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Substance Abuse and Mental Health Services Administration
Managed Mental Health Care. What to Look for, What to Ask
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States are now looking to the managed care industry to provide public health care, including mental health and related services. In the past, State and local governments allowed service providers to bill Medicaid and Medicare directly, after the services were provided, on a "fee for service" basis. With managed care, providers will be under contract with the managed care company. The company may expect to authorize each piece of service they consider "medically necessary."

Managing care is harder than managing dollars. For people with long-term mental illness, managed care is a new way of delivering services that has not been tried before. This overview, for consumers of managed mental health care-and their families-describes:
What to Look For
What to Ask
Providers Have Organized Into Networks.
What is an HMO?
A PPO?
(Authors)
Government Document
1996
Rockville, MD
800-789-2647