title: Medicaid Reimbursement of Mental Health Peer-Run Organizations: Results of a National Survey.
abstract: This study sought to understand whether knowledge of the Affordable Care Act (ACA) was associated with willingness of mental health peer-run organizations to become Medicaid providers. Through the 2012 National Survey of Peer-Run Organizations, organizational directors reported their organization's willingness to accept Medicaid reimbursement and knowledge about the ACA. Multinomial logistic regression was used to model the association between willingness to accept Medicaid and the primary predictor of knowledge of the ACA, as well as other predictors at the organizational and state levels. Knowledge of the ACA, Medicaid expansion, and discussions about healthcare reform were not significantly associated with willingness to be a Medicaid provider. Having fewer paid staff was associated with not being willing to be a Medicaid provider, suggesting that current staffing capacity is related to attitudes about becoming a Medicaid provider. Organizations had both ideological and practical concerns about Medicaid reimbursement. Concerns about Medicaid reimbursement can potentially be addressed through alternative financing mechanisms that should be able to meet the needs of peer-run organizations.
authors.affiliation: Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 850, Baltimore, MD, 21205, USA. lostrow2@jhu.edu.
authors.forename: Laysha
authors.initials: L
authors.lastname: Ostrow
authors.affiliation: Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
authors.forename: Donald
authors.initials: D
authors.lastname: Steinwachs
authors.affiliation: Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 850, Baltimore, MD, 21205, USA.
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Leaf
authors.affiliation: Truven Health Analytics, Washington, DC, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Naeger
mesh_terms: D006801:Humans; D008484:Medicaid / Q000706:statistics & numerical data; D008605:Mental Health Services / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D058991:Patient Protection and Affordable Care Act; D010379:Peer Group; D011795:Surveys and Questionnaires; D014481:United States
keywords: Affordable Care Act; Medicaid; Peer support