April 29, 2002 The Promise and Reality of Managed Behavioral Health Care Part III 4. Seamless Systems of Care That Include Integrated and Coordinated Delivery: Linkage Between Medicaid and Public Mental Health Has Failed Managed care for persons with mental illness in the government sector has been initiated through the Medicaid program. Medicaid is the single most significant payer of public mental health services, and yet, there has been little linkage between the State Medicaid and State mental health agencies. Without such linkage, failure in providing appropriate treatment and support services will and does occur . . .
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