Medicaid managed care meets developmental disabilities: Proceed with caution

Journal of Health and Social Policy

Volumn 16, Issue 3, 2003, Pages 75-90

  Goel, Norma L ^a   Keefe, Robert H ^a  

^a SYRACUSE UNIVERSITY   (United States)

Author keywords

Developmental disabilities; Managed care; Medicaid

Indexed keywords

DISABILITY; HEALTH CARE; SOCIAL POLICY;

ARTICLE; DEVELOPMENTAL DISORDER; HEALTH CARE MANAGEMENT; HEALTH CARE POLICY; HEALTH SERVICE; MANAGED CARE; MEDICAID; MEDICAL RESEARCH; MODEL; UNITED STATES;

CHILD; COMMUNITY MENTAL HEALTH SERVICES; CONTINUITY OF PATIENT CARE; DEINSTITUTIONALIZATION; DEVELOPMENTAL DISABILITIES; DISABILITY EVALUATION; HEALTH SERVICES NEEDS AND DEMAND; HEALTH SERVICES RESEARCH; HUMANS; LONG-TERM CARE; MANAGED CARE PROGRAMS; MEDICAID; MENTALLY DISABLED PERSONS; MODELS, ORGANIZATIONAL; ORGANIZATIONAL INNOVATION; RESOURCE ALLOCATION; STATE HEALTH PLANS; UNITED STATES;

EID: 0038575889     PISSN: 08977186     EISSN: None     Source Type: Journal    
DOI: 10.1300/J045v16n03_06     Document Type: Article

References (36)

1. Agosta, J. (1997). Developmental disability services at the century's end: Facing the challenges ahead. [Online]. Available: www.mcare.net/
2. Alperin, R.M. (1994). Managed care versus psychoanalytic psychotherapy. Clinical Social Work Journal, 22(2), 137-148.
3. Ashbaugh, J. & Smith, G. (1996). Beware the managed health care companies. Mental Retardation, June, 189-193.
4. Ashbaugh, J. & Smith, G. (1997). Integration of health and long term care services: A cure in search of an illness. [Online]. Available: www.mcare.net/
5. Barker, R.L. (1991). The social work dictionary. Silver Spring, MD: National Association of Social Workers.
6. Birenbaum, A. (1995). Managed care and the future of primary care for adults with mental retardation. Mental Retardation, 33(5), 334-337.
7. Birenbaum, A. & Cohen (1998). Managed care and quality health services for people with developmental disabilities: Is there a future for UAPs? Mental Retardation, 36(4), 325-329.
8. Braddock, D., Hemp, R., Batchelder, L., & Fujiura, G. (1995). The state of the states in developmental disabilities (4th ed.). Washington, DC: American Association on Mental Retardation.
9. Braddock, D., Hemp, R., Parish, S., & Westrich, J. (1998). The state of the states in developmental disabilities: Abstract (5th ed.). [Online]. Available: www.uic.edu/
10. Bradley, V., Ashbaugh, J., & Blaney, B. (1994). Creating individual supports for people with developmental disabilities. Baltimore: Paul H. Brookes Publishing Company.
11. Broskowski, A. (1991). Current mental health care environments: Why managed care is necessary. Professional Psychology: Research and Practice, 22, 6-14.
12. Center on Human Policy. (1996). A position statement on managed care and long term supports in developmental disabilities. Information Package on Managed Care and Long Term Supports for People with Developmental Disabilities, June, 1-3.
13. Chodoff, P. (1998). Medical necessity and psychotherapy. Psychiatric Services, 49(11), 1481-1483.
14. Criscione, T., Kastner, T.A., O'Brien, D., & Nathanson, R. (1994). Replication of a managed health care initiative for people with mental retardation living in the community. Mental Retardation, 32(1), 43-52.
15. Criscione, T., Kastner, T.A., Walsh, K.K., & Nathanson, R. (1993). Managed health care services for people with mental retardation: Impact on inpatient utilization. Mental Retardation, 31(5), 297-306.
16. Davis, K. (1996). Primary health care and severe mental illness: The need for national state policy. Health and Social Work, 21(2), 83-87.
17. Davis, K. (1997). Welfare reform, states' rights & managed care: Impact on social work philosophy, education & practice. Paper presented at the annual meeting of the National Association of Deans and Directors of Schools of Social Work, Chicago, IL.
18. DeWeaver, K.L. (1997). Developmental disabilities: Definitions and policies. Encyclopedia of social work (19th ed.). Washington, DC: NASW Press.
19. Docherty, J.P. (1999). Cost of treating mental illness from a managed care perspective. Journal of Clinical Psychiatry, 60(Suppl 3), 49-53.
20. Hemp, R. & Braddock, D. (1998). Medicaid managed care and individuals with disabilities: Status report. Mental Retardation, 36(1), 84-85.
21. Historical national population estimates: July 1, 1900 to July 1, 1999. (2000). [Online]. Available: www.census.gov/population/estimates/nation/popclockest.txt
22. Hurley, R.E., Freund, D.A., & Paul, J.E. (1993). Managed care in Medicaid: Lessons for policy and program design. Ann Arbor: Health Administration Press.
23. Jellinek, M.S. & Nurcombe, B. (1993). Two wrongs don't make a right: Managed care, mental health and the marketplace. Journal of the American Medical Association, 270(14), 1737-1739.
24. Kastner, T., Walsh, K., & Criscione, T. (1997a). Overview and implications of Medicaid managed care for people with developmental disabilities. Information Package on Managed Care and Long Term Supports for People with Developmental Disabilities, June, 1-28.
25. Kastner, T., Walsh, K., & Criscione, T. (1997b). Technical elements, demonstration projects, and fiscal models in Medicaid managed care for people with developmental disabilities. Information Package on Managed Care and Long Term Supports for People with Developmental Disabilities, June, 1-30.
26. Keefe, R.H. & Hall, M.L. (1998). Managed care's impact on the financial well-being of social workers in private practice. Social Work in Health Care, 28(2), 11-29.
27. LaPlante, M.P. (1996). Health conditions and impairments causing disability (Disability Statistics Abstract No. 16). U.S. Department of Education, National Institute on Disability and Rehabilitation Research. San Francisco: University of California, Disability Statistics Rehabilitation Research and Training Center.
28. Managed services and supports for persons with developmental disabilities. (1996, December). [Online]. Available: www.mdch.state.mi.us/
29. Meyer, R.E. & Sotsky, S.M. (1995, Fall). Managed care and the role and training of psychiatrists. Health Affairs, 65-77.
30. National Association of State Directors of Developmental Disabilities Services, Inc. (1996). Keeping faith. Information Package on Managed Care and Long Term Supports for People with Developmental Disabilities, December, 1-11.
31. Stone, A.A. (1995). Psychotherapy and managed care: The bigger picture. The Harvard Mental Health Letter, 11(8), 5-7.
32. Taylor, S. (1997). Preface. Information package on managed care and long term supports of people with developmental disabilities, i-iv.
33. The Arc. (1995). Managed care and long term services for people with mental retardation. [Online]. Available: www.thearc.org/
34. The Medicaid Program (1996). [Online]. Available: http://www.hcfa.gov/medicaid/mcdsta95.html
35. Trupin, L., Rice, D.P., & Max, W. (1996). Who pays for medical care of people with disabilities? (Disability Statistics Abstract No. 13). US Department of Education, National Institute on Disability and Rehabilitation Research. San Francisco: University of California, Disability Statistics Rehabilitation Research and Training Center.
36. U.S. Senate. (1995). The President's veto of the Balanced Budget Reconciliation Act of 1995. [Online]. Available: www.thomas.loc.gov/