This table presents three populations of beneficiaries who could benefit from different levels of integrated care, 2017-2021: (1) beneficiaries who received services for a behavioral health (BH) condition; (2) beneficiaries who received services for a behavioral health condition who also received services for at least one of a number of select physical health (PH) conditions (a subset of population 1); and (3) beneficiaries prescribed medications for substance use disorders who do not have a medical claim for a behavioral health condition (a subset of population 1).
Some states have serious data quality issues, making the data unusable for identifying this population. To assess data quality, analysts used measures featured in the DQ Atlas. Data for a state are considered unusable based on DQ Atlas thresholds for the following topics: Total Medicaid and CHIP Enrollment, Claims Volume - IP, Claims Volume - OT, Claims Volume - IP, Diagnosis Code - IP, Diagnosis Code - OT, Procedure Codes - OT Professional, Gender, Age, Zip code, Race and ethnicity, Eligibility group code, Enrollment in CMC Plans.
Data from Maryland, Tennessee, and Utah are omitted for the tables due to data quality concerns. Maryland was excluded in 2017 due to unusable diagnosis codes in the IP file and the OT file. Tennessee was excluded due to unusable diagnosis codes in the IP file in 2017 - 2019. Utah was excluded due to unusable procedure codes on OT professional claims in 2017 - 2020. In addition, states with a high data quality concern on one or more measures are noted in the table in the "Data Quality" column. Please refer to the DQ Atlas at http://medicaid.gov/dq-atlas for more information about data quality assessment methods.
Organization: U.S. Department of Health & Human Services
Last updated: 2024-01-19T17:55:59.785052
Tags: behavioral-health-care, chip, integrated-care, medicaid