The Role of Integrated Behavioral Health
State Strategies to Optimize Medicaid


is the largest payer of behavioral health services in the United States

Source: Antonisse, Garfield, Rudowitz, Artiga (2017); U.S. Government Accountability Office (2017)

Yet, within Medicaid, 51% of adults

and 46% of children with a behavioral health conditions did not receive treatment.

Source: Walker, Cummings, Hockenberry, & Druss (2015); Pires, Gilmer, Allen, & McLean (2017)

What’s more, the addition of a behavioral health disorder to one or more chronic physical conditions results in a

60-75% increase in their health care costs.

By optimizing Medicaid, states can integrate behavioral and physical health care,

which leads to improved health outcomes and saves money.

Source: Boyd, Leff, Weiss, Wolff, Clark, & Richards (2010)

State Medicaid programs have the unique flexibility to advance behavioral health integration through purchasing, regulatory, administrative and delivery system innovation…

and to lead the rest of the health care industry towards whole person care.

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