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{"sheet":"Introduction","index":0,"n_rows":25,"n_cols":2,"rows_kept":25,"cut":false,"hidden":false,"merged":[[2,1,2,12],[3,1,22,12],[23,1,23,12],[24,1,29,12]]}
[null,"Medicaid Section 1115 SMI/SED Demonstrations Initial Availability Assessment - Introduction (Version 2.0)"]
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[null,"Introduction to the Initial Assessment of the Availability of Mental Health Services"]
[null,"\n\nThis template has four tabs: 1) Instructions, 2) Definitions, 3) Narrative Description, and 4) Availability Assessment. \n\nA state is expected to complete the Narrative Description tab once, at the beginning of the demonstration.\n\nFor quesitons, please contact the section 1115 demonstration monitoring and evaluation mailbox (1115MonitoringAndEvaluation@cms.hhs.gov), copying the CMS demonstration team on the message.\n\n\n\n\n\n\n\n\n\n\nVersion 2.0"]
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[null,"PRA Disclosure Statement This information is being collected to assist the Centers for Medicare & Medicaid Services in program monitoring of Medicaid Section 1115 Serious Mental Illness and Serious Emotional Disturbance Demonstrations. This mandatory information collection (42 CFR § 431.428) will be used to support more efficient, timely and accurate review of states’ monitoring report submissions of Medicaid Section 1115 Serious Mental Illness and Serious Emotional Disturbance Demonstrations, and also support consistency in monitoring and evaluation,  increase in reporting accuracy, and reduction in timeframes required for monitoring and evaluation. Under the Privacy Act of 1974 any personally identifying information obtained will be kept private to the extent of the law."]
[null,"According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1148 (CMS-10398 #59). The time required to complete this information collection is estimated to average 29 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850."]

{"sheet":"Instructions","index":1,"n_rows":121,"n_cols":3,"rows_kept":121,"cut":false,"hidden":false,"merged":[[4,1,4,2],[5,1,9,1],[2,1,2,2],[3,1,3,2]]}
[null,"Medicaid Section 1115 SMI/SED Demonstrations Initial Availability Assessment - Instructions (Version 2.0)"]
[]
[null,"Instructions for Completing the Narrative Description (\"Narrative Description\" tab)"]
[null,"The state will provide a brief narrative of baseline conditions in place at the beginning of the demonstration in the Narrative Description tab. The state should provide a brief response in the space below each question.  The state should complete this at the beginning of the demonstration only. "]
[null,"Instructions for Completing the Assessment of the Availability of Mental Health Services (\"Availability Assessment\" tab)  "]
[null,"Before you begin:","The state will submit multiple Availability Assessments. The state will submit an Initial Availability Assessment at the time of application and annual assessments thereafter. "]
[null,null,"In populating its Initial Availability Assessment and each subsequent Annual Availability Assessment, the state should report data as of the same month and day each year. In other words, if the Initial Availability Assessment displays values as of August 1, 2019, subsequent Availability Assessments should display values as of August 1, 2020, August 1, 2021, August 1, 2022, etc. Within each assessment, the state should enter this information into the cell labeled “Time Period Reflected in Assessment (month/day/year)\" (found in the \"Availability Assessment\" tab).\n\nIt is also important to use the same data sources to populate the Initial and Annual Availability Assessments. The state should enter information on its data sources into the columns labeled “Brief description of data source(s) used to populate this (sub-)section” (found in the “Availability Assessment” tab). "]
[null,null,"Enter the state name, data entry date(s), and time period reflected in the Availability Assessment in cells C2-4."]
[null,null,"To hide pop-up instructions as you complete the Availability Assessment, hit \"escape.\""]
[null,null,"Please Note: To add rows for additional geographic designations you must use the \"Add Row\" button in cell F2 (you may need to click \"Enable Content\" at the top of the tab if it appears). Please do not add rows manually."]
[null,"Column   ","Instructions"]
[null,"B","In column B, enter each geographic designation starting in cell B10. Add rows using the \"Add Row\" button as needed to capture all geographic designations. Geographic designation means a state-defined geographic unit for reporting data, such as county, region, or catchment area. The state should consider how it divides its mental health system into smaller units or catchment areas to select geographic designations that will yield meaningful, actionable information. "]
[null,"C","In column C, starting in cell C10, please select whether geographic designation entered in the corresponding cell in column B could be considered urban or rural.  If the geographic designation should be categorized as something other than urban or rural, select \"Other-please explain\" and record an explanation in the notes box in column D. Urban is defined as a Metropolitan Statistical Area or a Metropolitan division (in the case where a Metropolitan Statistical Area is divided into Metropolitan Divisions), as defined by the Executive Office of Management and Budget (42 CFR § 412.64(b))  Rural is defined as any area outside an urban area as defined in 42 CFR § 412.64(b)."]
[null,"D","In column D, beginning in cell D10, please use this space to explain the state's response if the state selects 'Other-please explain' in column C."]
[null,"E","In column E, starting in cell E10, enter the total number of adult Medicaid beneficiaries ages 18-20 in each geographic designation at the selected point in time. Medicaid beneficiary means a person who has been determined to be eligible to receive Medicaid services as defined at 42 CFR §400.200. Note: this age category is separate in order to avoid double counting beneficiaries in the residential treatment category and to facilitate the calculation of certain ratios in the assessment. See the note in the following cell for additional explanation. "]
[null,"F","In column F, starting in cell F8, enter the number of adult Medicaid beneficiaries ages 18-20 with SMI in each geographic designation at the selected point in time. As defined on page 1 of the State Medicaid Directors Letter, serious mental illness means persons age 18 and over who currently, or at any time during the past year, have had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria, that has resulted in functional impairment which substantially interferes with or limits one or more major life activities. \n\nNote: in the State Medicaid Directors letter (SMDL #18-011), SMI is defined to include individuals age 18 years and older, and SED includes children younger than 18. However, the residential treatment section of the Availability Assessment requests data on PRTFs, and the federal definition for PRTFs includes facilities that serve individuals under the age of 21. In order to avoid double counting beneficiaries in the residential treatment category, the assessment requests data on beneficiaries age 0-17, 18-20, and 21 and older separately."]
