Promoting Access in Medicaid and CHIP Managed Care: Behavioral Health Provider Network Adequacy Toolkit

Promoting Access in Medicaid and CHIP Managed Care: Behavioral Health Provider Network Adequacy Toolkit

Published: Jun 01, 2021
Publisher: Baltimore, MD: Division of Managed Care Policy, Center for Medicaid and CHIP Services, CMS, U.S. Department of Health and Human Services
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Associated Project

Medicaid and CHIP Managed Care: Tools and Technical Assistance to Support Federal and State Oversight

Time frame: 2012-2023

Prepared for:

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Division of Managed Care Policy

Authors

This toolkit aims to help state Medicaid agencies and the managed care plans with which they contract meet the network adequacy requirements for behavioral health care providers. Numerous state Medicaid agencies have developed innovative approaches to strengthen their behavioral health workforce and improve access to services within Medicaid managed care. This toolkit highlights promising practices and strategies implemented by state Medicaid agencies and managed care plans. Although many strategies that are effective for Medicaid managed care may apply to CHIP, the toolkit does not specifically address behavioral health network adequacy for children and adolescents covered by CHIP.

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