State and County Programs

Integration of clinical care and services is an important goal for improving Medicaid systems.

Integrated health care delivery has been demonstrated to improve care and reduce costs by ensuring that people with chronic conditions have ready access to both primary and behavioral health care with close coordination between them, as in the concept of patient centered medical homes. Integrated care centered in behavioral health organizations has begun to bring primary care and other medical services to adults with serious mental illnesses (SMI) and substance use conditions. Offering primary care in a behavioral health setting is particularly important because this group has suffered for years with compromised access to primary and other medical care, contributing to their high levels of chronic illness and early death.