Impact of Medicaid Institution for Mental Diseases Exclusion on Serious Mental Illness Outcomes

Our findings underscore the beneficial impact of IMD exclusion waivers on psychiatric-specific and all-cause health care resource utilization and costs as well as on incarceration rates for individuals with SMI. CMS may want to consider the results of this study in addition to other available data when granting waivers to states and potentially removing this exception from the Medicaid law.

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Publication Details

Journal
The American Journal of Managed Care
Published
2025-12-17
DOI
https://doi.org/10.37765/ajmc.2025.89841
Primary Topic
Mental Health Treatment and Access
Type
article
Field-Weighted Citation Impact
0.00
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article

Impact of Medicaid Institution for Mental Diseases Exclusion on Serious Mental Illness Outcomes

Heidi C. Waters, Katarzyna Rodchenko, Onur Baser, Nehir Yapar et al.
The American Journal of Managed Care
Mental Health Treatment and Access
article

Impact of Medicaid Institution for Mental Diseases Exclusion on Serious Mental Illness Outcomes

Heidi C. Waters, Katarzyna Rodchenko, Onur Baser, Nehir Yapar, Lauren Isenman, Deborah Freedman, Xue Han, Rashmi Patel
article en

Abstract

Our findings underscore the beneficial impact of IMD exclusion waivers on psychiatric-specific and all-cause health care resource utilization and costs as well as on incarceration rates for individuals with SMI. CMS may want to consider the results of this study in addition to other available data when granting waivers to states and potentially removing this exception from the Medicaid law.

The American Journal of Managed CareVol. 31(12)
City University of New York (US)
Reduced inequalities
Openalex Percentile: Top 24%
Mental Health Treatment and Access
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