What Are The Behavioral Health Services Needs Of The Medicaid “Donut Hole” Population?

The Medicaid "donut hole" refers to the insurance gap for individuals whose income falls below 100% of Federal Poverty Limit (FPL) in states opting not to expand Medicaid, and who will not qualify for premium subsidies which only come into play between 100% - 400% FPL. With 25 states not expanding Medicaid in 2014, more than 6.5 million fall into the "donut hole" – ranging from a high of 1.3 million in Texas to a low of 18,000 in Wyoming. Individuals with serious mental illness (SMI) and/or substance use disorder (SUD) who do not qualify for Medicaid on . . .