A review of access to behavioral health professionals in 20 urban and rural counties across 10 states who accept traditional Medicare, Medicare Advantage, or Medicaid managed care found that only one-third actively served Medicare and Medicaid enrollees. Across the 10 urban counties, an average of 4.4 behavioral health professionals per 1,000 enrollees actively served traditional Medicare beneficiaries, 6.9 per 1,000 enrollees served Medicare Advantage members, and 4.5 per 1,000 enrollees served Medicaid managed care beneficiaries. In rural counties, the ratio declined to 1.5 per 1,000 for traditional Medicare, 2.6 per . . .

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