Setting rates for Medicaid managed behavioral health care: lessons learned

An analysis of Medicaid rate setting for behavioral health revealed that inadequacies were largely due to utilization of available information and not from the method of rate selection.  The paper discusses Tennessee’s experience as a paradigm for the difficulties of rate setting and enumerates key lessons for other states.   

Authors: Shelia Hoag, Judith Wooldridge, Craig Thornton. 

The full report is available from SAMHSA here: http://download.ncadi.samhsa.gov/ken/pdf/ManagedCare/Hoag.pdf