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This report is intended to describe sources of payment for behavioral health providers and types of payments (methods, units, adjustments and updates) made to inpatient, outpatient, independent practitioners, and other providers of behavioral health services. A significant focus of this report describes these same factors in terms of Medicare and Medicaid spending. [209 PDF pages]
Tto understand better the Medicare Improvements for Patients and Providers Act (MIPPA) mandate for state Special Needs Plans (SNPs) contracting, it is important to understand the current status SNP contracting with state Medicaid agencies for their dually eligible members.
The randomized design of the evaluation of the national Cash and Counseling Demonstration enables researchers to rigorously analyze costs under traditional and consumer-directed approaches.
This project, which resulted in both a key highlights issue brief and a full report, examines how a state's ability to fund social welfare programs affects its state spending choices on programs to support low-income populations. The project includes a two-part study of state spending on social services.
In the study described in this report, the authors used the Medicaid Statistical Information System (MSIS) files to examine the use and costs of Medicaid services for beneficiaries with mental illness in one state (New Jersey). This report includes an overview of findings on service use and costs for beneficiaries with mental illness compared with services for other Medicaid beneficiaries.
This report discusses findings from case studies of nine states Alaska, Connecticut, Iowa, Maine, Minnesota, Nebraska, Oregon, Vermont and Wisconsin operating Medicaid Buy-In programs for working persons with disabilities. At the time of this study, approximately 13,000 persons were enrolled in the programs in these nine states.