[null,"G","In column G, starting in cell G8, enter the total number of adult Medicaid beneficiaries age 21 and older in each geographic designation at the selected point in time."]
[null,"H","In column H, starting in cell H10, enter the number of adult Medicaid beneficiaries age 21 and older with SMI in each geographic designation at the selected point in time. \n\nNote: in the SMDL, SMI is defined to include individuals age 18 years and older, and SED includes children younger than 18. However, the residential treatment section of the Availability Assessment requests data on PRTFs, and the federal definition for PRTFs includes facilities that serve individuals under the age of 21. In order to avoid double counting beneficiaries in the residential treatment category, the assessment requests data on beneficiaries age 0-17, 18-20, and 21 and older separately. "]
[null,"I","In column I, starting in cell I10, the Availability Assessment will automatically calculate the percent of adult Medicaid beneficiaries who have SMI in each geographic designation. The state should not input any values into this column or modify the formulas in this column. "]
[null,"J","In column J, starting in cell J10, enter the total number of Medicaid beneficiaries under the age of 18 in each geographic designation at the selected point in time. "]
[null,"K","In column K, starting in cell K10, enter the number of beneficiaries under the age of 18 with SED in each geographic designation at the selected point in time. As defined on page 2 of the SMDL, individuals with SED are those from birth up to age 18 who currently, or at any time during the past year, have had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria that resulted in functional impairment which substantially interferes with or limits the child’s role or functioning in family, school, or community activities. Functional impairment” is defined as difficulties that substantially interfere with or limit a child or adolescent from achieving or maintaining one or more developmentally-appropriate social, behavioral, cognitive, communicative, or adaptive skills. "]
[null,"L","In column L starting in cell L10, the Availability Assessment will automatically calculate the percent of beneficiaries under the age of 18 who have SED in each geographic designation. The state should not input any values into this column or modify the formulas in this column. "]
[null,"M","In column M, starting in cell M10, the Availability Assessment will automatically calculate the number of Medicaid beneficiaries (total) in each geographic designation. "]
[null,"N","In column N, starting in cell N10, the Availability Assessment will automatically calculate the percent with Medicaid beneficiaries with SMI or SED (total) in each geographic designation."]
[null,"O","In column O, starting in cell O10, the Availability Assessment will automatically calculate the percent with SMI or SED (total) in each geographic designation."]
[null,"P","In column P, beginning in cell P10, please use this space to provide notes about the data source(s) used to populate the section. "]
[null,"Q","In column Q, beginning in cell Q10, please use this space to provide any additional notes regarding the section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"R","In column R, starting in cell R10, enter the number of psychiatrists or other practitioners who are authorized to prescribe psychiatric medications in each geographic designation.  A psychiatrist is any psychiatrist licensed to practice in the state under state licensure laws.  Other prescribers authorized to prescribe psychiatric medications means the number of mental health practitioners other than psychiatrists who are authorized to prescribe psychiatric medications as defined by state licensure laws."]
[null,"S","In column S, starting in cell S10, enter the number of Medicaid-enrolled psychiatrists or other practitioners who are authorized to prescribe psychiatric medications in each geographic designation.  Medicaid-enrolled means any provider enrolled in Medicaid to obtain Medicaid billing privileges, as defined in 42 CFR §455.410."]
[null,"T","In column T, starting in cell T10, enter the number of Medicaid-enrolled psychiatrists or other practitioners who are authorized to prescribe psychiatric medications and are accepting new Medicaid patients in each geographic designation.  Accepting new Medicaid patients means any provider enrolled in Medicaid to obtain Medicaid billing privileges who will treat new Medicaid-enrolled patients."]
[null,"U-W","In columns U-W, starting in cell U10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns. "]
[null,"X","In column X, beginning in cell X10, please use this space to provide details on the specific types of practitioners used to populate this sub-section."]
[null,"Y","In column Y, beginning in cell Y10, please use this space to provide notes about the data source(s) used to populate the sub-section. "]
[null,"Z","In column Z, beginning in cell Z10, please use this space to provide any additional notes regarding the sub-section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"AA","In column AA, starting in cell AA10, enter the number of other practitioners certified or licensed to independently treat mental illness in each geographic designation. Other types of practitioners certified or licensed to independently treat mental illness means non-psychiatrist mental health providers who are certified or licensed to independently treat mental illness as defined by state licensure laws. This may include, but is not limited to, licensed psychologists, clinical social workers, and professional counselors."]
[null,"AB","In column AB, starting in cell AB10, enter the number of Medicaid-enrolled other types of practitioners certified and licensed to independently treat mental illness in each geographic designation."]
[null,"AC","In column AC, starting in cell AC10, enter the number of Medicaid-enrolled other types of practitioners certified and licensed to independently treat mental illness accepting new Medicaid patients in each geographic designation."]
[null,"AD-AF","In columns AD-AF, starting in cell AD10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns. "]
[null,"AG","In column AG, beginning in cell AG10, please use this space to provide details on the specific types of practitioners used to populate this sub-section."]
[null,"AH","In column AH, beginning in cell AH10, please use this space to provide notes about the data source(s) used to populate the sub-section."]
[null,"AI","In column AI, beginning in cell AI10, please use this space to provide any additional notes regarding the sub-section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"AJ","In column AJ, starting in cell AJ10, enter the number of community mental health centers (CMHCs) in each geographic designation. A community mental health center is an entity that provides outpatient mental health services, 24 hour emergency care services, day treatment, screenings, and consultation and educational services, as defined at 42 CFR §410.2."]
[null,"AK","In column AK, starting in cell AK10, enter the number of Medicaid-enrolled CMHCs in each geographic designation."]
[null,"AL","In column AL, starting in cell AL10, enter the number of Medicaid-enrolled CMHCs accepting new Medicaid patients in each geographic designation."]
