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Medicaid Reimbursement of Mental Health Peer-Run Organizations: Results of a National Survey

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Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

This study sought to understand whether knowledge of the Affordable Care Act (ACA) was associated with willingness of mental health peer-run organizations to become Medicaid providers. Through the 2012 National Survey of Peer-Run Organizations, organizational directors reported their organization’s willingness to accept Medicaid reimbursement and knowledge about the ACA. Multinomial logistic regression was used to model the association between willingness to accept Medicaid and the primary predictor of knowledge of the ACA, as well as other predictors at the organizational and state levels. Knowledge of the ACA, Medicaid expansion, and discussions about healthcare reform were not significantly associated with willingness to be a Medicaid provider. Having fewer paid staff was associated with not being willing to be a Medicaid provider, suggesting that current staffing capacity is related to attitudes about becoming a Medicaid provider. Organizations had both ideological and practical concerns about Medicaid reimbursement. Concerns about Medicaid reimbursement can potentially be addressed through alternative financing mechanisms that should be able to meet the needs of peer-run organizations.

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Authors and Affiliations

  1. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 850, Baltimore, MD, 21205, USA

    Laysha Ostrow & Philip J. Leaf

  2. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA

    Donald Steinwachs

  3. Truven Health Analytics, Washington, DC, USA

    Sarah Naeger

Authors
  1. Laysha Ostrow
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  2. Donald Steinwachs
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  3. Philip J. Leaf
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  4. Sarah Naeger
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Correspondence to Laysha Ostrow.

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Ostrow, L., Steinwachs, D., Leaf, P.J. et al. Medicaid Reimbursement of Mental Health Peer-Run Organizations: Results of a National Survey. Adm Policy Ment Health 44, 501–511 (2017). https://doi.org/10.1007/s10488-015-0675-4

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  • DOI: https://doi.org/10.1007/s10488-015-0675-4

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