Implementation of Medicaid Managed Mental Health Care in Iowa: problems and solutions.
J Behav Health Serv Res
; 25(3): 293-9, 1998 Aug.
Article
en En
| MEDLINE
| ID: mdl-9685748
ABSTRACT
Under the terms of a 1915(b) waiver, Iowa implemented a statewide carve-out program in 1995 for the management of mental health services for Medicaid recipients by contracting with a private for-profit corporation. In this commentary, the strategy used to develop the Medicaid managed care contract in Iowa is briefly summarized. Problems that were encountered in program implementation and regulatory attempts to address those issues are described. Suggestions for other states regarding the development, implementation, and oversight of contracts for managed care so that they might be able to deliver comprehensive mental health care services with acceptable standards of care quality are offered. By including appropriate contract specifications, providing mechanisms for oversight, and enforcing standards of care in Medicaid managed care contracts, many problems that occurred in Iowa may have been minimized or avoided. This experience can provide a valuable lesson for similar program initiatives in other states.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Privatización
/
Programas Controlados de Atención en Salud
/
Medicaid
/
Servicios de Salud Mental
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Behav Health Serv Res
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
/
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Año:
1998
Tipo del documento:
Article
País de afiliación:
Estados Unidos