[null,"AM-AO","In columns AM-AO, starting in cell AM10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns. "]
[null,"AP","In column AP, beginning in cell AP10, please use this space to provide notes about the data source(s) used to populate the section. "]
[null,"AQ","In column AQ, beginning in cell AQ10, please use this space to provide any additional notes regarding the section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"AR","In column AR, starting in cell AR10, enter the number of providers offering intensive outpatient services in each geographic designation. Intensive outpatient services are designed to meet the needs of individuals who may be at risk for crisis or requiring a higher level of care, or who are in transition from a higher level of care. Intensive outpatient services may include partial hospitalization programs, day treatment, intensive outpatient programs, assertive community treatment, and other services and settings more intensive than regular outpatient and less intensive than inpatient or residential care. "]
[null,"AS","In column AS, starting in cell AS10, enter the number of Medicaid-enrolled providers offering intensive outpatient services providers in each geographic designation."]
[null,"AT","In column AT, starting in cell AT10, enter the number of Medicaid-enrolled providers offering intensive outpatient services accepting new Medicaid patients in each geographic designation."]
[null,"AU-AW","In columns AU-AW, starting in cell AU10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns. "]
[null,"AX","In column AX, beginning in cell AX10, please use this space to provide details on the specific types of services used to populate this section."]
[null,"AY","In column AY, beginning in cell AY10, please use this space to provide notes about the data source(s) used to populate the section. "]
[null,"AZ","In column AZ, beginning in cell AZ10, please use this space to provide any additional notes regarding the section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"BA","In column BA, starting in cell BA10, enter the number of residential mental health treatment facilities (adult) in each geographic designation.  A residential mental health treatment facilities (adult) is a facility not licensed as a psychiatric hospital, whose primary purpose is to provide individually planned programs of mental health treatment services in a residential care setting for adults as defined for SAMHSA's N-MHSS. Please exclude residential SUD treatment facilities."]
[null,"BB","In column BB, starting in cell BB10, enter the number of Medicaid-enrolled residential mental health treatment facilities (adult) in each geographic designation."]
[null,"BC","In column BC, starting in cell BC10, enter the number of Medicaid-enrolled residential mental health treatment facilities (adult) accepting new Medicaid patients in each geographic designation."]
[null,"BD-BF","In columns BD-BF, starting in cell BD10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns. "]
[null,"BG","In column BG, starting in cell BG10, enter the total number of residential mental health treatment facility beds (adult) in each geographic designation."]
[null,"BH","In column BH, starting in cell BH10, enter the total number of Medicaid-enrolled residential mental health treatment beds (adult) in each geographic designation."]
[null,"BI","In column BI, starting in cell BI10, enter the total number of Medicaid-enrolled residential mental health treatment beds available to adult Medicaid patients in each geographic designation. Available to Medicaid adult Medicaid patients means any facility or bed available to serve Medicaid patients over the age of 110. "]
[null,"BJ-BL","In columns BJ-BL, starting in cell BJ10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns."]
[null,"BM","In column BM, beginning in cell BM10, please use this space to provide details on the specific types of facilities used to populate this sub-section."]
[null,"BN","In column BN, beginning in cell BN10, please use this space to provide notes about the data source(s) used to populate the sub-section. "]
[null,"BO","In column BO, beginning in cell BO10, please use this space to provide any additional notes regarding the sub-section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"BP","In column BP, starting in cell BP10, enter the number of psychiatric residential treatment facilities (PRTF) in each geographic designation. A PRTF is a non-hospital facility with a provider agreement with a state Medicaid agency to provide the inpatient psychiatric services to individuals under age 21 benefit (psych under 21 benefit). The facility must be accredited by the Joint Commission, the Council on Accreditation of Services for Families and Children, the Commission on Accreditation of Rehabilitation Facilities, or any other accrediting organization with comparable standards recognized by the State. PRTFs must also meet the requirements at 42 CFR §441.151 - §441.1102, and 42 CFR §4103.350 – §4103.376."]
[null,"BQ","In column BQ, starting in cell BQ10, enter the number of Medicaid-enrolled PRTFs in each geographic designation."]
[null,"BR","In column BR, starting in cell BR10, enter the number of Medicaid-enrolled PRTFs accepting new Medicaid patients in each geographic designation."]
[null,"BS-BU","In columns BS-BU, starting in cell BS10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns."]
[null,"BV","In column BV, starting in cell BV10, enter the total number of PRTF beds in each geographic designation."]
[null,"BW","In column BW, starting in cell BW10, enter the number of Medicaid-enrolled PRTF beds in each geographic designation."]
[null,"BX","In column BX, starting in cell BX10, enter the number of Medicaid-enrolled PRTF beds available to Medicaid patients in each geographic designation. Available to Medicaid patients means any facility or bed available to serve Medicaid patients."]
[null,"BY-CA","In columns BY-CA, starting in cell BY10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns. "]
[null,"CB","In column CB, beginning in cell CB10, please use this space to provide details on the specific types of facilities used to populate this sub-section."]
[null,"CC","In column CC, beginning in cell CC10, please use this space to provide notes about the data source(s) used to populate the sub-section. "]
[null,"CD","In column CD, beginning in cell CD10, please use this space to provide any additional notes regarding the sub-section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"CE","In column CE, starting in cell CE10, enter the number of public and private psychiatric hospitals in each geographic designation. A psychiatric hospital is an institution which provides diagnosis and treatment of mentally ill persons, as defined at 42 USC §1395x.  "]
[null,"CF","In column CF, starting in cell CF10, enter the number of public and private psychiatric hospitals available to Medicaid patients in each geographic designation."]
[null,"CG-CH","In columns CG-CH, starting in cell CG10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns. "]
[null,"CI","In column CI, beginning in cell CI10, please use this space to provide notes about the data source(s) used to populate the sub-section. "]
[null,"CJ","In column CJ, beginning in cell CJ10, please use this space to provide any additional notes regarding the sub-section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"CK","In column CK, starting in cell CK10, enter the number of psychiatric units in acute care hospitals in each geographic designation.  A psychiatric unit is a separate inpatient psychiatric unit of a general hospital that provides inpatient mental health services and has specifically allocated staff and space (beds) for the treatment of persons with mental illness, as defined for SAMHSA's N-MHSS."]
