Evaluation of Florida's Medicaid Managed Mental Health Plans: Mail Survey Component

Publication Date: 6/1/2007

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Description:

This report provides a detailed and technical summary the responses of 254 adult and 254 caregivers of child Medicaid recipients living in AHCA Areas 5 and 7 who participated in both the 2005 and 2006 mail surveys conducted by the Louis de la Parte Florida Mental Health Institute (FMHI). This work was conducted as part of the evaluation of Florida's Medicaid managed mental health care implementation and was completed under a contract with the Florida Agency for Health Care Administration (AHCA). The goal of this component of the evaluation is to obtain and monitor a variety of Medicaid recipient indicators including health and mental health status, service needs and use, satisfaction with services, and to assess changes, if any, in these indicators over time. The findings summarized in this report are based on surveys conducted in AHCA Areas 5 and 7 during the spring 2005 (February through April) just as the implementation of managed mental health care in Areas 5 and 7 was getting underway and in the spring 2006 (February through April) approximately one year after its implementation. When the 2005 survey was conducted, the Prepaid Mental Health Plans (PMHPs) had not yet been initiated in these two areas and most of the Health Maintenance Organizations (HMOs) were only at risk for physical health care and pharmacy, but not comprehensive mental health services. At the time of the 2006 survey, the PMHPs in both areas were functioning and were at risk for mental health services and the HMOs were now at risk for physical health care, comprehensive mental health care, and pharmacy. Thus, these findings reflect the status of a sample of Medicaid recipients in these two AHCA areas prior to and after the implementation of managed mental health care.