The programs highlighted in this report each chose to include large segments of the state's population. In some states, both Medicaid-eligible and non-Medicaid-eligible adults have been included in statewide system redesign efforts; other states have targeted efforts to Medicaid beneficiaries only. One state, Tennessee, chose to integrate the full range of physical, behavioral, and long-term services and supports under a single managed care contract, whereas other states chose to retain separate managed care contracts for physical and behavioral health services but have mechanisms and efforts underway to strengthen care coordination.
Some states are undertaking efforts to broaden the types of services and supports available to individuals with behavioral health conditions. An important component of each program involves connecting consumers with a variety of state-funded and community-funded social services such as housing assistance and employment services. Both Louisiana and Tennessee are working to incorporate managed care techniques into the provision of supportive housing. TennCare offers a supportive housing benefit to people with SMI who would otherwise not be able reside in their communities. In Louisiana, Magellan anticipates assuming responsibility for the management of a supportive housing program, which will serve approximately 3,300 individuals.