[null,"CL","In column CL, starting in cell CL10, enter the number of psychiatric units in critical access hospitals (CAHs) in each geographic designation.  A critical access hospital is a small facility that provides 24-hour emergency care, outpatient services, as well as inpatient services to people in rural areas, as defined in 42 CFR §4105.606.  "]
[null,"CM","In column CM, starting in cell CM10, enter the number of Medicaid-enrolled psychiatric units in acute care hospitals in each geographic designation."]
[null,"CN","In column CN, starting in cell CN10, enter the number of Medicaid-enrolled psychiatric units in CAHs in each geographic designation."]
[null,"CO","In column CO, starting in cell CO10, enter the number of Medicaid-enrolled psychiatric units in acute care hospitals accepting new Medicaid patients in each geographic designation."]
[null,"CP","In column CP starting in cell CP10, enter the number of Medicaid-enrolled psychiatric units in CAHs accepting new Medicaid patients in each geographic designation."]
[null,"CQ-CV","In columns CQ-CV, starting in cell CQ10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns. "]
[null,"CW","In column CW, beginning in cell CW10, please use this space to provide notes about the data source(s) used to populate the sub-section. "]
[null,"CX","In column CX, beginning in cell CX10, please use this space to provide any additional notes regarding the sub-section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"CY","In column CY, starting in cell CY10, enter the number of licensed psychiatric hospital beds (psychiatric hospital + psychiatric units) in each geographic designation. Please enter the number of licensed psychiatric hospital beds as defined by state licensure requirements.  "]
[null,"CZ","In column CZ, starting in cell CZ10, enter the number of licensed psychiatric hospital beds (psychiatric hospital + psychiatric units) available to Medicaid patients in each geographic designation."]
[null,"DA-DB","In columns DA-DB, starting in cell DA10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns. "]
[null,"DC","In column DC, beginning in cell DC10, please use this space to provide notes about the data source(s) used to populate the sub-section. "]
[null,"DD","In column DD, beginning in cell DD10, please use this space to provide any additional notes regarding the sub-section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"DE","In column DE, starting in cell DE10, enter the number of residential mental health treatment facilities (adult) that qualify as an institution for mental diseases (IMDs) in each geographic designation. An IMD is a hospital, nursing facility, or other institution of more than 16 beds that is primarily engaged in providing diagnosis, treatment or care of persons with mental diseases, including medical attention, nursing care and related services per section 1905(i) of the Social Security Act. See also 42 CFR §435.1010 and section 4390 of the State Medicaid Manual."]
[null,"DF","In column DF, starting in cell DF10, enter the number of Medicaid-enrolled residential mental health treatment facilities (adult) that qualify as IMDs in each geographic designation."]
[null,"DG","In column DG, starting in cell DG10, enter the number of Medicaid-enrolled residential mental health treatment facilities (adult) that qualify as IMDs accepting Medicaid patients in each geographic designation."]
[null,"DH-DJ","In columns DH-DJ, starting in cell DH10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns."]
[null,"DK","In column DK, beginning in cell DK10, please use this space to provide details on the specific types of facilities used to populate this sub-section."]
[null,"DL","In column DL, beginning in cell DL10, please use this space to provide notes about the data source(s) used to populate the sub-section. "]
[null,"DM","In column DM, beginning in cell DM10, please use this space to provide any additional notes regarding the sub-section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"DN","In column DN, starting in cell DN10, enter the number of psychiatric hospitals that qualify as IMDs in each geographic designation."]
[null,"DO","In column DO, starting in cell DO10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns."]
[null,"DP","In column DP, beginning in cell DP10, please use this space to provide notes about the data source(s) used to populate the sub-section. "]
[null,"DQ","In column DQ, beginning in cell DQ10, please use this space to provide any additional notes regarding the sub-section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"DR","In column DR, starting in cell DR10, enter the number of crisis call centers in each geographic designation. Please enter the number of crisis call centers as defined by the state. "]
[null,"DS","In column DS, starting in cell DS10, enter the number of mobile crisis units in each geographic designation. A mobile crisis unit is a team that intervenes during mental health crises, as defined by the state."]
[null,"DT","In column DT, starting in cell DT10, enter the number of crisis observation/ assessment centers in each geographic designation. Please enter the number of observation or assessment centers as defined by the state."]
[null,"DU","In column DU, starting in cell DU10, enter the number of crisis stabilization units in each geographic designation. Crisis stabilization units offer medically monitored short-term crisis stabilization services, as defined by the state. "]
[null,"DV","In column DV, starting in cell DV10, enter the number of coordinated community crisis response teams in each geographic designation. Coordinated community crisis response means a community-based program or entity that manages crisis response across various community entities or programs, as defined by the state."]
[null,"DW-EA","In columns DW-EA, starting in cell DW10, the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns."]
[null,"EB","In column EB, beginning in cell EB10, please use this space to provide details on the specific types of services used to populate this section."]
[null,"EC","In column EC, beginning in cell EC10, please use this space to provide notes about the data source(s) used to populate the section. "]
[null,"ED","In column ED, beginning in cell ED10, please use this space to provide any additional notes regarding the section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"EE","In column EE, starting in cell EE10, enter the number FQHCs that offer behavioral health services in each geographic designation. Federally qualified health center (FQHC) means an entity that has entered into an agreement with CMS to meet Medicare program requirements under 42 CFR §405.2434 and 42 CFR §405.2401."]
[null,"EF","In column EF, starting in cell EF10,the Availability Assessment will automatically calculate the ratios in each geographic designation. The state should not input any values into these columns or modify the formulas in these columns. "]
[null,"EG","In column EG, beginning in cell EG10, please use this space to provide notes about the data source(s) used to populate the section. "]
[null,"EH","In column EH, beginning in cell EH10, please use this space to provide any additional notes regarding the section, such as notes on data limitations, explanations for specific values, or information that could assist with data interpretation."]
[null,"EI","Beginning in column EI, add additional counts and ratios for provider and setting types that the state considers important to its mental health system.  The state should not modify any of the previous columns. "]
[null,"End of worksheet"]

{"sheet":"Definitions","index":2,"n_rows":33,"n_cols":3,"rows_kept":33,"cut":false,"hidden":false,"merged":[[2,1,2,2]]}
[null,"Medicaid Section 1115 SMI/SED Demonstrations Initial Availability Assessment - Definitions (Version 2.0)"]
[]
[null,"Definitions of terms used in the Availability Assessment"]
[null,"Term","Definition"]
[null,"Accepting new Medicaid patients","Accepting new Medicaid patients means any provider enrolled in Medicaid to obtain Medicaid billing privileges who will treat new Medicaid-enrolled patients."]
