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Administration and Policy in Mental Health and Mental Health Services Research

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01-07-2017 | Original Article

Medicaid Reimbursement of Mental Health Peer-Run Organizations: Results of a National Survey

Authors: Laysha Ostrow, Donald Steinwachs, Philip J. Leaf, Sarah Naeger

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 4/2017

Abstract

This study sought to understand whether knowledge of the Affordable Care Act (ACA) was associated with willingness of mental health peer-run organizations to become Medicaid providers. Through the 2012 National Survey of Peer-Run Organizations, organizational directors reported their organization’s willingness to accept Medicaid reimbursement and knowledge about the ACA. Multinomial logistic regression was used to model the association between willingness to accept Medicaid and the primary predictor of knowledge of the ACA, as well as other predictors at the organizational and state levels. Knowledge of the ACA, Medicaid expansion, and discussions about healthcare reform were not significantly associated with willingness to be a Medicaid provider. Having fewer paid staff was associated with not being willing to be a Medicaid provider, suggesting that current staffing capacity is related to attitudes about becoming a Medicaid provider. Organizations had both ideological and practical concerns about Medicaid reimbursement. Concerns about Medicaid reimbursement can potentially be addressed through alternative financing mechanisms that should be able to meet the needs of peer-run organizations.

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Title: Medicaid Reimbursement of Mental Health Peer-Run Organizations: Results of a National Survey
Authors: Laysha Ostrow
Donald Steinwachs
Philip J. Leaf
Sarah Naeger
Publication date: 01-07-2017
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 4/2017
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-015-0675-4

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Medicaid Reimbursement of Mental Health Peer-Run Organizations: Results of a National Survey

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