Effects on outpatient and emergency mental health care of strict Medicaid early periodic screening, diagnosis, and treatment enforcement.

Abstract:

:We investigated enforcement of mental health benefits provided by California Medicaid's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program. Enforcement, compelled by a consumer-driven lawsuit, resulted in an almost 4-fold funding increase over a 5-year period. We evaluated the impact of enforcement on outpatient treatment intensity (number of visits per child) and rates of emergency care treatment. Using fixed-effects regression, we examined the number of outpatient mental health visits per client and the percentage of all clients using crisis care across 53 autonomous California county mental health plans over 32 three-month periods (quarters; emergency crisis care rates) and 36 quarters (out-patient mental health visits). Enforcement of EPSDT benefits in accordance with federal law produced favorable changes in patterns of mental health service use, consistent with policy aims.

journal_name

Am J Public Health

authors

Snowden LR,Masland MC,Wallace NT,Evans-Cuellar A

doi

10.2105/AJPH.2006.094771

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

1951-6

issue

11

eissn

0090-0036

issn

1541-0048

pii

AJPH.2006.094771

journal_volume

97

pub_type

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