During the last decade, the number of states that have moved to include behavioral health in their Medicaid health plan contracts has almost doubled. In 2011, only 15 (25%) states included behavioral health in their health plan contracts. And, at that time, 29 states (48%) had a primary Medicaid behavioral health carve-out.

Currently, 31 states have included behavioral health in their health plan contracts and 17 states (28%) have a primary Medicaid behavioral health carve-out (i.e., primary carve-out to a Medicaid fee-for-service or care management organization). Approximately 34.9 million (48%) of the 72 . . .

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