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Report outlines coverage gaps for mental health care in 窪蹋勛圖厙

FILE: The 窪蹋勛圖厙 Mental Health Center is run by the Department of Mental health and Addiction Services.
Tyler Russell
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窪蹋勛圖厙
FILE: The 窪蹋勛圖厙 Mental Health Center is run by the Department of Mental health and Addiction Services.

Fewer psychologists and social workers in 窪蹋勛圖厙 accept patients covered by Medicaid compared to neighboring New England states. Thats according to a November (OHS) on 窪蹋勛圖厙s demand and supply gap for mental health care.

Latest OHS data showed that more than 1.5 million people in 窪蹋勛圖厙 lived in places with mental health workforce shortages. That shortage comes as one in five adults statewide has experienced a mental health disorder.

The reimbursement rates by state Medicaid, or HUSKY, were as low as 47% compared to commercial insurance rates. That gap comes as more people covered by HUSKY utilized the emergency department and were admitted to inpatient units, compared to those covered by private insurance.

The rates of outpatient follow-up after a visit to the emergency department, or after an inpatient behavioral health episode, were also better for people who were privately insured, according to the report.

Addressing payment parity, by ensuring behavioral health care providers receive payment rates comparable to their physical health providers, is one important piece of a complex issue, said Dr. Deidre Gifford, OHS commissioner. The data, and the literature, tell us that no one solution will address the gap between need for care and accessible services or service providers. Peer support, telehealth, crisis care and school-based health care among other approaches, merit further exploration as well.

窪蹋勛圖厙 Medicaid rates for behavioral health services for people age 20 and below went up July 1, 2024, representing an estimated additional aggregate expenditure of $13.8 million in state fiscal year 2025 and $15.5 million in state fiscal year 2026, according to the report.

Sujata Srinivasan is 窪蹋勛圖厙 Radios senior health reporter. Prior to that, she was a senior producer for Where We Live, a newsroom editor, and from 2010-2014, a business reporter for the station.

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