This study examines the impact of a mental health carve-out, the Utah Prepaid Mental Health Plan (UPMHP), on use of outpatient mental health services by Medicaid beneficiaries with schizophrenia. Data were collected through interviews with the same group of Medicaid schizophrenic beneficiaries. A pre/post comparison with a contemporaneous control group examined the impact of the program on type of outpatient services used by beneficiaries. The results indicate a greater reliance on medically-oriented outpatient mental health services in treatment of beneficiaries under the UPMHP. Medicaid beneficiaries with schizophrenia in the UPMHP group received relatively fewer day treatment visits, but relatively more medication visits and individual therapy visits over the first 3 1/2 years of the program.
Bibliographical noteFunding Information:
Funding for data collection was provided by the State of Utah and the National Institute for Mental Health. Analysis of the data was supported through a grant from the National Institute for Mental Health. The authors are grateful to the Health Care Financing Division, Department of Health, State of Utah; the CMHCs in Utah; to Colleen King, Steven Beier, Valerie Amembal, and Nancy Conrow, who served as interview advisors; and to all the interviewers who participated in the data collection. The authors are particularly appreciative of the cooperation of the interview respondents.