Abstract
This article summarizes a Report to Congress concerning Medicaid limits on assistance for patients in institutions for mental diseases (IMDs). There is little or no basis for changing this policy. Court judgments have found that the policy's application has been reasonable and consistent with congressional intent. Also, the general trend in the alcohol, drug abuse, and mental health (ADM) service system has been in outpatient or partial care, not institutional care. Research supports the conclusion that alternatives to IMD treatment are the most cost-effective. Finally, eliminating the IMD policy would be expensive, and simply substitute federal for state funding.
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