Poznámka k založení hazardních her Jackpotu 2025: R4000 Přihlaste Bonusy se k odběru bonusu

posted in: All news | 0

Neent Pokies se počítá za padesátpercent, zatímco vy jste stolní videohry, jako je černá jack, ruleta a pokerová částka založená na webu můžete vlastnit 8percent. Zcela nový vítejte navíc během místního kasina Jackpot Area nabízí 1600 a vy 295 zcela zdarma se otočí po dobu pěti míst. Bonus přichází s pobídkami zápasů a vy budete 100 procent bezplatných otočením, které mají vybranou online hra.

Bonusy | Jak se mohu těšit na jackpot městské hazardní hry bezplatný úvěr jinak zcela zdarma čipy?

VIP hodnotí osobní pobídky a reklamy spolu s osobními dary kromě téměř všech ostatních nefinančních výhod. Lidé NJ-New Jersey dostanou 0-330 , pokud jste stránky PA, dívají se na každý den vyznamenání od 0 do 400 . Skuteční profesionálové oceňují tento web přetrvávající strategii motivačních kontrol a také kvalitu aplikace. Poté, co se setkáte s podmínkami hraní, můžete se poradit s oddělením přes Venmo, PayPal a několik dalších akcí. Chci vám také pomoci zdůraznit, že další hotovost je použitelná pouze na online hracích hrách.

Většina ostatních kasinových hodnocení, které byste mohli například

Byly to běžné možnosti, včetně poplatku, mastercard, paysafecard, interac a můžete se opakovat. Nejnovější podnik hazardních her spolu s přijímá věk, jako je EcoPayz, a vy budete instadebit, přinášejí více výhod a můžete se chránit. Stejně jako Super Moolah Atlantean Secrets nabízí nejnovější hazardní stanice další online hra Jackpot, pro všechny další téma a automatickou mechaniku hry. Tyto typy hry zahrnují dobrodružství pro pocity hazardních her, protože pro každý zvrat by mohlo způsobit velké výhry. Dnes neexistují žádné jackpotové město zcela bezplatné pobídky, které jsou snadno dostupné pro účastníky kanadského online kasina. V případě, že nejnovější bonusy Jackpot Town skončí nabízeny na tak, že je to online kasino, budeme aktualizovat všechny podrobnosti.

Všechny snadno dostupné a nové bonusy založení hazardních her JackpotCity uvnitř roku 2025

Chcete -li mít nárok na každý den, musíte mít umístění a během posledních sedmi dnů můžete vsadit 20 Bonusy liber, kromě doby předplatného. Další videohra přispívají na vaši konferenci odlišné sazby Nové specifikace sázení, které mají sloty přidány 100percent. Podíval jsem se na nejnovější klasifikaci Harbors v místním městě kasina jackpot a vy jste objevili téměř 450 nadpisů. Najdete z mikrogamingu, jako je Mega Moolah, najdete kroky 3-relivní a 5-relizovací videoklipy a velké milionáře, které jsou podléhající moderní jackpoty.

Když to uvedete, aby se použilo nahoru, můžete tvrdit další probíhající nabídky určené pro stávající lidi v kasinu Jackpot Urban Area. Také čerstvý hrací pocit jsou úžasné, které mají hráče, kteří jsou schopni umístit sázky rychle. Můžete tedy tvrdit, jakou strategii, Bettors ji musí vzít z naší webové stránky, protože se jedná o nadšené exkluzivní dávání a objevíte bezplatný účet v zařízení pro hazardní hry a poskytne určité osobní údaje. Otočení by bylo okamžitě připisováno egyptskému šperku. Toto je vlastně několik podle vašeho bez depozit a můžete pravidelné číslo vkladu.

JackpotCity hazardní podnikové motivace 2025

Jedna z mnoha schválených možností CashOut, Neteller, PayPal, rychlý převod a můžete Skrill často platit nejrychleji a získat své vlastní výplaty v jednom do několika až několika pracovních dnů. JackpotCity nyní nabízí zákaznický servis prostřednictvím e -mailu, který je provozován skupinou A, kterou byste mohli kontaktovat 24/7, a můžete naživu dostupné denně denně mezi 8:00 v 11:00. JackpotCity Gambling Enterprise umožňuje trochu, ale bezpečné sady finančních akcí, aby vlastnil britské hráče.

Fanoušci se dostanou k 1 600 ve formě velkého Jackpot City, které se přihlásí k odběru navíc, které spolupracuje zbrusu nové zařízení pro hazardní hry, které poskytuje první pět míst nového hráče kolem hodnoty osmi stovek osm osm. V podstatě jste se dostali zpět k vám vložení, což poskytuje samostatnost. Přesto ne, musíte hazardovat prostřednictvím motivace v hodnotě 50x, než budete moci vybrat hodnotu, protože dolary. To může být malé pro nejvyšší frontu, stejně jako tyto typy také nabízí.

Poslední problém, který bude sledovat, je Play-děkuji a vy vložíte požadavky. Bonusy bez depozitů mají občas přísné sázení a můžete si přehrávat na standardy spojené, pokud jde o výběr. To znamená, že v případě, že vytvoříte, vyděláte jakékoli peníze společně s vaší bezpodobní pobídkou, jste nezbytní k vytvoření počátečního vkladu a než budete moci vyplatit, budete si užít velkou část her.

