Medicaid Reimbursement of Mental Health Peer-Run Organizations: Results of a National Survey

Laysha Ostrow, Donald Steinwachs, Philip J. Leaf, Sarah Naeger

Research output: Contribution to journalArticlepeer-review


This study sought to understand whether knowledge of the Affordable Care Act (ACA) was associated with willingness of mental health peer-run organizations to become Medicaid providers. Through the 2012 National Survey of Peer-Run Organizations, organizational directors reported their organization’s willingness to accept Medicaid reimbursement and knowledge about the ACA. Multinomial logistic regression was used to model the association between willingness to accept Medicaid and the primary predictor of knowledge of the ACA, as well as other predictors at the organizational and state levels. Knowledge of the ACA, Medicaid expansion, and discussions about healthcare reform were not significantly associated with willingness to be a Medicaid provider. Having fewer paid staff was associated with not being willing to be a Medicaid provider, suggesting that current staffing capacity is related to attitudes about becoming a Medicaid provider. Organizations had both ideological and practical concerns about Medicaid reimbursement. Concerns about Medicaid reimbursement can potentially be addressed through alternative financing mechanisms that should be able to meet the needs of peer-run organizations.

Original languageEnglish (US)
Pages (from-to)501-511
Number of pages11
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Issue number4
StatePublished - Jul 1 2017


  • Affordable Care Act
  • Medicaid
  • Peer support

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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