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Medicaid Managed Care Behavioral Health Screening for New Adult Enrollees

Announced on  | Last Modified on  | Project Number: OAS-25-02-037
Status
Active
Agency
Centers for Medicare and Medicaid Services

OBJECTIVE

State Medicaid programs contract with managed care organizations (MCOs) to provide health care services to enrollees. Federal regulations require MCOs to make a best effort to conduct an initial screening of each new enrollee’s needs within 90 days of the effective date of enrollment. We will review selected State Medicaid agencies and their MCOs’ efforts to screen new adult enrollees’ needs for behavioral health services.

TIMELINE

  • October 15, 2025
    Announced
  • Today
    Office of Audit Services In-Progress
  • Est FY2027
    Estimated Fiscal Year for Project Completion
Work Plan Type
Office of Audit Services
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
Financial Stewardship Managed Care Mental Health Quality of Care Substance Abuse Disorder
Target Groups
-
Financial Groups
Medicaid