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| STATE |
Column 1 STATE'S NAME FOR MEDICAID BEHAVIORAL HEALTH MANAGED CARE PLAN |
Column 2 MANAGED CARE COMPANY PROVIDING MEDICAID FUNDED BEHAVIORAL HEALTH SERVICES ON BEHALF OF STATE |
Column 3 PURCHASING AGENCY USING MEDICAID DOLLARS |
Column 4 AREA COVERED: |
Column 5 STATE'S APPROACH TO BEHAVIORAL HEALTH |
|---|---|---|---|---|---|
| ALASKA | None | NA | State Social Services Agency | NA | FFS, Grants to agencies. |
| ARIZONA | Arizona Department of Health services/Division of Behavioral Health Services. ADHS/DBHS | Multiple, 5 Regional Behavioral Health Authorities, RBHA's | SMHA | 1) Value Options-Maricopa County 2) CPSA-Pima County plus 4 Southeastern counties 3) NARBHA, Northern counties 4) PGBHA, Pinal and Gila counties 5) EXCEL, Maricopa, LaPaz and Yuma County |
PCO |
| ALABAMA | None | NA | Alabama Medicaid Agency | NA | FFS and Grants to agencies. |
| CALIFORNIA | California Department of Mental Health | County Health Department | Medi-Cal | Statewide, 58 counties, each with a single Mental Health Program | Carve out by state to MBHO. |
| COLORADO | Medicaid Mental Health Capitation Program | Multiple | Colorado Dept of Human Services | Statewide, 8 Mental Health Assessment and Service Agencies (MHASA) | Carve out by state to County MBHO. |
| CONNECTICUT | Dept. of Mental Health and Addiction Services | Multiple | Department of Social Services | Statewide, 5 Regions | Carve out by state to Local Mental Health Authorities. |
| DELAWARE | Division of Child Mental Health Services Diamond State Health Plan, Medicaid MCO | NA | Delaware Health and Social Services (DHSS) | Statewide | Integrated MCO, except children and LongTerm MH which are carve outs. |
| DISTRICT OF COLUMBIA | Medical Assistance Administration | Value Options | D.C. Department of Health | Districtwide | Three MCO's capitated, subcontract MH to Value Options. |
| FLORIDA | Prepaid Mental Health Plan (PMHP) | Florida Health Partners Inc. | Agency for Health Care Administration, Health and Human Services | 5 counties around Tampa (Area 6) | Under MC, then carved out with cap rate for providers and a percentage cap rate for Managed Care company. |
| GEORGIA | None | NA | NA | NA | NA |
| HAWAII | Hawaii Quest | Six Managed Care Companies | Hawaii Department of Health and Human Services | All six plans on Oahu, at least two plans on each of other islands | Basic mental health care via MCOs. Carve out for severe illness, child and adult. |
| IDAHO | None | NA | Idaho Dept. of Health and Welfare, Div. of Medicaid | NA | FFS only. |
| ILLINOIS | Medicaid Managed Care | 5 MCOs in Cook county, one MCO (Harmony), in other 8 counties | Illinois Department of Public Assistance | Nine counties, including Cook County | MCO is capitated but behavioral health benefit is limited. If care exceeds benefit, MCO must help client arrange care through a comprehensive MH clinic. |
| INDIANA | Hoosier Healthwise | 6 MCOs in various areas. | Indiana Family and Social Services Administration | Statewide | Carve out via MCOs. Separate programs for sever Mental illness and corrections dept. |
| IOWA | Iowa Plan for Behavioral Health | Magellan | NA | Statewide | NA |
| Iowa Plan for Behavioral Health | Magellan | Department of Human Services | Statewide | Under Medicaid, then carved out. | |
| KANSAS | None | NA | NA | NA | All mental health is FFS. |
| KENTUCKY | None | NA | Kentucky Cabinet for Health Services. Department of Medicaid Services | NA | All mental health is FFS. |
| LOUISIANA | None | NA | Bureau of Health Servicies Financing Louisiana Medicaid | NA | Behavioral Health Care is excluded from Managed Care. |
| MAINE | None | NA | Department of Human Services, Bureau of Health Services | NA | No mental health Managed care. All FFS. |
| MARYLAND | Specialty Mental Health System (SMHS) | Maryland Health Partners | Mental Hygiene Administration (MHA) | Statewide | Carve out - separate managed fee-for-service system. |
| MASSACHUSETTS | MassHealth | Multiple Health Plans (MCOs), though not listed separately. | Massachusetts Division of Medical Assistance. | statewide | Integrated MCO. |
| MICHIGAN | mihealthCard is the access card for all of Medicaid. There are a number of programs and all include Behavioral Health Managed Care Benefits, including Medicaid, Emergency Medicaid, Childrens Special Health Services and Adult Benefits Waivers | Multiple MCOs. Behavioral Health service provided by Community Mental Health Services Corporations(CMHSP) | Michigan Department of Community Health | Statewide. CMHSP listed by county. MCO listed by regions (at least 2 per region) | Integrated MCOs plus specialty Managed Behavior Health Programs. |
| MINNESOTA | Medical Assistance, Minnesota Health Care Programs | Multiple MCOs each with a portion of Medicaid population. | Minnesota Department of Human Services | Statewide, except 7 counties (future implementation) | Integrated MCOs. Varies from one to five MCOs available per county. |
| MISSISSIPPI | None | NA | Division of Medicaid, Office of the Governor | NA | NA |
| MISSOURI | MC+Managed care Program | Multiple MCOs in three regions of state | Department of Social Services | Three most populous regions of the state. | Capitated to MCO which can either provide services internaly or subcontract to managed behavioral health company. |
| MONTANA | None. Managed care program is called: PASSPORT To Health (a PCCM program). | None | Montana Department of Health & Human Services, Public Health & Safety Division | Statewide | Integrated - services provided by Passport providers. |
| NEBRASKA | Behavioral Health/Substance Abuse Services | Magellan Behavioral Health Care, Inc. | Nebraska Health and Human Services System | Statewide | Carve out |
| NEVADA | None | Nevada Care; Health Plan of Nevada | Nevada Department of Human Resources, Division of Health Care Financing and Policy | Statewide program with Medicaid HMOs in specific localities | Integrated |
| NEW HAMPSHIRE | None | None | New Hampshire Department of Health and Human Services | Statewide program | Integrated |
| NEW JERSEY | None | 5 Managed Care Organizations: AmericChoice; AmeriGroup NJ; Horizon Mercy; Health Net of New Jersey, Inc; University Health Plans | New Jersey Department of Human Services, Medical Assistance and Health Services | Statewide program | Integrated |
| NEW MEXICO | None | 3 Managed Care Organizations: Cimarron, Lovelace, Presbyterian | New Mexico Human Services Department - Medical Assistance Division | Statewide program | Integrated |
| NEW YORK | None | Varies by county | New York State Department of Health | Specific counties | Integrated |
| NORTH CAROLINA | None. | Healthcare Connection (Mecklenburg County only) | North Carolina Department of Health and Human Services, Division of Medical Assistance | PCCM program (called Carolina ACCESS) in all counties except Mecklenberg County (MCO risk contract) | Integrated |
| NORTH DAKOTA | None | AltruCare (Grand Forks County only) | North Dakota Department of Human Services | Managed care option in Grand Forks County only | Integrated |
| OHIO | None | Varies by county - see website | Ohio Department of Job and Family Services | Statewide - managed care available in some counties as voluntary, in other counties as mandatory | Integrated |
| OKLAHOMA | None | None | NA | Statewide | Integrated |
| OREGON | None - part of the Oregon Health Plan | Varies by county - see website | Oregon Department of Human Services | Statewide program - health plans and mental health plans (via Mental Health Organizations - MHOs) vary by county. | Some integrated, some carved out depending on patient's location and other factors. |
| PENNSYLVANIA | Behavioral HealthChoices | Varies by county - see website | Pennsylvania Department of Public Welfare, Office of Medical Assistance Programs (OMAP) & Office of Mental Health & Substance Abuse Services (OMHSAS) | Statewide with variations by county | Carve out in mandatory program (HealthChoices). |
| RHODE ISLAND | None | None | Rhode Island Department of Human Services | Statewide | Integrated |
| SOUTH CAROLINA | None | None | South Carolina Department of Health and Human Services | Statewide | Integrated |
| SOUTH DAKOTA | None | None | South Dakota Department of Social Services | Statewide | Integrated |
| TENNESSEE | TennCare Partners Program | Behavioral Health Organizations: Premier Behavioral Systems of Tennessee & Tennessee Behavioral Health, Inc. | Bureau of TennCare | Statewide | Carve out |
| TEXAS | None | None | Texas Health and Human Services Commission | Managed care in specific counties | Integrated |
| UTAH | Referred to as a "Prepaid Mental Health Plan" | Varies by county | Utah Department of Health & Utah Department of Workforce Services | Specific counties. Managed care plans in Salt Lake, Utah, Davis and Weber counties. | Subcapitated. Medicaid agency contracts with managed health care organization for medical and mental health services. In most areas of state, mental services must be provided by a "Prepaid Mental Health Plan (PMHP)". |
| VERMONT | None | None | Vermont Agency of Human Services; Department of Prevention, Assistance, Transition and Health Access (PATH) - formerly the Department of Social Welfare | Statewide program | Integrated - services provided under fee-for-service and Primary Care Case Management approach. |
| VIRGINIA | Behavioral health services covered in "Medallion" - includes "Options" (voluntary HMO) and "Medallion II" (mandatory HMO) | Varies by counties and cities - see web site | Virginia Department of Medical Assistance (DMAS) | Statewide program with Medicaid HMOs in specific localities | Integrated |
| WASHINGTON | None | 7 different health plans - see web site | Department of Social and Health Services, Medical Assistance Administration | Statewide program with different health plans | Integrated |
| WEST VIRGINIA | None | None | West Virginia Health & Human Services | Statewide program | Behavioral health services are accessed under fee-for-service. |
| WISCONSIN | None | 13 HMOs in 66 counties - see web site for specifics | Wisconsin Department of Health & Family Services | Statewide program with Medicaid HMOs in specific localities | Integrated |
| WYOMING | None | None | Wyoming Department of Health | Statewide program | Integrated |
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