Medicaid Resources

NEW Resources

Accessing Medicaid Funds for School-Based Mental Health Services
Over the past several decades, our national public education system has seen a shift in responsibility for meeting student needs. Beyond education, schools are providing an increasing scope of mental and behavioral health services. While less than 20% of school-aged youth needing mental health services actually receive them, the majority of those that do receive mental health services receive them through the schools.1

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Medicaid Coverage of Social Interventions: A Road Map for States

Extensive research demonstrates the impact of social factors—such as income, access to food and housing, and employment status—on the health and health outcomes of Americans, particularly lower-income populations. These findings are not lost on federal and state officials who seek to provide Medicaid beneficiaries with quality, cost-effective care. In developing strategies to address both the med­ical and social determinants of health, states face several challenges, including, primarily, how to provide a revenue stream to cover the cost of the social services. After all, Medicaid is first and foremost a health insurance program. Nonetheless, under some circumstances, Medicaid is available to cover the costs of social service interventions linked to the health of Medicaid enrollees.

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Integrating Behavioral Health into Medicaid Managed Care: Design and Implementation Lessons from State Innovators

Medicaid enrollees with behavioral health needs have a high prevalence of chronic conditions and are often
frequent users of physical and behavioral health services. This brief, made possible by Kaiser Permanente
Community Benefit, provides insights from Medicaid officials and health plan representatives in five states
— Arizona, Florida, Kansas, New York and Texas — that are pursuing innovative approaches to integrate
behavioral health services within a comprehensive managed care arrangement.

To read more, Benefits of Medicaid Expansion – ASPE Issue Brief

Across the country, state and local officials are increasingly focused on improving health outcomes for people living with mental illness or substance use disorders. This brief analyzes national data on behavioral health and reviews published research focused on how Medicaid expansion under the Affordable Care Act advances the goal of improving treatment for people with behavioral health needs.

Benefits of Medicaid Expansion

The Medicaid Home and Community-Based Services Settings Rules: What You Should Know
In January 2014, the Centers for Medicare & Medicaid Services (CMS) announced new rules that will potentially have a far-reaching and positive impact on the nature of residential and day service settings funded through Medicaid as part of Home and Community Based Services (HCBS). The final settings rules took into account thousands of public comments reflecting a wide range of perspectives that were gathered over five years.
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