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


The most common use of the Medicaid waiver authorities in mental health services has been to permit states to implement managed behavioral health service delivery systems. In a few states where 1115 demonstration waiver programs are operated, states have used the broader flexibility afforded in such waivers to restructure the delivery of services to individuals with serious mental illnesses but not to implement managed care delivery models.

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