TY - JOUR KW - Academic Medical Centers/economics/legislation & jurisprudence/organization & administration KW - Combined Modality Therapy KW - Comorbidity KW - Delivery of Health Care, Integrated/economics/legislation & jurisprudence/organization & administration KW - Humans KW - Local Government KW - Managed Care Programs/economics/legislation & jurisprudence/organization & administration KW - Medicaid/economics/legislation & jurisprudence KW - Mental Disorders/economics/rehabilitation KW - Michigan KW - Patient Care Team/economics/legislation & jurisprudence/organization & administration KW - Primary Health Care/economics/legislation & jurisprudence/organization & administration KW - Public Sector/economics/legislation & jurisprudence/organization & administration KW - State Health Plans/economics/legislation & jurisprudence KW - Substance-Related Disorders/economics/rehabilitation KW - Uncompensated Care/economics/legislation & jurisprudence KW - United States AU - K. L. Grazier AU - A. M. Hegedus AU - T. Carli AU - D. Neal AU - K. Reynolds A1 - AB - This article documents a unique organizational, legal, and financial partnership between a state, a university, a Medicaid managed health care plan, and a county to provide integrated mental health, substance abuse, and primary and specialty health care services to Medicaid, low-income, and indigent consumers in Washtenaw county, Michigan. Major regulatory, financial, and clinical changes were required within and among the various partners in the Washtenaw County Integrated Health Care Project. A new entity--the Washtenaw Community Health Organization--was created to implement the project. By sharing resources as well as financial risks, the state, the county, and the university have been able to provide ongoing integrated care to a vulnerable population of patients. Although resource intensive in conceptualization and implementation, the project can be viewed as a model for other states that face growing needy populations and decreasing Medicaid budgets. BT - Psychiatric services (Washington, D.C.) C5 - Financing & Sustainability CP - 11 CY - United States IS - 11 JF - Psychiatric services (Washington, D.C.) N2 - This article documents a unique organizational, legal, and financial partnership between a state, a university, a Medicaid managed health care plan, and a county to provide integrated mental health, substance abuse, and primary and specialty health care services to Medicaid, low-income, and indigent consumers in Washtenaw county, Michigan. Major regulatory, financial, and clinical changes were required within and among the various partners in the Washtenaw County Integrated Health Care Project. A new entity--the Washtenaw Community Health Organization--was created to implement the project. By sharing resources as well as financial risks, the state, the county, and the university have been able to provide ongoing integrated care to a vulnerable population of patients. Although resource intensive in conceptualization and implementation, the project can be viewed as a model for other states that face growing needy populations and decreasing Medicaid budgets. PP - United States PY - 2003 SN - 1075-2730; 1075-2730 SP - 1508 EP - 1512 EP - T1 - Integration of behavioral and physical health care for a medicaid population through a public-public partnership T2 - Psychiatric services (Washington, D.C.) TI - Integration of behavioral and physical health care for a medicaid population through a public-public partnership U1 - Financing & Sustainability U2 - 14600310 VL - 54 VO - 1075-2730; 1075-2730 Y1 - 2003 ER -