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California Mental Health and Substance Use Needs Assessment Appendices Draft 1/30/12

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California Mental Health and Substance Use Needs Assessment Appendices Draft 1/30/12 California Mental Health and Substance Use Needs Assessment Appendices Draft 1/30/12 Submitted to the Department of Health Care Services Completed by: Technical Assistance Collaborative Human Services Research Institute 31 St James Ave, Suite 710 2336 Massachusetts Ave Boston, MA 02116 Cambridge, MA 02140 Contact person: [email protected] Contents Appendix A: Department of Health Care Services Data ...................................................................................................... 9 Section I: Service Penetration............................................................................................................................................10 Table 1a: Penetration Rates for Mental Health & SUD Services 2009 .............................................................................. 11 Table 1b: Penetration Rates for SMI Mental Health Services –County Level.................................................................... 14 Table 1c: Penetration Rates for Broad Definition Adult Mental Health Services – County Level ..................................... 16 Table 1d: Penetration Rates for SED Mental Health Services – County Level................................................................... 18 Table 1e: Penetration Rates for Alcohol or Drug Diagnosis Services – County Level........................................................ 20 Section II: Service Utilization .............................................................................................................................................22 Table 2: Medicaid Beneficiary Behavioral Health Expenditures 2009‐2007 ..................................................................... 23 Table 2.1a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 ..................... 24 Table 2.1b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 –Specialty Mental Health Plan ............................................................................................................................................................ 26 Table 2.1c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 – Non‐Specialty Mental Health Plan ............................................................................................................................................................ 27 Table 2.2a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 ..................... 28 Table 2.2b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 –Specialty Mental Health Plan ............................................................................................................................................................ 30 Table 2.2c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 – Non‐Specialty Mental Health Plan ............................................................................................................................................................ 31 Table 2.3a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 ..................... 32 Table 2.3b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 –Specialty Mental Health Plan ............................................................................................................................................................ 34 Table 2.3c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 – Non‐Specialty Mental Health Plan ............................................................................................................................................................ 35 Table 2.4a: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2009..36 Table 2.4b: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2009 – Specialty Mental Health Plan.............................................................................................................................................37 Table 2.4c: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2009 – Non‐Specialty Mental Health Plan.....................................................................................................................................38 Table 2.5a: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2008..39 Table 2.5b: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2008 – Specialty Mental Health Plan.............................................................................................................................................40 Table 2.5c: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2008 – Non‐Specialty Mental Health Plan.....................................................................................................................................41 Table 2.6a: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2007..42 Table 2.6b: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2007 – Specialty Mental Health Plan.............................................................................................................................................43 Table 2.6c: Medicaid Behavioral Health Care Expenditures Among Current Foster Care Medicaid Beneficiaries 2007 – Non‐Specialty Mental Health Plan.....................................................................................................................................44 Table 2.7a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries – EPSDT 2009 .......45 Table 2.7b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 –EPSDT Specialty Mental Health Plan.............................................................................................................................................46 Table 2.7c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2009 –EPSDT Non‐ Specialty Mental Health Plan.............................................................................................................................................47 Table 2.8a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries – EPSDT 2008 .......48 Table 2.8b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 –EPSDT Specialty Mental Health Plan.............................................................................................................................................49 Table 2.8c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2008 –EPSDT Non‐ Specialty Mental Health Plan.............................................................................................................................................50 Table 2.9a: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries – EPSDT 2007 .......51 Table 2.9b: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 –EPSDT Specialty Mental Health Plan.............................................................................................................................................52 Table 2.9c: Medicaid Behavioral Health Care Expenditures Among Current Medicaid Beneficiaries 2007 –EPSDT Non‐ Specialty Mental Health Plan.............................................................................................................................................53 Figure 1: Total Expenditures by Service Domain 2009 ..................................................................................................... 54 Figure 2: Total Expenditures by Service Domain 2008 ...................................................................................................... 54 Figure 3: Total Expenditures by Service Domain 2007 ...................................................................................................... 55 Figure 4: Total Expenditures –Adults 2009........................................................................................................................ 56 Figure 5: Total Expenditures –Adults 2008........................................................................................................................ 56 Figure 6: Total Expenditures –Adults 2007........................................................................................................................ 57 Figure 7: Total Expenditures –Youth 2009 ........................................................................................................................ 57 Figure 8: Total Expenditures – Youth 2008........................................................................................................................ 58 Figure 9: Total Expenditures – Youth 2007........................................................................................................................ 58 Table 3a: Behavioral Health Expenditures by Top Utilizers 2009.................................................................................... 59 Table 3b: Behavioral Health Expenditures by Top Utilizers 2008...................................................................................
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