Using Medicaid to Support Working Age Adults with Serious Mental Illnesses in the Community: A Handbook. Annotated Bibliography


Bazelon Center for Mental Health Law and Milbank Memorial Fund (2000). Effective Public Management of Mental Health Care: Views from States on Medicaid Reforms That Enhance Service Integration and Accountability. New York: Milbank Memorial Fund. Available at

This report distills the experiences of senior state and local government officials in adapting managed care techniques to meet the needs of persons with mental illnesses, especially severe and chronic illnesses. The report provides especially balanced perspectives concerning the application of managed care to mental health services, including its potential positive contributions and drawbacks. The report also identifies how managed care techniques can be employed in mental health services while stopping short of a state's contracting services out to a behavioral health organization.

U.S. General Accounting Office (1999). Medicaid Managed Care: Four States' Experiences with Mental Health Carve Out Programs. Washington, D.C. GAO Report: GAO/HEHS-99-118

This report examined the Colorado, Iowa, Massachusetts and Washington Medicaid mental health carve out programs. The report provides useful information concerning operational issues in such programs.

Forquer, S.L, and Sabin, J.E. (2002). Medicaid Behavioral Managed Care: What Lies Ahead. Princeton, NJ: Center for Health Care Strategies, Inc. Available at

This Working Paper summarizes interviews with 33 national experts on managed behavioral health care, outlining lessons learned from the last decade of managed care and offering predictions for the future. The Center for Health Care Strategies has conducted extensive examinations of Medicaid managed care delivery systems.

Savela, T., Robinson, G. and Crow, S. (2000). Contracting for Public Mental Health Services: Opinions of Managed Behavioral Health Care Organizations. (DHHS Publication No. [SMA] 00-3438). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration. Available at

This publication distills the experiences and recommendations of private sector behavior health organizations concerning Medicaid managed care carve outs for behavioral health services.

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