Medicaid Behavioral Health Services: Targeted Case Management for Chronic Mental Illness

This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.

2022

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 35; No - 9; NR - 7	Yes - 2	Yes - 9
Alabama	Yes	Yes - not specified	No
Alaska	Yes	No	NR
Arizona	Yes	NR	No
Arkansas	NR	NR	NR
California	Yes	No	No
Colorado	Yes	No	No
Connecticut	Yes	No	No
Delaware	NR	NR	NR
District of Columbia	Yes	No	Yes - not specified
Florida	Yes	No	Limit of 48 15-minute units per day
Georgia	NR	NR	NR
Hawaii	Yes	No	No
Idaho	Yes	No	No
Illinois	No
Indiana	No
Iowa	Yes	No	No
Kansas	Yes	No	No
Kentucky	Yes	No	NR
Louisiana	No
Maine	No
Maryland	Yes	No	NR
Massachusetts	Yes	No	No
Michigan	Yes	No	No
Minnesota	NR	NR	NR
Mississippi	Yes	No	For community mental health centers only, limit of 8 per day; 15 minute unit; 260 per state fiscal year
Missouri	Yes	No	No
Montana	Yes	No	No
Nebraska	No
Nevada	Yes	No	Prior authorization is required for targeted case management after 30 hours per month
New Hampshire	NR	NR	NR
New Jersey	Yes	No	No
New Mexico	No
New York	Yes	No	No
North Carolina	Yes	No	Prior authorization is required
North Dakota	Yes	No	No
Ohio	Yes	No	No
Oklahoma	Yes	$3	No
Oregon	Yes	No	Limit of 100 units, with a 15 minute unit max
Pennsylvania	Yes	No	No
Rhode Island	Yes	No	No
South Carolina	Yes	No	No
South Dakota	No
Tennessee	No
Texas	Yes	No	Must be reauthorized every 180 calendar days for persons 21 years of age and older and every 90 calendar days for persons 18-20 years of age
Utah	NR	NR	NR
Vermont	Yes	No	No
Virginia	Yes	No	Registration is required
Washington	No
West Virginia	Yes	No	Based on medical necessity
Wisconsin	NR	NR	NR
Wyoming	Yes	No	No

2018

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 32 No - 13 NR - 6	Yes - 4	Yes - 11
Alabama	Yes	No	No
Alaska	No
Arizona	Yes	No	No
Arkansas	No
California	Yes	No	No
Colorado	Yes	No	No
Connecticut	Yes	No	Provided in conjunction with the Department of Mental Health and Addiction Services. Must be 18 or older
Delaware	Yes	No	Medically necessary and part of a treatment plan
District of Columbia	No
Florida	Yes	No	Up to 344 15 minute units per month, per recipient.
Georgia	No
Hawaii	Yes	No	No
Idaho	Yes	NR	NR
Illinois	NR	NR	NR
Indiana	No
Iowa	NR	NR	NR
Kansas	Yes	No	Must meet state criteria for serious and persistent mental illness
Kentucky	Yes	Co Pay $3	No
Louisiana	No
Maine	No
Maryland	Yes	No	Services are pre-authorized
Massachusetts	Yes	No	No
Michigan	Yes	No	No
Minnesota	Yes	No	NR
Mississippi	No
Missouri	Yes	No	No
Montana	Yes	No	No
Nebraska	No
Nevada	Yes	Yes - Not Specified	Yes - Not Specified
New Hampshire	NR	NR	NR
New Jersey	Yes	No	No
New Mexico	No
New York	NR	NR	NR
North Carolina	Yes	Yes - Not Specified	One unit per week of at least 15 minutes
North Dakota	Yes	NR	NR
Ohio	No
Oklahoma	Yes	$4 per visit	Individuals 18 and older who are chronically/severely mentally ill who are at imminent risk of out-of-home placement due to psychiatric or substance abuse reasons. Standard case management limited to 16 units per member per year. Additional units may be authorized for members who meet established medical necessity criteria.
Oregon	Yes	No	No
Pennsylvania	Yes	No	Medical necessity
Rhode Island	Yes	No	No
South Carolina	NR	NR	NR
South Dakota	No
Tennessee	No
Texas	Yes	No	Available for adults with serious mental illness and poor functioning across one or more life domains.
Utah	Yes	No	No
Vermont	Yes	No	No
Virginia	Yes	No	No
Washington	NR	No	NR
West Virginia	Yes	No	No
Wisconsin	Yes	No	No
Wyoming	Yes	No	Targeted care management services are only provided by state certified Community Mental Health Clinics or Substance Abuse Treatment Clinics. Prior authorization is required after the first 20 visits to confirm ongoing medical necessity

Topics

Policy Research

Polling

Health News

Data & Features

For Media

About

Medicaid Behavioral Health Services: Targeted Case Management for Chronic Mental Illness

Data are loading

Medicaid Behavioral Health Services: Targeted Case Management for Chronic Mental Illness

2022

2018

Topics

Categories