• Corpus ID: 166382520

An Analysis of the Medicaid IMD Exclusion

@inproceedings{Rosenbaum2002AnAO,
  title={An Analysis of the Medicaid IMD Exclusion},
  author={Sara J. Rosenbaum and Joel B. Teitelbaum and D. Richard Mauery},
  year={2002}
}
This report examines the Medicaid Institutions for Mental Disease (IMD) exclusion, one of the very few instances in which federal Medicaid law prohibits federal contribution to the cost of medically necessary care furnished by licensed medical care providers to enrolled program beneficiaries. The report begins with a brief overview of Medicaid’s role in financing care for conditions and illnesses classified as “mental diseases” under professional medical guidelines and the allocation of state… 

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References

SHOWING 1-6 OF 6 REFERENCES
( 1997 ) . “ The Outdated Institution for Mental Diseases Exclusion : A Call to Re - examine and Repeal the Medicaid IMD Exclusion . ” Published by the Treatment Advocacy Center
    Mentally Ill and Locked Away in Nursing Homes
    • NYT
    For a discussion of these and other policy considerations as well as an extensive legislative and judicial history, see
    • 1997
    • Children and the IMD exclusion: How does the IMD exclusion apply to unborn children of pregnant women who are receiving treatment in an IMD?
      A-95-34 (1995); reprinted at CCH Medicare/Medicaid Guide para
      • A-95-34 (1995); reprinted at CCH Medicare/Medicaid Guide para
      Mentally Ill and Locked Away in Nursing Homes
      • NYT
      • 1985