The transition to the Medicaid behavioral health “carve-in” model in Washington State was not associated with significant improvements in overall health outcomes.

Assigning dually eligible individuals with mental illness to ACOs was associated with shifts to lower-cost outpatient settings, but did not affect overall spending and utilization.

Report analyzes experiences of and evidence on the behavioral health carve-in model in Medicaid and shares recommendations for California policymakers.

Behavioral health wraparound program led to reduced utilization and costs in first month after an emergency department or behavioral health admission, but mixed results occurred in subsequent months.

Examines promising strategies to meet the needs of dually eligible individuals with serious mental illness, with an emphasis on opportunities to innovate with flexible spending within a capitated payment model.