Capacity of Medicaid Providers to Implement and Sustain Evidence-Based Practices for Behavioral Health Services, Louisiana, 2022.

The Center for Evidence to Practice at Louisiana State University Health Sciences School of Public Health (hereinafter, the Center) is committed to strengthening the capacity of Medicaid providers to implement and sustain evidence-based practices (EBPs) for behavioral health services. With funding f...

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Publicado en:Public Health Reports Vol. 141; no. 5; pp. 633 - 640
Autores principales: Staples, Lisa, Gonzalez, Gabrielle, Yeh, Alice, Rubin, Ronnie, Phillippi, Stephen
Formato: Artículo
Publicado: Sage Publications Inc. Sep/Oct2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Capacity of Medicaid Providers to Implement and Sustain Evidence-Based Practices for Behavioral Health Services, Louisiana, 2022.
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          Staples, Lisa
          Gonzalez, Gabrielle
          Yeh, Alice
          Rubin, Ronnie
          Phillippi, Stephen
        affil:
          The Center for Evidence to Practice, Louisiana State University Health Sciences Center School of Public Health, New Orleans, LA, USA
          Impact Reach, Philadelphia, PA, USA
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        Louisiana
        Mental health services
        Occupational achievement
        Managed care programs
        Evaluation of human services programs
        Retrospective studies
        Motivation (Psychology)
        Organizational change
        Medicaid
        Public health
        Professional practice
        Endowments
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        subj:
          Mental health services
          Occupational achievement
          Managed care programs
          Evaluation of human services programs
          Retrospective studies
          Motivation (Psychology)
          Organizational change
          Medicaid
          Public health
          Louisiana
          Grantmaking Foundations
          Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
          Psychiatric and Substance Abuse Hospitals
          Residential Mental Health and Substance Abuse Facilities
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          Research funding
          Scientific observation
          Descriptive statistics
          Surveys
          Professional employee training
          Evidence-based medicine
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        behavioral health
        evidence-based practice
        public health
        training
        behavioral health
        evidence-based practice
        public health
        training
      ab: The Center for Evidence to Practice at Louisiana State University Health Sciences School of Public Health (hereinafter, the Center) is committed to strengthening the capacity of Medicaid providers to implement and sustain evidence-based practices (EBPs) for behavioral health services. With funding from the Louisiana Department of Health–Office of Behavioral Health, the Center conducted the EBP Capacity and Sustainability Funding Initiative to expand the use and accessibility of EBPs in Louisiana. This case study examined how targeted financial incentives and technical assistance supported clinicians in qualifying for, billing, and delivering 7 EBPs within Louisiana's Medicaid behavioral health system. Thirty EBP-qualified clinicians delivered 361 sessions to 93 clients during a 5-month funding period (March–July 2022) and earned $167 500 in incentives across 25 entities. A survey of these clinicians found that 96% (24 of 25) would recommend this type of incentive, reporting increased motivation, professional recognition, and capacity to grow their practices. However, Medicaid claims data showed that the use of EBP tracking codes decreased after the incentive period ended, suggesting that short-term funding alone was insufficient for long-term sustainability. Clinicians identified administrative and technical barriers, including inconsistent managed care organization requirements and nonstandardized billing processes. A simplified billing infrastructure and ongoing funding incentives are needed to reduce the administrative burden of billing and promote EBP implementation. Findings highlight the strengths and limitations of short-term incentive programs for advancing EBP delivery within a Medicaid system.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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