Member and Provider Services Unit: Provider Member Relations

Access to Care: # of behavioral, mental health and substance abuse (BMHSA) providers per 1000 Medicaid members

13.26Oct 2020

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Notes on Methodology

The target for this measure is 1 BMHSA per 1000 members per county in Vermont.

                                         
  Access to Care:  # of Behavioral, Mental Health & Substance Abuse (BMHSA) Provicers per 1000 Medicaid Members   
    SFY20 SFY21  
  May-20 Jun-20 Jul-20 Aug-20 Sep-20 Oct-20  
  County #
Medicaid Members
# BMHSA Providers # BMHSA
per 1000 members
#
Medicaid Members
# BMHSA Providers # BMHSA
per 1000 members
#
Medicaid Members
# BMHSA Providers # BMHSA
per 1000 members
#
Medicaid Members
# BMHSA Providers # BMHSA
per 1000 members
#
Medicaid Members
# BMHSA Providers # BMHSA
per 1000 members
#
Medicaid Members
# BMHSA Providers # BMHSA
per 1000 members
 
  Addison 8359 86 10.29 8467 86 10.16 8622 87 10.09 8718 88 10.09 8806 89 10.11 8877 89 10.03  
  Bennington 12108 152 12.55 12221 158 12.93 12368 161 13.02 12431 161 12.95 12562 164 13.06 12610 165 13.08  
  Caledonia 10590 96 9.07 10697 98 9.16 10773 98 9.10 10829 99 9.14 10954 101 9.22 10972 103 9.39  
  Chittenden 32091 677 21.10 32421 685 21.13 32888 692 21.04 33193 701 21.12 33700 709 21.04 34010 714 20.99  
  Essex 2288 11 4.81 2319 11 4.74 2332 10 4.29 2347 10 4.26 2356 10 4.24 2390 10 4.18  
  Franklin 14385 116 8.06 14530 116 7.98 14643 116 7.92 14754 116 7.86 14933 116 7.77 14999 115 7.67  
  Grand Isle 1853 18 9.71 1872 18 9.62 1884 18 9.55 1896 18 9.49 1921 18 9.37 1932 18 9.32  
  Lamoille 7339 92 12.54 7413 94 12.68 7549 93 12.32 7605 94 12.36 7708 96 12.45 7760 96 12.37  
  Orange 8101 167 20.61 8178 172 21.03 8249 172 20.85 8309 176 21.18 8443 178 21.08 8504 182 21.40  
  Orleans 11068 66 5.96 11193 66 5.90 11295 66 5.84 11370 66 5.80 11482 66 5.75 11566 67 5.79  
  Rutland 18721 129 6.89 18892 130 6.88 19141 130 6.79 19280 131 6.79 19500 130 6.67 19658 131 6.66  
  Washington 14863 238 16.01 15000 239 15.93 15196 241 15.86 15323 239 15.60 15511 237 15.28 15569 240 15.42  
  Windham 12552 283 22.55 12699 290 22.84 12867 294 22.85 12981 292 22.49 13199 298 22.58 13291 303 22.80  
  Windsor 16813 150 8.92 17028 150 8.81 17205 150 8.72 17318 149 8.60 17533 148 8.44 17691 151 8.54  
  Total 171,131 2,281 13.33 172,930 2,313 13.38 175,012 2,328 13.30 176,354 2,340 13.27 178,608 2,360 13.21 179,829 2,384 13.26  
                                         
Partners
  • DVHA Data Unit
  • Provider Community
  • Department of Mental Health
  • Vermont Department of Health
  • DXC
Story Behind the Curve

Vermont is experiencing a physician shortage in key specialty areas. DVHA has chosen to monitor 5 key groups with dwindling provider counts in order to work with multiple agencies to address issues proactively: behavior and mental health and substance abuse providers, cardiologists, dentists, pharmacies, and primary care providers (PCPs).

Behavior and Mental Health and Substance Abuse Providers:

Many of Vermont’s behavioral health providers are reaching retirement age and Medicaid is not enrolling enough new providers to meet the needs of its members. The National Council for Behavioral Health reports that 77% of counties across the country have severe shortages of behavioral health professionals. This is in part due to what Vermont is experiencing with the aging out of this provider population without replacements. The report also points to the relatively low salary as a disincentive for this area of study/certification.

Only 57.7% of adults with mental illness in Vermont receive any form of treatment from either the public system or private providers (according to SAMHSA). The remaining 42.3% receive no mental health treatment. According to Mental Health America, Vermont is ranked 3 out of 50 states and Washington D.C. for providing access to mental health services.

The National Alliance on Mental Illness (NAMI) suggests there should be 1 Mental Health Counselor in a 30 mile radius for every 1000 residents.

Last updated: 10/15/2020

Strategy
  • In collaboration with VDH and DMH the PMR unit is outreaching to BMHSA community to understand the ability to see patients and what is driving the shortage. 
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy