Medicaid managed care can improve the health and wellbeing of individuals with a mental health condition and/or substance use disorder. A managed care approach enhances access to and integrates services across physical healthcare, behavioral healthcare, and social supports, and promotes recovery and resiliency.
Medicaid is the largest source of funding for mental health and substance use services, and generally covers more comprehensive benefits than other payers, including non-medical supportive services. However, the current fee-for-service delivery system is fragmented and not well equipped to serve the complex needs of Medicaid beneficiaries with a mental health and/or substance use disorder, especially the 60 percent who also have a co-occurring chronic physical health condition.
Increasingly, states are turning to managed care as a solution for these Medicaid beneficiaries. Managed care organizations (MCOs) have made significant investments in their approach to mental health and substance use services to ensure members receive holistic, integrated services and supports.
- Mental health and substance use disorders
- Approach of MCOs to improve individuals’ experience
- Designing a successful managed care program