[null,"Adult","An adult is a person age 18 and over [SMDL]."]
[null,"Available to Medicaid patients","Available to Medicaid patients means any facility or bed available to serve Medicaid patients. "]
[null,"Community mental health center (CMHC)","A community mental health center (CMHC) is defined in §410.2 as “an entity that (1) provides outpatient services, including specialized outpatient services for children, the elderly, individuals who are chronically mentally ill, and clients of its mental health service area who have been discharged from inpatient treatment at a mental health facility; (2) provides 24-hour-a-day emergency care services; (3) provides day treatment or other partial hospitalization services, or psychosocial rehabilitation services; (4) provides screening for patients being considered for admission to state mental health facilities to determine the appropriateness of this admission; (5) meets applicable licensing or certification requirements for CMHCs in the state in which it is located; and (6) provides at least 40 percent of its services to individuals who are not eligible for benefits under title XVIII of the Social Security Act."]
[null,"Coordinated community crisis response","Coordinated community crisis response means a community-based program or entity that manages crisis response across various community entities or programs, as defined by the state."]
[null,"Crisis call center","Crisis call centers are defined by the state. "]
[null,"Crisis stabilization unit","Crisis stabilization units offer medically monitored short-term crisis stabilization services, as defined by the state. "]
[null,"Critical access hospital","A critical access hospital is a small facility that provides 24-hour emergency care, outpatient services, as well as inpatient services to people in rural areas, as defined in 42 CFR §485.606.  "]
[null,"Federally qualified health center","Federally qualified health center (FQHC) means an entity that meets all the requirements at 1905(l)(2)(B) of the Social Security Act."]
[null,"Geographic designation ","Geographic designation means a state-defined geographic unit for reporting data, such as county, region, or catchment area."]
[null,"Institution for mental diseases (IMD)","An institution for mental diseases is a hospital, nursing facility, or other institution of more than 16 beds that is primarily engaged in providing diagnosis, treatment or care of persons with mental diseases, including medical attention, nursing care and related services per section 1905(i) of the Social Security Act. See also 42 CFR §435.1010 and section 4390 of the State Medicaid Manual."]
[null,"Intensive outpatient services","Intensive outpatient services are designed to meet the needs of individuals who may be at risk for crisis or requiring a higher level of care, or who are in transition from a higher level of care. Intensive outpatient services may include partial hospitalization programs, day treatment services, intensive outpatient programs, Assertive Community Treatment, intensive case management, intensive peer supports, written standardized protocols for escalating outpatient services when an individual is experiencing a crisis or increased need, and other services and settings more intensive than regular outpatient and less intensive than inpatient or residential care. "]
[null,"Licensed psychiatric hospital bed","Licensed psychiatric hospital bedsare defined by state licensure requirements.  "]
[null,"Medicaid beneficiary","Medicaid beneficiary means a person who has been determined to be eligible to receive Medicaid services as defined at 42 CFR §400.200."]
[null,"Medicaid-enrolled","Medicaid-enrolled means any provider enrolled in Medicaid to obtain Medicaid billing privileges, as defined in 42 CFR §455.410."]
[null,"Mental health practitioners other than psychiatrists who are certified or licensed by the state to independently treat mental illness","Mental health practitioners other than psychiatrists who are certified or licensed to independently treat mental illness are non-psychiatrist mental health providers who are certified or licensed to independently treat mental illness as defined by state licensure laws. This may include, but is not limited to, licensed psychologists, clinical social workers, and professional counselors. Practitioners who are required to work under the supervision of another practitioner and/or who are required to bill Medicaid under another practitioner should be excluded. "]
[null,"Mobile crisis unit","A mobile crisis unit is a team that intervenes during mental health crises, as defined by the state."]
[null,"Observation or assessment centers ","Observation or assessment centers are defined by the state."]
[null,"Other practitioners who are authorized to prescribe psychiatric medications","Other practitioners who are authorized to prescribe psychiatric medications are defined by state licensure laws."]
[null,"Psychiatric hospital ","A psychiatric hospital is an institution which provides diagnosis and treatment of mentally ill person, as defined at 42 USC §1395x. The state should report on both public and private psychiatric hospitals."]
[null,"Psychiatric residential treatment facility (PRTF)","A psychiatric residential treatment facility is a non-hospital facility with a provider agreement with a state Medicaid agency to provide the inpatient psychiatric services to individuals under age 21 benefit (psych under 21 benefit). The facility must be accredited by the Joint Commission, the Council on Accreditation of Services for Families and Children, the Commission on Accreditation of Rehabilitation Facilities, or any other accrediting organization with comparable standards recognized by the State. PRTFs must also meet the requirements at 42 CFR §441.151 - §441.182, and 42 CFR §483.350 – §483.376."]
[null,"Psychiatric unit","A psychiatric unit is a separate inpatient psychiatric unit of a general hospital that provides inpatient mental health services and has specifically allocated staff and space (beds) for the treatment of persons with mental illness, as defined for SAMHSA's National Mental Health Services Survey (N-MHSS)."]
[null,"Psychiatrist ","A psychiatrist is any psychiatrist licensed to practice in the state under state licensure laws."]
[null,"Residential mental health treatment facilities (adult) ","A residential mental health treatment facilities (adult) is a facility not licensed as a psychiatric hospital, whose primary purpose is to provide individually planned programs of mental health treatment services in a residential care setting for adults as defined for SAMHSA's N-MHSS. Please exclude residential SUD treatment facilities."]
[null,"Rural","Rural means any area outside an urban area as defined in 42 CFR § 412.64(b)."]
