“…As noted, Medicaid’s optional benefits—targeted case management and rehabilitation—allow states to use Medicaid to finance a variety of community support programs for people with serious mental health disorders, including intensive case management, crisis intervention, family psychosocial education, life skills training and social supports, assertive community treatment, community residential services, education and employment related supports, and peer services. 16,17 This flexibility was enormously important for expanding access to a range of services, 18,19 and states’take-up grew substantially over time. In 1988 only nine states covered psychosocial rehabilitation or targeted case management for people with mental health disorders; today nearly every state has adopted these options.…”