Administration and Policy in Mental Health and Mental Health Services Research

, Volume 28, Issue 3, pp 181-192

First online:

Mental Health and Substance Abuse Services in Ten State Medicaid Programs

  • Jeffrey A. BuckAffiliated withCenter for Mental Health Services, SAMHSA
  • , Judith L. TeichAffiliated withCenter for Mental Health Services, SAMHSA
  • , Jay BaeAffiliated withOffice of Strategic Planning, Health Care Financing Administration
  • , Joan DilonardoAffiliated withCenter for Substance Abuse Treatment, SAMHSA

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Program data for 1993 on Medicaid mental health and substance abuse (MH/SA) services and expenditures were developed from Health Care Financing Administration (HCFA) research files for 10 states. These data show that MH/SA service users are 7 to 13% of Medicaid enrollees. The percentage of Medicaid enrollees accounted for by MH/SA users increases with age, reaching a fifth of the 45–64 age group. Across the 10 states, MH/SA spending represents 11% of total Medicaid expenditures. When their expenditures for non-MH/SA services are also considered, MH/SA users account for 28% of total Medicaid expenditures.

Medicaid mental health services substance abuse