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When did Medicare start covering mental health services? 

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When established, Medicare and Medicaid provided new mental health benefits and new processes for delivery of care.1 However, these programs also created significant coverage gaps in both inpatient and outpatient care.
Medicare enrollees in health plans with insurance parity for mental health and primary care have markedly higher use of clinically appropriate mental health services following a psychiatric hospitalization.
The result has been a tilting of public mental health care toward Medicaid-covered people and services.
With the evolving state of Medicare, broad formulary access to mental health treatments might be considered.
Covering psychological services as part of Medicare for individuals with an unmet need for mental health care would pay for itself.
Journal ArticleDOI
Judith R. Lave, Howard H. Goldman 
01 Feb 1990-Health Affairs
34 Citations
While new provisions in the federal budget reconciliations of 1987 and 1989 have liberalized the Medicare mental health benefit, “there is some fear that this small portion reflects an underuse of mental health services by Medicare beneficiaries,” write Judith Lave and Howard Goldman.
In the 2 years following its introduction, the National Perinatal Depression Initiative was found to have increased access to Medicare funded mental health services in particular groups of women.
In 2015, after 50 years of Medicare and Medicaid, mental health reform bills in both houses of Congress (House HR 2646, the Helping Families in Mental Health Crisis Act; Senate S 1945, the Mental Health Reform Act of 2015) may help to reduce mental health coverage gaps in these programs.

Related Questions

What is the history of mental health in America?5 answersThe history of mental health in America is a complex narrative shaped by various movements and reforms. The evolution began with the moral treatment movement in the 19th century, leading to the establishment of asylums. Subsequently, the mental hygiene movement of the early 20th century emphasized small inpatient units and outpatient services, influencing the development of mental health policies. The 1960s saw the introduction of community mental health centers, alongside Medicare and Medicaid, marking a shift towards community support for individuals with mental disorders. This historical trajectory reflects a transition from lay to medical control of madness, with ongoing debates about the role of mental health professions in shaping societal norms and practices.
What is the history of mental health?5 answersThe history of mental health can be traced back to ancient times, where mental illness was often viewed as possession by demons and those afflicted were stigmatized. Over time, approaches to mental health treatment evolved, including the establishment of asylums in the 19th century and the development of small inpatient units and outpatient services in the 20th century. However, mental health nursing has often been overshadowed and undervalued in the broader history of nursing. In recent decades, mental health has become a prolific field of research and intervention, with a focus on understanding the semantic and pragmatic configuration of the concept. The history of mental health policy has seen cycles of fundamental reform followed by incremental gains, leading to the establishment of community mental health centers and a shift towards providing support for individuals with mental disorders. The treatment and care of the mentally ill have been influenced by societal, cultural, political, religious, and scientific factors throughout history.
When did WHO put forward the definition of mental health?5 answersThe World Health Organization (WHO) put forward the definition of mental health in 1948.
How many mental health days are covered by Medicare?10 answers
How much does Medicaid reimburse for mental health services?10 answers
What president did the most for mental health?10 answers

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