How Montana’s mental health system is struggling to stay afloat after cuts to Medicaid reimbursement rates for case managers

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On January 1, 2018, mental health facilities across Montana were hit by a monumental cut to Medicaid reimbursement rates for case managers, who check in on mental health patients and help them navigate paperwork needed to participate in welfare programs. We follow a case manager in Missoula, Lisa Leon, as she struggles to juggle a large list of clients and fights to get the state budget reinstated, while making less money than she ever has.