[null,"Serious emotional disturbance (SED)","Persons with serious emotional disturbance means individuals from birth up to age 18 who currently, or at any time during the past year, have had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria that resulted in functional impairment which substantially interferes with or limits the child’s role or functioning in family, school, or community activities. Functional impairment” is defined as difficulties that substantially interfere with or limit a child or adolescent from achieving or maintaining one or more developmentally-appropriate social, behavioral, cognitive, communicative, or adaptive skills [SMDL]. "]
[null,"Serious mental illness (SMI)","Persons with serious mental illness means individuals, age 18 and over, who currently, or at any time during the past year, have had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria, that has resulted in functional impairment which substantially interferes with or limits one or more major life activities. [SMDL]\n\nNote: in the SMDL, SMI is defined to include individuals age 18 years and older, and SED includes children younger than 18. However, the residential treatment section of the availability assessment requests data on PRTFs, and the federal definition for PRTFs includes facilities that serve individuals under the age of 21. In order to avoid double counting beneficiaries in the residential treatment category, the assessment requests data on beneficiaries age 0-17, 18-20, and 21 and older separately."]
[null,"Urban","Urban means a Metropolitan Statistical Area or a Metropolitan division (in the case where a Metropolitan Statistical Area is divided into Metropolitan Divisions), as defined by the Executive Office of Management and Budget (42 CFR § 412.64(b))."]
[null,"End of worksheet"]

{"sheet":"Narrative Description","index":3,"n_rows":16,"n_cols":2,"rows_kept":16,"cut":false,"hidden":false,"merged":[[7,1,7,12],[2,1,2,12],[3,1,3,12],[4,1,4,12],[5,1,5,12],[6,1,6,12],[14,1,14,12],[8,1,8,12],[9,1,9,12],[10,1,10,12],[11,1,11,12],[12,1,12,12],[13,1,13,12]]}
[null,"Medicaid Section 1115 SMI/SED Demonstrations Initial Availability Assessment - Narrative Description"]
[]
[null,"Narrative Description (to be completed at baseline)"]
[null,"1. In the space below, describe the mental health service needs (e.g. prevalence and distribution of SMI/SED) of Medicaid beneficiaries with SMI/SED in the state at the beginning of the demonstration. [Limit responses to 500 words if possible]"]
[]
[null,"2. In the space below, describe the organization of the state’s Medicaid behavioral health service delivery system at the beginning of the demonstration. [Limit responses to 500 words if possible]"]
[]
[null,"3. In the space below, describe the availability of mental health services for Medicaid beneficiaries with SMI/SED in the state at the beginning of the demonstration.  At minimum, explain any variations across the state in the availability of the following: inpatient mental health services; outpatient and community-based services; crisis behavioral health services; and care coordination and care transition planning.  [Limit responses to 1000 words if possible] "]
[]
[null,"4. In the space below, describe any gaps the state identified in the availability of mental health services or service capacity while completing the Availability Assessment. [Limit responses to 500 words if possible]"]
[]
[null,"5. In the space below, describe any gaps in the availability of mental health services or service capacity NOT reflected in the Availability Assessment. [Limit responses to 500 words if possible]"]
[]
[null,"6. In the space below, if desired, please add any additional information regarding data sources that is not already included in the “Availability Assessment” tab. Please note that within the “Availability Assessment” tab, there are columns in which to enter brief descriptions of the data source(s) used to report on mental health services, by type, as well as columns in which to describe any data limitations. Additional information regarding data sources can be provided here. [Limit responses to 500 words if possible]"]
[]
[null,"End of worksheet"]

{"sheet":"Availability Assessment","index":4,"n_rows":39,"n_cols":138,"rows_kept":39,"cut":false,"hidden":false,"merged":[[9,136,36,136],[9,137,36,137],[9,64,36,64],[9,66,36,66],[9,79,36,79],[9,81,36,81],[9,86,36,86],[9,119,36,119],[9,120,36,120],[9,131,36,131],[9,133,36,133],[9,87,36,87],[9,100,36,100],[9,101,36,101],[9,106,36,106],[9,107,36,107],[9,15,36,15],[9,16,36,16],[9,23,36,23],[9,25,36,25],[9,32,36,32],[7,82,7,87],[7,88,7,101],[7,102,7,107],[7,52,7,66],[7,67,7,81],[7,117,7,120],[7,142,7,143],[6,108,6,120],[6,121,6,133],[6,134,6,137],[7,108,7,116],[7,4,7,8],[7,9,7,11],[7,12,7,14],[7,17,7,25],[7,26,7,34],[6,82,6,107],[6,4,6,16],[6,17,6,34],[6,35,6,42],[6,43,6,51],[6,52,6,81],[9,132,36,132],[9,116,36,116],[9,114,36,114],[9,24,36,24],[9,33,36,33],[9,50,36,50],[9,65,36,65],[9,80,36,80],[9,115,36,115],[9,34,36,34],[9,41,36,41],[9,42,36,42],[9,49,36,49],[9,51,36,51]]}
[null,"Medicaid Section 1115 SMI/SED Demonstrations Initial Availability Assessment (Version 2.0)",null," "]
[null,"State Name"]
[null,"Date of Assessment"]
[null,"Time Period Reflected in Assessment (month/day/year)"]
[]
[]
[null,"Geographic Designation",null,null,"Beneficiaries",null,null,null,null,null,null,null,null,null,null,null,null,"Providers",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Community Mental Health Centers",null,null,null,null,null,null,null,"Intensive Outpatient Services",null,null,null,null,null,null,null,null,"Residential Mental Health Treatment Facilities ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Inpatient",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Institutions for Mental Diseases",null,null,null,null,null,null,null,null,null,null,null,null,"Crisis Stabilization Services",null,null,null,null,null,null,null,null,null,null,null,null,"Federally Qualified Health Centers"]
