Administration and Policy in Mental Health and Mental Health Services Research

, Volume 31, Issue 1, pp 3–14

Use of Mental Health and Substance Abuse Services Among High-Cost Medicaid Enrollees

  • Jeffrey A. Buck
  • Judith L. Teich
  • Kay Miller

DOI: 10.1023/A:1026089422101

Cite this article as:
Buck, J.A., Teich, J.L. & Miller, K. Adm Policy Ment Health (2003) 31: 3. doi:10.1023/A:1026089422101


Users of mental health and substance abuse (MH/SA) services were examined among nonelderly high-cost Medicaid enrollees in 10 states in 1995. Although MH/SA service users constitute 11% of all Medicaid enrollees, they make up nearly a third of high-cost enrollees. Adults account for two thirds of this high-cost MH/SA group, and most frequently qualify for Medicaid through disability-related eligibility categories. In contrast, a majority of children in the high-cost MH/SA group are eligible for Medicaid through child-related categories, rather than disability. In diagnostic makeup, the high-cost group was somewhat more likely to have serious disorders than the general Medicaid MH/SA user population.

high costMedicaidpublic MH/SA spending

Copyright information

© Human Sciences Press, Inc. 2003

Authors and Affiliations

  • Jeffrey A. Buck
    • 1
  • Judith L. Teich
    • 2
  • Kay Miller
    • 3
  1. 1.SAMHSA/CMHSRockville
  2. 2.Substance Abuse and Mental Health Services Administration/Center for Mental Health ServicesRockville
  3. 3.The Medstat GroupSanta Barbara