Catch up day 15 Medicaid at 50: IMD

What is the IMD exclusion again?

Institutions for Mental Disease (IMDs) are inpatient facilities of more than 16 beds whose patient roster is more than 51% people with severe mental illness. Federal Medicaid matching payments are prohibited for IMDs with a population between the ages of 22 and 64. IMDs for persons under age 22 or over age 64 are permitted, at state option, to draw federal Medicaid matching funds.

Thanks NAMI.

This is because back when Medicaid first started- states were responsible for the care of people with severe mental illness. The deinstitutionalization of state mental health programs has changed the landscape. Law has changed to give children and seniors Medicaid for IMDs. But until recently adults did not see Medicaid coverage.

The proposed rule on managed care the CMS released last month opens for door for coverage of IMDs for adults.

Just another example of how Medicaid policy is constantly learning and growing.

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s