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Casper is one of an estimated 500 Oakland County residents receiving intensive case management affected by so-called Medicaid spend down — the amount a Medicaid recipient’s monthly income exceeds the program’s allowance for living expenses.
Because of a change in state funding, the Oakland County Community Mental Health Authority is no longer able to help patients meet their Medicaid deductible.
Those affected are being transitioned from the public mental health system to community resources through the mental health authority’s partners like Oakland Integrated Healthcare Centers. The federally-funded center addresses the needs of people with or without insurance and the underinsured.
The two departments are currently exploring a partnership that will enable patients to meet their Medicaid deductible.
Those affected by the transition will be losing access to psychiatrists, counseling and therapy, case management and social integration services, among other services.