NAMD Memo on the Medicaid IMD Exclusion

This memo provides background information for interested congressional staff on the IMD exclusion in light of the Center for Medicare and Medicaid Innovation’s (CMMI) recent decision not to extend the Medicaid Emergency Psychiatric Demonstration (MEPD). This document examines the context for the IMD exclusion; explores the available pathways for states to mitigate the IMD exclusion and the limitations of each; and outlines the questions and issues that CMMI’s decision on the MEPD raises from the state perspective.

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