Behavioral health financing arrangements for the Medicaid SMI population vary dramatically by state. When determining the behavioral health services financing landscape for the SMI population, there are two important components to take into account: whether or not behavioral health services financing is integrated with physical health services financing, and whether or not behavioral health services are delivered through a managed care arrangement.

These two components result in four possible scenarios for behavioral health services financing for the SMI population:

Behavioral health services are integrated with physical health and financed through a managed care plan
Behavioral health services and physical health . . .

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