MACPAC Brief Examines Children's Behavioral Health Service Use in Medicaid and CHIP
MACPAC published a brief analyzing behavioral health service utilization among children enrolled in Medicaid and CHIP, who experience higher rates of conditions like anxiety, depression, autism spectrum disorder, and ADHD compared to privately insured children. The brief reviews state coverage requirements for pediatric behavioral health benefits under Medicaid and CHIP. It provides context for managed care organizations and state agencies on access patterns and coverage obligations for this population.
Managed care organizations face growing utilization management and network adequacy challenges for pediatric behavioral health services, which represent a rising cost and quality focus area under state contracts.
Behavioral Health · CHIP · Managed Care
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