Maine Behavioral Health System State Profile Report

About This Publication

Built by OPEN MINDS, the award-winning market intelligence firm that has tracked and analyzed every behavioral health market development for the past 25 years, this highly-detailed report explains how Maine‘s behavioral health system works – and provides all the market data, analysis, and “insider” insights executive teams need to build a successful strategic plan for operating or marketing in the state, including:

1. Health Care Coverage Map – A chart illustrating Maine’s health care coverage breakdown – by the Medicaid, Medicaid expansion, Medicare, dual eligibles, commercial insurance, and health insurance marketplace populations.
2. Largest Health Plans By Enrollment – A list of Maine’s largest health plans in operation in the state and a list of the largest health plans by SMI enrollment.
3. Medicaid System Overview – An easy-to-read snapshot of Maine’s Medicaid finance delivery system and risk-based arrangements.
4. Medicaid Governance – A chart showing how Maine’s Medicaid system is organized and the key players at the Medicaid department.
5. Medicaid Financing & Service Delivery – A close look at Maine’s Medicaid financing system, the population covered and which services are covered.
6. Pending Changes To Medicaid System – A clear timeline of the changes Maine plans to make over the next five years and any long-term initiatives that have been proposed.
7. New Initiatives For Dual Eligible Population – A review of any new programs in place or planned for Maine’s dual eligible population, including state-specific programs and the federal dual demonstration program.
8. State Mental Health & Addiction Treatment Department Organization Chart – A chart showing how the Maine mental health and addiction treatment system is organized and the key players at the mental health department.
9. Largest Organizations Providing Mental Health Services – A list of, by revenue, of the largest Maine organizations by outpatient services only, and a list, by revenue, of the largest Maine organizations with inpatient or residential services.
10. Health Care Reform Initiatives – A summary of how Maine has implemented the Medicaid expansion and health insurance marketplace.

Maine Behavioral Health System State Profile Report: Table Of Contents

1. Maine Behavioral Health System Overview
   1. Maine Health Care Coverage Map
   2. MainePopulation Demographics
   3. MainePopulation Distribution By Payer: National vs. State
   4. Largest Maine Health Plans By Enrollment
2. Maine Medicaid System Overview
   1. Maine Medicaid System Overview
   2. Maine Medicaid Governance
   3. Maine Medicaid System Benefits
   4. Maine Medicaid Program Spending
   5. Maine Medicaid Financing & Service Delivery
   6. Maine Medicaid Fee-For-Service
   7. Maine Medicaid Managed Care
   8. Maine Medicaid Medical & Health Home Initiatives
   9. Maine Medicaid Program Waivers With Impact On SMI Population
   10. Pending Changes To Maine Medicaid System
3. Maine Dual Eligible Financing & Service Delivery System
   1. Maine Dual Eligibles System & Financing Overview
   2. Largest Medicare Health Plans Serving Dual Eligible SMI Population In Maine
   3. Maine Medicaid Dual Eligible SMI Enrollment
   4. New Initiatives For Dual Eligible Population In Maine
4. Maine State Behavioral Health System
   1. Maine Mental Health & Addiction Services Department Budget
   2. Maine Mental Health & Addiction Treatment Department Organization Chart
   3. Maine Psychiatric Institutions
5. Maine State Behavioral Health Stakeholder Organizations
   1. Largest Maine Organizations Providing Mental Health Services, Outpatient Services Only, By Revenue
   2. Largest Maine Organizations Providing Mental Health Services, With Inpatient Or Residential Services, By Revenue
   3. Largest Maine Organizations Providing Addiction Treatment, Outpatient Services Only, By Revenue
   4. Largest Maine Organizations Providing Addiction Treatment, With Inpatient Or Residential Services, By Revenue
   5. Maine Behavioral Health Advocacy & Trade Organizations
   6. Maine Accountable Care Organizations (ACOs)
6. Maine Health Care Reform Initiatives
   1. Maine Medicaid Expansion & Health Insurance Marketplace Population
   2. Maine Health Care Reform Initiatives
   3. Maine Health Insurance Marketplace Plans
   4. Maine Essential Health Benefit Benchmark Plan
7. Appendices
   1. OPEN MINDS Estimates For The Share Of SMI Consumers By Payer/Plan
   2. Glossary Of Terms
   3. Sources