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Research Letter
June 5, 2019

Medicaid Acceptance by Psychiatrists Before and After Medicaid Expansion

Author Affiliations
  • 1Department of Health Management and Policy, University of Kentucky College of Public Health, Lexington
  • 2Department of Health Policy and Management, Emory University Rollins School of Public Health, Atlanta, Georgia
JAMA Psychiatry. Published online June 5, 2019. doi:10.1001/jamapsychiatry.2019.0958

Medicaid is the principal payer of behavioral health services in the United States and has been expected to play an increasing role in financing behavioral health services after states’ implementation of Medicaid expansions.1,2 Little is known about recent trends in psychiatrists’ acceptance of Medicaid, including before and after 2014, when most Medicaid expansions under the Affordable Care Act went into effect. Without adequate participation in Medicaid among psychiatrists, Medicaid enrollees with behavioral health needs may be unable to find a local psychiatrist who accepts new patients with Medicaid or have to wait a long time for an intake appointment.3,4