Policy Report: Civil Commitment Under
Medicaid Managed Care
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U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
Office of Managed Care
Acknowledgments
This report was prepared by Westat, Inc., in cooperation with the Lewin Group, under
Contract No. 282-98-0015, Task Order 6, supported by the Office of Managed Care of the
Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services
Administration (SAMHSA), U.S. Department of Health and Human Services. Judith L. Teich,
M.S.W., was CMHS Project Officer. The Project Directors were Garrett E. Moran, Ph.D.,
(Westat) and Gail K. Robinson, Ph.D., (Lewin Group).
Disclaimer
The content of this publication does not necessarily reflect the views or policies of CMHS,
SAMHSA, or the U.S. Department of Health and Human Services.
Public Domain Notice
All material appearing in this report is in the public domain and may be reproduced or copied
without permission from SAMHSA. Citation of the source is appreciated.
Access to Publication
This publication can be accessed electronically at http://mentalhealth.samhsa.gov. Additional
copies may be obtained by calling SAMHSA's National Mental Health Information Center, 1-800-789-2647.
Originating Office
Office of Managed Care
Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
5600 Fishers Lane, Room 15-87
Rockville, MD 20857
April 2000
DHHS Publication No. (SMA) 00-3455
Suggested Citation
Moran, G.E., Robins, C., & Kurzban, S. Civil commitment under medicaid managed care
(DHHS Publication No. [SMA] 00-3455). Rockville, MD: Center for Mental Health Services,
Substance Abuse and Mental Health Services Administration, 2000.
Table of Contents
I. Executive Summary
II. Introduction and Overview
Statement of the Problem
Civil Commitment
Medicaid Managed Behavioral Health Care
Civil Commitment and Medicaid Managed Behavioral
Health Care
Organization of the Report
III. Methodology
Literature Review
Interviews with Experts and Stakeholder Groups
Interviews with State Representatives
Case Studies
Study Limitations
IV. Summary of Findings from the Case Studies
Iowa Medicaid Managed Care Contract and Civil Commitment
Colorado Medicaid Managed Care Contract and Civil Commitment
Minnesota Medicaid Managed Care Contract and Civil Commitment
Wisconsin Medicaid Managed Care Contract and Civil Commitment
V. Conclusions
Mandating MCO Responsibility for Some Civil Commitment Costs
Requiring MCO Involvement with the Courts and the Civil Commitment Process
Preventing the Use of Civil Commitment to Shift Responsibility for Clients and Costs
Precluding the Use of Civil Commitment to Obtain Needed Services
Reducing Civil Commitment by Enhancing Community Support Systems
Areas for Further Study
VI. References
VII. Appendix
Case Study A. Wisconsin
Case Study B. Colorado
Case Study C. Iowa
Case Study D. Minnesota
SMA00-3455
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