This article studies two regions in New Mexico assessing the effects of Medicaid managed care for mental health services in rural settings.  The article concludes that Medicaid managed care has a number of undesirable consequences in rural settings and may result in the deterioration of the mental health safety net if problems with existing services and funding are not addressed.   

Willging, C. E., Waitzkin, H. & Nicdao, E. (2008). Medicaid managed care for mental health services: the survival of safety net institutions in rural settings. Qualitative Health Research, 18(9): 1231-46. http://qhr.sagepub.com/cgi/content/abstract/18/9/1231

Authors: Cathleen E. Willging, Howard Waitzkin, Ethel Nicdao