaid agencies are addressing the organization, funding, policy, management and data issues that arise from increased responsibility for mental health services.

Medicaid is now the primary payer of mental health services in the nation. This report, which was issued by the Survey, Analysis, and Financing Branch of CMHS, represents the first time that comprehensive information
Findings from the report indicate that states have taken varying approaches. Some states have chosen to have the Medicaid agency retain full administrative responsibility for all mental health services if they are funded with Medicaid dollars and provided to Medicaid enrollees. Other States have chosen to share those responsibilities in different ways with mental health or other agencies in the state. Findings from the report include: