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Medicaid Managed Care Is Reshaping Behavioral Health Access: Capitation Math, Ghost Networks, and the Carve-Out Question Now Determine Who Gets Care

Medicaid Managed Care Is Reshaping Behavioral Health Access: Capitation Math, Ghost Networks, and the Carve-Out Question Now Determine Who Gets Care

by Ethan Webb | May 18, 2026 | Regulation

Key Takeaways Managed care now controls most Medicaid behavioral health spending. As of July 2025, 42 states contract with Medicaid MCOs, and most enrollees receive their behavioral health benefits through them, either directly or through a carved-out behavioral...

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