DHS Behavioral Health Dashboard

Behavioral health generally refers to mental health and substance use disorders, life stressors and crises, and stress-related physical symptoms. Behavioral health care refers to the prevention, diagnosis, and treatment of those conditions.

This dashboard features analyses of behavioral health diagnoses, prescriptions, demographics, payments, and provider activity in Arkansas.

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    About the Data

    The data presented here are from the Arkansas All-Payer Claims Database (APCD), which falls under the Healthcare Transparency Initiative. The APCD includes records for the following types of insurance coverage: commercial, Medicaid fee-for-service, Medicaid qualified health plans (QHP), Medicaid Provider-Led Arkansas Shared Savings Entity (PASSE) plans, Medicare Advantage, and Medicare fee-for-service. The types of data include enrollment records and medical and pharmacy claims. Metrics displayed for 2020 include all types of coverage. For the 2021 metrics, only commercial and Medicaid-related coverage are available.

    Medical View

    Medical data include medical claims from the APCD that have a primary diagnosis identified in the behavioral health-related categories of the Clinical Classification Software (CCS). “Behavioral Health” encompasses the subcategories of cognitive disorders, developmental disorders, and other behavioral health disorders. These categories and their constituent ICD-10 codes are listed under “Code Lookup” in the Medical View.

    Enrollee data are combined with medical claims to determine type of coverage, county of residence, and age. 

    Metrics within the Medical View are:

    • Patients – the distinct number of patients.
    • Diagnosis rate per 10,000 enrollees – the count of patients with a primary diagnosis divided by the count of enrollees in the APCD. 
    • Paid amount – the sum of payer paid amounts and patients’ out-of-pocket costs.
    • Paid amount per patient per month (PPPM) – the sum of all patients’ paid amounts divided by the active enrollment months of said patients. 

    Each metric can be viewed by the following: 

    • Demographics – age group, gender, county of residence, and type of coverage.
    • CCS category – the 13 behavioral health categories.
    • Trends – longitudinal view by year, quarter, or month.

    Pharmacy View

    Pharmacy data include prescription claims from the APCD for patients previously identified in the Medical View. Prescriptions were selected from the following Medispan behavioral health drugs:

    • Antianxiety agents.
    • Antidepressants.
    • Antipsychotic/antimanic agents.
    • Hypnotics.
    • ADHD, anti-narcolepsy, anti-obesity, and anorexiants.
    • Psychotherapeutic and neurological agents.

    Enrollee data are combined with prescription claims to determine type of coverage, county of residence, and age. 

    Metrics within the Pharmacy View are:

    • Prescriptions filled – distinct count of prescriptions.
    • Patients with a filled prescription – distinct number of patients by measure.
    • Prescriptions filled per patient – the count of prescriptions per patient with a primary diagnosis and a prescription.
    • Paid amount –  the sum of payer paid amounts and patients’ out-of-pocket costs.
    • Paid amount per patient per month (PPPM) – the sum of all patients’ paid amounts divided by the active enrollment months of said patients. 

    Each metric can be viewed by the following: 

    • Demographics – age group, gender, county of residence, and type of coverage.
    • Drug category – subcategory from the five categories listed above.
    • Trends – longitudinal view by year, quarter, or month.

    Provider View

    To determine availability of access in the behavioral health space, behavioral health providers were identified and selected from licensure files provided by the state’s licensing boards. These files included psychiatrists, psychologists, counselors, and social workers licensed in Arkansas. A list of counselors and social workers registered with the Arkansas Department of Human Services served as a supplemental source for these types of providers. 

    Provider data include claims billed for by the selected behavioral health providers from the same medical claims used to identify patients in the Medical View. Because a subset of the medical claims is used in the Providers View, the total paid amounts and total patients in the Providers View will not equal those values in the Medical View.

    Providers per 10,000 residents are displayed on a county level by the selected provider type. This rate is calculated by the sum of providers that served at least one patient within the county divided by the county population. County population estimates are from the 2021 American Community Survey’s Arkansas five-year county estimates.

    The following metrics within the Providers View are displayed by type of coverage:

    • Providers – distinct number of providers, based on National Provider Identifier (NPI), by type of coverage.
    • Patients – distinct number of patients served by selected providers listed on claim.
    • Paid amount – the sum of payer paid amounts and patients’ out-of-pocket costs paid to these providers.
    • Paid amount per patient – the sum of all patients’ paid amounts divided by the number of patients served by these selected providers.