Using Medicaid to support working age adults with serious mental illnesses in the community: A handbook

Smith, Gary A.; Kennedy, Cille; Knipper, Sarah H.; O’Brien, John

doi:10.1037/e514982009-001

Cited by 11 publications

(10 citation statements)

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“…Colorado successfully administered such a waiver in 2003 (Smith, Kennedy, Knipper, O'Brien, & O'Keefe, 2005). Wisconsin has a new waiver (effective July 1, 2007) that is designed to relocate nursing home residents with mental health disabilities and co-occurring physical disabilities into the community (Bureau of Eligibility Management/Division of Workforce Solutions [BEM/DWS] Operations Memo No.…”

Section: Medicaid Hcbs Waivers: a Final Lost Opportunity For Persons mentioning

confidence: 99%

Elders with Serious Mental Illness: Lost Opportunities and New Policy Options

O'Connor

Little

McManus

2009

Journal of Aging & Social Policy

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This article reviews key federal Medicaid policies affecting older adults with serious, long-term mental illness: (a) the Medicaid exclusion of coverage for Institutions for Mental Diseases, (b) the Preadmission Screening and Resident Review Process, and (c) the Medicaid Home and Community Based Services waiver policy. Documenting the incentives and restrictions in these policies provides an historical context for understanding the current gaps in treatment for elders with mental illness. New federal options under the Deficit Reduction Act may provide opportunities for reducing the institutional bias for older adults with mental illness and for improving mental health services for elders under Medicaid.

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Section: Medicaid Hcbs Waivers: a Final Lost Opportunity For Persons mentioning

confidence: 99%

Elders with Serious Mental Illness: Lost Opportunities and New Policy Options

O'Connor

Little

McManus

2009

Journal of Aging & Social Policy

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“…In 1965 a public option for health insurance coverage was finally created when, under the Johnson administration, Medicare and Medicaid were passed as Titles XIX and XVIII, respectively, of the Social Security Act 36 . Medicare, an entirely federally funded system, originally provided health insurance to those over 65, as well as disabled workers and their spouses and dependents 37 . Medicaid, a jointly funded federal‐state program, originally covered only children from families who have low incomes and their caretakers 37 …”

Section: Health Care Coverage In the United Statesmentioning

confidence: 99%

Universal Health Care for the United States: A Primer for Health Care Providers

Alspaugh

Lanshaw

Kriebs

et al. 2021

J Midwife Womens Health

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The United States is one of a very few high‐income countries that does not guarantee every person the right to health care. Residents of the United States pay more out‐of‐pocket for increasingly worse outcomes. People of color, those who have lower incomes, and those who live in rural areas have less access to health care and are therefore at even greater risk for poor health. Universal health care, a term for various models of health care systems that provide care for every resident of a given country, will help move the United States toward higher quality, more affordable, and more equitable care. This article defines a reproductive justice and human rights foundation for universal health care, explores how health insurance has worked historically in the United States, identifies the economic reasons for implementing universal health care, and discusses international models that could be used domestically.

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“…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.…”

Section: Lessons For Medicaid’s Future In Addiction Treatmentmentioning

confidence: 99%

Lessons From Medicaid’s Divergent Paths On Mental Health And Addiction Services

et al. 2015

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Over the past fifty years Medicaid has taken divergent paths in financing mental health and addiction treatment. In mental health, Medicaid became the dominant source of funding and had a profound impact on the organization and delivery of services. But it played a much more modest role in addiction treatment. This is poised to change, as the Affordable Care Act is expected to dramatically expand Medicaid’s role in financing addiction services. In this article we consider the different paths these two treatment systems have taken since 1965 and identify strategic lessons that the addiction treatment system might take from mental health’s experience under Medicaid. These lessons include leveraging optional coverage categories to tailor Medicaid to the unique needs of the addiction treatment system, providing incentives to addiction treatment programs to create and deliver high-quality alternatives to inpatient treatment, and using targeted Medicaid licensure standards to increase the quality of addiction services.

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Using Medicaid to support working age adults with serious mental illnesses in the community: A handbook

Cited by 11 publications

References 0 publications

Elders with Serious Mental Illness: Lost Opportunities and New Policy Options

Elders with Serious Mental Illness: Lost Opportunities and New Policy Options

Universal Health Care for the United States: A Primer for Health Care Providers

Lessons From Medicaid’s Divergent Paths On Mental Health And Addiction Services

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