Publications Available on Financing of Mental Health Services
SAMHSA recently published three reports that examine public and
private sector financing of mental health services.
- The Provision of Mental Health Services in Managed Care
Organizations reports on a nationally representative survey
of managed care organizations that examined how mental health
services were provided in 1999 and how the provision varied by
product type and contracting arrangement. The publication describes
the prevalence and characteristics of different methods that managed
care organizations use to provide behavioral health care.
- Medical Necessity in Private Health Plans: Implications
for Behavioral Health Care addresses how the term "medical
necessity" is defined in decisions on private health insurance
coverage. It includes a review of the literature, an extensive
review of legal cases that challenge insurer decisions, materials
prepared by the insurance industry, consultations with experts
in the field, a review of investigations conducted by state departments
of insurance and attorneys general, and interviews with health
care executives regarding the decision-making process.
- Medicaid Financing of State and County Psychiatric Hospitals
addresses the lack of comprehensive information on the nature
and scope of Medicaid support for individuals in psychiatric institutions.
The study identifies potential sources of Medicaid funds paid
on behalf of public psychiatric hospitals, and provides an estimate
of the amount of such funds in 2001. The Medicaid funding experiences
of public psychiatric hospitals in five states-Arkansas, California,
Iowa, Maryland, and New Jersey-were examined in depth for this
study.
For copies of the publications, contact SAMHSA's National Mental
Health Information Center, P.O. Box 42490, Washington, DC 20015.
Telephone: 1 (800) 789-2647 or 1 (866) 889-2647 (TTY). Or,
visit www.mentalhealth.samhsa.gov.
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