Access and Utilization of New Antidepressant and Antipsychotic Medications. G. State Mental Health Systems

01/01/2000

The following criteria were used to identify four public sector mental health systems to be interviewed:

  • Complement the state Medicaid programs that were selected to be interviewed;
  • Represent geographic diversity (Southwest, Mid-Atlantic, New England, and Midwest); and
  • Operate a system either closely tied to or completely separate from its state Medicaid program.

As a result, Arizona, Maryland, Massachusetts, and Ohio were selected to be interviewed. More specifically, Arizona, Ohio, and Maryland operate separate public sector mental health systems from their state Medicaid programs. However, Arizona uses the same infrastructure as its Medicaid program and Maryland consistently collaborates with its Medicaid program. Massachusetts integrates its Medicaid and state mental health systems under a managed care framework.

State (Covered Lives, Reported by Respondent) Reason for Inclusion
Ohio (250,000)
  • Marked separation between Medicaid and state mental health system
Massachusetts (24,500)
  • Integrated Medicaid and State Mental Health System: all managed care
Arizona (102,000)
  • Marked separation between Medicaid and state mental health system in theory, but they use the same infrastructure
Maryland (Not Reported)
  • Separate state mental health system and Medicaid (managed care, but FFS), that cooperate extensively.
  • Disparity between behavioral health carve-out and physical health Medicaid managed care pharmacy coverage