Medicaid Reimbursement For Psychiatric Services: Comparisons Across States And With Medicare.

ABSTRACT: Medicaid is characterized by low rates of provider participation, often attributed to reimbursement rates below those of commercial insurance or Medicare. Understanding the extent to which Medicaid reimbursement for mental health services varies across states may help illuminate one lever for increasing Medicaid participation among psychiatrists. We used publicly available Medicaid fee-for-service schedules from state Medicaid agency websites in 2022 to construct two indices for a common set of mental health services provided by psychiatrists: a Medicaid-to-Medicare index to benchmark each state's Medicaid reimbursement with that of Medicare for the same set of services, and a state-to-national Medicaid index comparing each state's Medicaid reimbursement with an enrollment-weighted nationa

SUBMITTER: Zhu JM 

PROVIDER: S-EPMC10125036 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature