The push for integrated care coordination as a cost containment strategy has been widespread (see Is Your Organization Ready To Be ‘The’ Care Coordinator?, The Coordination Of Benefits Issue: A Sticky Wicket For Some, and CCBHCs Are Moving Forward – What This Means If Your State Isn’t Moving Forward). One casualty of this change has been a reversal of the preference for Medicaid behavioral health carve-outs. In 2013, the number of state Medicaid plans with at least one primary carve-out to a care management organization was 17 — six of which were carve-outs to county or governmental agency . . .

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