Market Intelligence Resource | April 13, 2013
The Interplay between Medicaid DSH Payment Cuts, the IMD Exclusion and the ACA Medicaid Expansion Program: Impacts on State Public MentalHealth Services
April 13, 2013
The report was written by Robert W. Glover, Ph.D., and Joel E. Miller, M.S., Ed., of the National Association of State Mental Health Program Directors. They analyzed the interplay of provisions of the Patient Protection and Affordable Care Act of 2010 (PPACA) combined with current Medicaid policies on inpatient psychiatric care. The PPACA cuts supplemental Medicaid payments for disproportionate share hospitals (DSH), including state psychiatric hospitals, that serve indigent patients by about 50%. The current Medicaid exclusion on reimbursement for institutional care (in a facility with 16 or more beds) provided to non-elderly adults . . .
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