[null,null,null,null,"Adult  ",null,null,null,null,"Children",null,null,"Total",null,null,null,null,"Psychiatrists and Other Practitioners Who Are Authorized to Prescribe Psychiatric Medications",null,null,null,null,null,null,null,null,"Other Practitioners Certified and Licensed to Independently Treat Mental Illness",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Residential Mental Health Treatment Facilities (Adult)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Psychiatric Residential Treatment Facilities",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Public and Private Psychiatric Hospitals",null,null,null,null,null,"Psychiatric Units",null,null,null,null,null,null,null,null,null,null,null,null,null,"Psychiatric Beds",null,null,null,null,null,"Residential Treatment Facilities That Qualify As IMDs",null,null,null,null,null,null,null,null,"Psychiatric Hospitals That Qualify As IMDs"]
[null,"Geographic designation","Is this geographic designation primarily urban or rural?","Additional notes on this sub-section, including data limitations","Number of adult Medicaid beneficiaries (18 - 20)","Number of adult Medicaid beneficiaries with SMI \n(18 - 20)","Number of adult Medicaid beneficiaries (21+)","Number of adult Medicaid beneficiaries with SMI (21+)","Percent with SMI (Adult)","Number of Medicaid beneficiaries (0 - 17)","Number of Medicaid beneficiaries with SED \n(0 - 17)","Percent with SED (0-17)","Number of Medicaid beneficiaries (Total)","Number of Medicaid beneficiaries with SMI or SED (Total)","Percent with SMI or SED (Total)","Brief description of data source(s) used to populate this section","Additional notes on this section, including data limitations","Number of Psychiatrists and Other Practitioners Who Are Authorized to Prescribe Psychiatric Medications","Number of Medicaid-Enrolled Psychiatrists and Other Practitioners Who Are Authorized to Prescribe Psychiatric Medications","Number of Medicaid-Enrolled Psychiatrists and Other Practitioners Who Are Authorized to Prescribe Psychiatric Medications Accepting New Medicaid Patients","Ratio of Medicaid beneficiaries with SMI/SED to Medicaid-Enrolled Psychiatrists and Other Prescribers ","Ratio of Total Psychiatrists or Other Prescribers to Medicaid-Enrolled Psychiatrists and Other Prescribers","Ratio of Medicaid-Enrolled Psychiatrists and Other Prescribers to Medicaid-Enrolled Psychiatrists and Other Prescribers Accepting New Medicaid Patients","Specific type(s) of practitioners used to populate this sub-section","Brief description of data source(s) used to populate this sub-section","Additional notes on this sub-section, including data limitations","Number of Other Practitioners Certified or Licensed to Independently Treat Mental Illness","Number of Medicaid-Enrolled Other Practitioners Certified or Licensed to Independently Treat Mental Illness","Number of Medicaid-Enrolled Other Practitioners Certified or Licensed to Independently Treat Mental Illness Accepting New Medicaid Patients","Ratio of Medicaid Beneficiaries with SMI/SED to Medicaid-Enrolled Other Practitioners Certified or Licensed to Independently Treat Mental Illness","Ratio of Other Practitioners Certified or Licensed to Independently Treat Mental Illness to Medicaid-Enrolled Other Practitioners Certified or Licensed to Independently Treat Mental Illness","Ratio of Medicaid-Enrolled Other Practitioners Certified and Licensed to Independently Treat Mental Illness to Medicaid-Enrolled Other Practitioners Certified and Licensed to Independently Treat Mental Illness Accepting New Patients","Specific type(s) of practitioners used to populate this sub-section","Brief description of data source(s) used to populate this sub-section","Additional notes on this sub-section, including data limitations","Number of CMHCs","Number of Medicaid- Enrolled CMHCs ","Number of Medicaid-Enrolled CMHCs Accepting New Medicaid Patients","Ratio of Medicaid Beneficiaries with SMI/SED to Medicaid- Enrolled CMHCs ","Ratio of Total CMHCs to Medicaid- Enrolled CMHCs","Ratio of Medicaid-Enrolled CMHCs to Medicaid-Enrolled CMHCs Accepting New Patients","Brief description of data source(s) used to populate this section","Additional notes on this section, including data limitations","Number of Providers Offering Intensive Outpatient Services","Number of Medicaid-Enrolled Providers Offering Intensive Outpatient Services","Number of Medicaid-Enrolled Providers Offering Intensive Outpatient Services","Ratio of Medicaid Beneficiaries with SMI/SED to Medicaid- Enrolled Providers Offering Intensive Outpatient Services","Ratio of Total Facilities/ Programs Offering Intensive Outpatient Services to Medicaid-Enrolled Providers Offering Intensive Outpatient Services","Ratio of Medicaid-Enrolled Providers Offering Intensive Outpatient Services to Medicaid- Enrolled Providers Offering Intensive Outpatient Services Accepting New Medicaid Patients","Specific type(s) of services used to populate this section","Brief description of data source(s) used to populate this section","Additional notes on this section, including data limitations","Number of Residential Mental Health Treatment Facilities (Adult)","Number of Medicaid- Enrolled Residential Mental Health Treatment Facilities (Adult)","Number of Medicaid-Enrolled Residential Mental Health Treatment Facilities Accepting New Medicaid Patients (Adult)","Ratio of Medicaid Beneficiaries with SMI (Adult) to Medicaid- Enrolled Residential Mental Health Treatment Facilities (Adult) ","Ratio of Total Residential Mental Health Treatment Facilities (Adult) to Medicaid-Enrolled Residential Mental Health Treatment Facilities (Adult)","Ratio of Medicaid-Enrolled Residential Mental Health Treatment Facilities (Adult) to Medicaid- Enrolled Residential Mental Health Treatment Facilities (Adult) Accepting New Patients","Total Number of Residential Mental Health Treatment Facility Beds (Adult)","Total Number of Medicaid- Enrolled Residential Mental Health Treatment Beds (Adult)","Total Number of Medicaid-Enrolled Residential Mental Health Treatment Beds Available to Adult Medicaid Patients","Ratio of Medicaid Beneficiaries with SMI (Adult) to Medicaid-Enrolled Residential Mental Health Treatment Beds ","Ratio of Total Residential Mental Health Treatment Beds to Medicaid-Enrolled Residential Mental Health Treatment Beds","Ratio of Medicaid-Enrolled Residential Mental Health Treatment