Question

This patient has been with the clinic for 11 years and was covered most of the time by excellent private insurance. The circumstances have changed, however. Today the patient works part time, has only Medicaid insurance, and has very few private funds. The provider’s diagnosis is severe depression, and the provider instructs the patient to make two appointments weekly until the medication prescribed begins to make a significant difference in this patient’s life. You know there are severe limitations to reimbursement from the state regarding this diagnosis. What steps will you take?

Answer 1

One in every ten individuals are affected with depression .So the recent change and initiation of the Affordable care act has covered certain treatment for depression .They are like psychotherapy, impatient admission and treatment, medication facilities.

Here the patient can make use of the Medicaid which covers counselling, medication therapy,social support ,etc., to manage it effectively.

Make sure that the patient meets the criteria under MHPAEA to access this service

The patient can enroll in health plans in accordance to the need of disease condition

The patient  can be covered under Mental health and substance use disorder coverage pareit law.

Federal and state agency can be contacted

Check out whether patient has Medicaid Alternative Benefit Plans to cover depression treatment