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Identifying Best Practices among Managed Care Plans that Provide Substance Abuse Treatment Services to Medicaid Recipients with Disabilities

Principal Investigator: Sara Bachman, Ph.D. , Assistant Professor
Publications Type: Journal Article
Author(s): Bachman S., Drainoni M., Tobias C.
Article Title: Medicaid managed care, substance abuse treatment and people with disabilities: A review of the literature
Journal: Health and Social Work
Volume/Issue/Pages: 29, 3: 189-196
Year: 2004
Abstract:
Most states enroll individuals with disabilities who receive Supplemental Security Income (SSI) in Medicaid managed care plans. The impact of managed care on these individuals, especially those with substance abuse disorders, is not well understood. A review of the literature related to substance abuse, disability, and Medicaid managed care suggests that substance abuse is a serious issue for individuals with disabilities. More research is needed to determine how the substance abuse treatment needs of individuals with disabilities can be met through Medicaid managed care. The authors identified topics for a research agenda on the needs of individuals with disabilities who also experience co-occurring substance abuse disorders. Implications for social work policy and practice are discussed.
Publications Type: Journal Article
Author(s): Bachman S., Drainoni M., Tobias C.
Article Title: Substance abuse treatment services for people with disabilities: Does managed care prompt Innovation
Journal: Journal of Disability Policy Studies
Volume/Issue/Pages: 14, 3: 154-162
Year: 2003
Abstract:
The authors present results from an exploratory study conducted to learn more about how Medicaid managed-care plans meet the needs for substance abuse treatment among people with disabilities. These results suggest that capitated health plan staff members are more likely to be knowledgeable about the special needs of people with disabilities who also experience substance abuse problems. Staff members of smaller and more focused health plans demonstrated the greatest knowledge about individuals with disabilities. Staff members of larger behavioral health carve-outs are more likely to develop strategies to achieve population-level goals, such as increased access to care and cost-efficiency. The carve-out plans are likely to offer specialized services only to people with co-occurring mental health and substance abuse problems or to individuals with HIV/AIDS. The authors discuss a number of barriers that make it difficult for managed-care organizations to provide substance abuse treatment services to people with disabilities.
Publications Type: Journal Article
Author(s): Bachman S., Drainoni M., Tobias C.
Article Title: State policy and practice regarding substance abuse treatment services for Medicaid recipients with disabilities
Journal: American Journal on Addictions
Volume/Issue/Pages: 12, 2: 166-76
Year: 2003
Abstract:
This article presents the results of an exploratory study conducted to identify best practice Medicaid managed care models for people with disabilities who need substance abuse treatment services. These results suggest that there is wide variation in the managed care strategies that states use to provide substance abuse treatment services to the SSI disabled population, that state policymakers are often focused on general program management issues rather than addressing specific issues related to providing substance abuse treatment services to people with disabilities, and that although managed care theoretically offers opportunities for creativity,this practice does not appear to be widespread under current Medicaid managed care arrangements for people with disabilities.

 
   
 
 
     
   
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