The Changing Medicaid Carve-Out Market: The 2018 OPEN MINDS Update On Vertical Carve-Outs

The vertical carve out is a Medicaid financing model where some portion of the population receives services through separate managed care organizations that are at-risk for a continuum of physical and behavioral health services and pharmacy services. The populations served by this model are those with complex needs who can benefit from specialty plans that provide integrated care and increased care coordination. Examples of populations served by this model include foster care children, consumers with serious mental illness (SMI), children who are medically fragile, and consumers with HIV/AIDs.

This trend report update provides:

State Medicaid behavioral health financing . . .