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Impact of Medicaid Managed Mental Health Care on Delivery of Services in a Rural State: An AMI Perspective

Abstract

In March 1995 Iowa implemented a statewide mental health carve-out program under a Medicaid Section 1915b waiver. A goal was to provide equal access across counties for Medicaid recipients by introducing a statewide network of service providers. Problems have included the contractor's authorizing only services considered medically necessary for persons with serious mental illness, who also need community supports; contractor staff's lack of knowledge about regional resources and the limited availability of community-based services in most rural areas; clients' difficulty in gaining access to the new system; denial of inpatient hospitalization; untimely provider payments; and lack of education for providers, consumers, and families.

This article has been cited by other articles:

				R. A. Boothroyd, D. L. Shern, and N. N. Bell The Effect of Financial Risk Arrangements on Service Access and Satisfaction Among Medicaid Beneficiaries Psychiatr Serv, March 1, 2002; 53(3): 299 - 303. [Abstract] [Full Text] [PDF]

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