Beds to Medicaid- Enrolled Residential Mental Health Treatment Beds Available to Medicaid Patients","Specific type(s) of facilities used to populate this sub-section","Brief description of data source(s) used to populate this sub-section","Additional notes on this sub-section, including data limitations","Number of Psychiatric Residential Treatment Facilities (PRTF) ","Number of Medicaid- Enrolled PRTFs","Number of Medicaid-Enrolled PRTFs Accepting New Medicaid Patients","Ratio of Medicaid Beneficiaries with SED to Medicaid-Enrolled PTRFs ","Ratio of Total PTRFs to Medicaid- Enrolled PRTFs","Ratio of Medicaid-Enrolled PRTFs to Medicaid-Enrolled PRTFs Accepting New Medicaid Patients","Total Number of PRTF Beds","Number of Medicaid-Enrolled PRTF Beds","Number of Medicaid-Enrolled PRTF Beds Available to Medicaid Patients","Ratio of Medicaid Beneficiaries with SED to Medicaid-Enrolled PRTF Beds Available to Medicaid Patients","Ratio of Total Number of PRTF Beds to Medicaid- Enrolled PRTF Beds","Ratio of Medicaid- Enrolled PRTF Beds to Medicaid- Enrolled PRTFs Available to Medicaid Patients","Specific type(s) of facilities used to populate this sub-section","Brief description of data source(s) used to populate this sub-section","Additional notes on this sub-section, including data limitations","Number of Public and Private Psychiatric  Hospitals    ","Public and Private Psychiatric Hospitals Available to Medicaid Patients","Ratio of Medicaid Beneficiaries with SMI/SED to Public and Private Psychiatric Hospitals Available to Medicaid Patients","Ratio of Public and Private Psychiatric Hospitals to Public and Private Psychiatric Hospitals Available to Medicaid Patients","Brief description of data source(s) used to populate this sub-section","Additional notes on this sub-section, including data limitations","Number of Psychiatric Units in Acute Care Hospitals","Number of Psychiatric Units in Critical Access Hospitals (CAHs)","Number of Medicaid- Enrolled Psychiatric Units in Acute Care Hospitals","Number of Medicaid-Enrolled Psychiatric Units in CAHs","Number of Medicaid-Enrolled Psychiatric Units in Acute Care Hospitals Accepting New Medicaid Patients","Number of Medicaid-Enrolled Psychiatric Units in CAHs Accepting New Medicaid Patients","Ratio of Medicaid Beneficiaries with SMI/SED to Medicaid-Enrolled Psychiatric Units in Acute Care Hospitals ","Ratio of Medicaid Beneficiaries with SMI/SED to Medicaid-Enrolled Psychiatric Units in CAHs","Ratio of Psychiatric Units in Acute Care Hospitals to Medicaid-Enrolled Psychiatric Units in Acute Care Hospitals","Ratio of Psychiatric Units in CAHs to Medicaid-Enrolled Psychiatric Units in CAHs","Ratio of Medicaid-Enrolled Psychiatric Units in Acute Care Hospitals to Medicaid-Enrolled Psychiatric Units in Acute Care Hospitals Accepting New Medicaid Patients","Ratio of Medicaid-Enrolled Psychiatric Units in CAHs to Medicaid-Enrolled Psychiatric Units in CAHs Accepting New Medicaid Patients","Brief description of data source(s) used to populate this sub-section","Additional notes on this sub-section, including data limitations","Number of Licensed Psychiatric  Hospital Beds (Psychiatric Hospital + Psychiatric Units)","Number of Licensed Psychiatric Hospital Beds (Psychiatric Hospital + Psychiatric Units) Available to Medicaid Patients","Ratio of Medicaid Beneficiaries with SMI/SED to Licensed Psychiatric Hospital Beds Available to Medicaid Patients","Ratio of Licensed Psychiatric Hospital Beds to Licensed Psychiatric Hospital Beds Available to Medicaid Patients ","Brief description of data source(s) used to populate this sub-section","Additional notes on this sub-section, including data limitations","Number of Residential Mental Health Treatment Facilities (Adult) that Qualify as IMDs ","Number of Medicaid- Enrolled Residential Mental Health Treatment Facilities (Adult) that Qualify as IMDs","Number of Medicaid- Enrolled Residential Mental Health Treatment Facilities (Adult) that Qualify as IMDs Accepting Medicaid Patients","Ratio of Medicaid Beneficiaries with SMI (Adult) to Medicaid- Enrolled Residential Mental Health Treatment Facilities that Qualify as IMDs ","Ratio of Total Residential Mental Health Treatment Facilities (Adult) that Qualify as IMDs to Medicaid-Enrolled Residential Mental Health Treatment Facilities (Adult) that Qualify as IMDs","Ratio of Medicaid-Enrolled Residential Mental Health Treatment Facilities (Adult) that Qualify as IMDs to Medicaid- Enrolled Residential Mental Health Treatment Facilities (Adult) that Qualify as IMDs Accepting New Medicaid Patients","Specific type(s) of facilities used to populate this sub-section","Brief description of data source(s) used to populate this sub-section","Additional notes on this sub-section, including data limitations","Number of Psychiatric Hospitals that Qualify as IMDs","Ratio of Medicaid Beneficiaries with SMI/SED to Psychiatric Hospitals that Qualify as IMDs ","Brief description of data source(s) used to populate this sub-section","Additional notes on this sub-section, including data limitations","Number of Crisis Call Centers","Number of Mobile Crisis Units","Number of Crisis Observation/ Assessment Centers","Number of Crisis Stabilization Units","Number of Coordinated Community Crisis Response Teams","Ratio of Medicaid Beneficiaries with SMI/SED to Crisis Call Centers  ","Ratio of Medicaid Beneficiaries with SMI/SED to Mobile Crisis Units ","Ratio of Medicaid Beneficiaries with SMI/SED to Crisis Observation/ Assessment Centers ","Ratio of Medicaid Beneficiaries with SMI/SED to Crisis Stabilization Units ","Ratio of Medicaid Beneficiaries with SMI/SED to Coordinated Community Crisis Response Teams ","Specific type(s) of services used to populate this section","Brief description of data source(s) used to populate this section","Additional notes on this section, including data limitations","Number FQHCs that Offer Behavioral Health Services","Ratio of Medicaid Beneficiaries with SMI/SED to FQHCs that Offer Behavioral Health Services ","Brief description of data source(s) used to populate this section","Additional notes on this section, including data limitations"]
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