Physical Health Coverage For the Medicaid SMI Population: A State-By-State Analysis

The majority of the population with a serious mental illness (SMI) receives health care services through the Medicaid program, due to the challenges and complexities associated with SMI. Across state Medicaid programs, financing and delivery system arrangements for the SMI population vary dramatically. While some states require this population to enroll in managed care for their physical health services, other states require this population to enroll in fee-for-service financing and delivery system arrangements.

For provider organizations, understanding how physical health services for the SMI population are managed - and whether or not these services are managed separately from mental . . .