MACPAC Chapter Examines Medicaid Access to Residential Behavioral Health for Youth
The Medicaid and CHIP Payment and Access Commission released Chapter 4 of its report examining access to residential behavioral health treatment for children enrolled in Medicaid. Federal law requires that Medicaid provide behavioral health services to youth with disabilities, including those with intense treatment needs or who pose safety risks. The chapter addresses how states ensure appropriate access to residential treatment for youth who cannot be safely served in community or home settings. This review comes as states face pressure to expand community-based behavioral health capacity while maintaining necessary institutional options for high-acuity cases.
State Medicaid agencies must balance federal Early and Periodic Screening, Diagnostic and Treatment requirements against managed care network adequacy standards and institutional payment policies for high-acuity youth behavioral health.
Behavioral Health · Managed Care
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