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The Early And Periodic Screening, Diagnostic, And Treatment Program And Managed Medicaid Mental Health Care: The Need To Reevaluate The Epsdt In The Managed Care Era, John A. Flippen

Vanderbilt Law Review

For a majority of Medicaid recipients, managed health care is fast becoming a reality. As state governments seek to control Medicaid costs in a world of limited resources, unlimited reimbursement for any treatment a doctor deems necessary is no longer feasible. One major tool for cost containment has been the privatization of the delivery of Medicaid coverage into managed care organizations. The shift to a managed plan means that services will be rationed. This rationing occurs because capitated rates, for example, require that private managed care organizations ("MCOs") bear the risk of providing services to the Medicaid population and attempt …