Financing Behavioral Health Integration and Collaborative Care Models

Novel approaches to providing access to behavioral health care, like collaborative care and integrated behavioral health primary and social care models, have shown short and long-term positive patient and family outcomes in frontier, rural, and urban communities. These approaches are complex and rely upon coordination, systems-based management, efficient communications, team and community relationships, and virtual…

Behavioral Health Provider Geographic Distribution and Reimbursement Inequities

Unmet need for behavioral health care remains high. Behavioral health provider shortages and associated maldistribution of practitioners across the country may contribute to suboptimal behavioral healthcare availability, with an estimated 59.8% of the 5,035 mental health provider shortage areas in the US located in rural and partially rural areas. In addition, lack of access to…

Medicaid Financing for Behavioral Health Services: The Use of Flexibilities and Authorities

Medicaid is the largest single payer for behavioral health services, and managed care is the predominant delivery system for Medicaid enrollees. However, states have the flexibility to decide if behavioral health providers and their services are reimbursable and subject to same-day billing restrictions. The state-specific nature of the Medicaid program, overwhelming use of managed care…

Coverage of Buprenorphine Medications that Treat Opioid Use Disorder by State Medicaid Programs

Buprenorphine is shown to be an effective medication for the treatment of opioid use disorder. It promotes long-term recovery and decreases the risk of mortality. Although Medicaid programs largely cover buprenorphine products, many continue to apply prior authorization (PA) requirements. This report studies how state Medicaid programs apply PA requirements to buprenorphine products.ArrayReport Arrayhttps://www.healthworkforceta.org/wp-content/uploads/2023/07/BHWRC_Coverage-of-Buprenorphine-Medications.pdfFebruary 2,…

Assessing Behavioral Health Workforce Surge Needs Due to COVID-19

Studies have shown that the pandemic has increased the prevalence of mental health issues and the demand for behavioral health services. Telehealth services have also been expanded to help deal with the increased demand. To continue to improve workforce capacity and ensure that the current workforce is utilized appropriately, more research needs to be done…

Assessing Behavioral Health Workforce Surge Needs Due to COVID-19

Studies have shown that the pandemic has increased the prevalence of mental health issues and the demand for behavioral health services. Telehealth services have also been expanded to help deal with the increased demand. To continue to improve workforce capacity and ensure that the current workforce is utilized appropriately, more research needs to be done…

Coverage of Buprenorphine Medications that Treat Opioid Use Disorder by State Medicaid Programs

Buprenorphine is shown to be an effective medication for the treatment of opioid use disorder. It promotes long-term recovery and decreases the risk of mortality. Although Medicaid programs largely cover buprenorphine products, many continue to apply prior authorization (PA) requirements. This report studies how state Medicaid programs apply PA requirements to buprenorphine products.

Medicaid Financing for Behavioral Health Services: The Use of Flexibilities and Authorities

Medicaid is the largest single payer for behavioral health services, and managed care is the predominant delivery system for Medicaid enrollees. However, states have the flexibility to decide if behavioral health providers and their services are reimbursable and subject to same-day billing restrictions. The state-specific nature of the Medicaid program, overwhelming use of managed care…

Behavioral Health Provider Geographic Distribution and Reimbursement Inequities

Unmet need for behavioral health care remains high. Behavioral health provider shortages and associated maldistribution of practitioners across the country may contribute to suboptimal behavioral healthcare availability, with an estimated 59.8% of the 5,035 mental health provider shortage areas in the US located in rural and partially rural areas. In addition, lack of access to…

Financing Behavioral Health Integration and Collaborative Care Models

Novel approaches to providing access to behavioral health care, like collaborative care and integrated behavioral health primary and social care models, have shown short and long-term positive patient and family outcomes in frontier, rural, and urban communities. These approaches are complex and rely upon coordination, systems-based management, efficient communications, team and community relationships, and virtual…

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