According to Phil Galewitz of Kaiser Health News, Florida has announced that it will be the first state to offer a “Medicaid health plan designed exclusively for people with  serious mental illnesses, such as schizophrenia, major depression, or bipolar condidtion.” The state has contracted with Magellan Complete Care, a division of Magellan Health Inc., in response to the requirements of the Affordable Care Act (ACA).

Clinical social workers might want to ask themselves questions about practicing under Medicaid.

Considerations For Practicing Under Medicaid 

  1. Rates. Rates are set by the individual states and are usually low compared to private insurance or even Medicare.
  2. Payment. Fee-for-service, bundled payments, pay-for-performance—make sure you know how you will be paid.
  3. Payment Source. Whether it’s the Primary Care Doctor or the Health Plan, you want to know who’s paying you.
  4. Clients. Medicaid plans do not allow you to pick and choose your clients.
  5. Practice Costs. The Medicaid rate in your state may not be profitable in terms of your practice expenses—know your costs of doing business.


What are your experiences with Medicaid? Please blog about it here.


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