Sdílejte skvělé minuty z místního kasina Jackpot City a vydělejte mnohem více dolarů za plán odkazujícího přítele v rámci zbrusu Nového Zélandu. Pozvěte kamarády a vy zabalíte padesát skutečných peněz za každé vítězné doporučení! Jeden to není jako místní kasino vložil 1 krok 1 hodnocení bonusů 20 , ale zde, navíc získáte zdarma financování. Nové sázkové podmínky z místního kasina jackpotu vyzkoušejí 200x bonusové číslo.

Přesto ne, minimální druh propagace čerstvých hazardních her a nejvyšší požadavky na sázení na vaše konkrétní bonusy zkouší významné problémy. Tyto položky mohou snížit hodnotu bonusů a můžete požádat o úplnou spokojenost sportovců. Ve spojení s předměty kolem péče o zákazníka a budete transparentnost, takové aspekty chtěly pečlivé zvážení. Jackpot Area Local Casino vyniká se svou solidní herní knihovnou, takové sloty a můžete slingo alternativy, oblíbené s různými volbami hazardních her. Zcela nová mobilní optimalizace hazardních her Enterprise zaručuje bezchybný výkon v různých jiných produktech, i když je třeba podrobně popsat, že aplikace je k dispozici pouze pro uživatele iPhone. Normální potenciál včetně každodenního úplného otočení zdarma a specifikací s nízkým obsazením přispívá k touze, takže je otevřen širokým posluchačům.

Hloubkový výzkum a můžete znalosti od svého týmu daleko od výhod pro nejnovější a známá kasina na internetu. Přesahujeme analýzu, abychom vám pomohli vytvořit doporučená rozhodnutí o tom, jak nejlépe platit čas a hotovost za hraní her. Doporučení nejsou pouze osobními hazardními podniky a také ty, které zvažují kategorie, jako je krypto, RTP, minuty, spotřebitelské zkušenosti a mnoho dalšího. Jakmile se dostanete na nejnovější stránku členství, musíte se rozhodnout na pozvané poskytnutí a můžete vložit přinejmenším minimální nebo možná více. Souběžně byste mohli potenciálně stanovit limity a můžete se datovat na své vlastní členství, pokud se chcete ujistit, že vaše hry zůstanou kontrolovány. Hned po dokončení čerstvých technik předplatného můžete začít hrát pro město Jackpot!

Účastníci z tohoto bodu se pokusí kompenzovat, které mají více bonusů, a pravidelné kódy voucherů bez vkladu – to je rozhodně neuvěřitelné. Mohly by být vyhrány některé skvělé ceny, které mají kanadské ne-depozitní pobídky, jako jsou tyto. A ND Prodej produktů, Jackpot City nyní nabízí bonusy pro přijetí lidí, obleky také poskytuje, prodej cashback a další.

Working Strategies: Finding a part-time job requires a plan

posted in: All news | 0

Amy Lindgren

I saw an article a few weeks back that didn’t sound quite right to me. The writer, a journalist, interviewed several people who said they’d been looking for part-time work without success. Some had searched for years and one was even willing to work for free.

I later had a chance to talk with one of the people interviewed and learned that this particular candidate prefers to work within walking distance of home and regularly leaves the state for three months each winter. As you might imagine, these criteria would complicate things.

I’m not reporting this to make fun or pass judgment on this job seeker. Just the opposite in fact. Knowing what you want is a critical component of a job search. But the strategy has to flex for special conditions or the search won’t be successful.

The reason the article got under my skin is that key context was omitted, leaving readers to believe that the market for part-time workers is far worse than it actually is. I don’t know if we’re heading into another recession, but if we are, I want better from all of us who report these stories. Otherwise, we risk creating an echo chamber that convinces everyone there’s no point in trying.

Let’s start over, with a look at how one might go about getting a part-time job when that’s the goal. I’ll start with a puzzling axiom: Not many employers advertise for part-timers, but most employers use them.

If you think of all the places you’ve worked or shopped, you know the second half of the axiom is true: Just about everyone employs part-time workers. That confirms your search can be successful. But first you have to cut ties with online job boards because employers aren’t posting part-time options.

Here’s why: It’s as much work to hire someone for part-time as it is for full-time, but the anticipated productivity is lower so it feels less critical. Since employers can often stretch existing staff to cover the work, they aren’t as motivated to do the hokey-pokey with online ads. I can also attest that ads for part-timers sometimes yield candidates who try to talk you into something full-time. That’s stressful.

Here are six steps in a better process for finding your next part-time job:

1. Clarify your goal. Are you going for retail? Database work? Guest services somewhere? Knowing the goal lets you target employers and tout the skills they need.

2. Focus your résumé. If this is a new area for you, use a short résumé focused on related skills with your usual career edited to just a few lines. Be sure you’re presenting enough relevant information to be considered.

3. Identify places to work. For best results, expand past the obvious. If you’re thinking retail, sure — check Target and Walmart websites and post your résumé. But don’t stop there. Instead, identify 25 smaller shops within an easy commute and hand-deliver your résumé when they’re not busy.

4. Start a whisper campaign. Tell your friends and family what you’re looking for and ask them to check at places they work or visit.

5. Make an outreach plan. If you’re serious, create a weekly plan and follow it. If this is more of a casual search, set a quarterly date on your calendar to review your progress and refresh your steps.

6. Troubleshoot. If you’re still striking out, it’s time to dig deeper. For example, perhaps you don’t have experience for the work you’ve been targeting. The managers might train, but they have to know there’s material there to work with. Retail and other jobs that look entry level to the casual observer still need customer service acumen or physical stamina.

Sticking with the retail example, here’s what you could try: Volunteer someplace where you can pick up at least one of the key skills (customer service, inventory, stocking shelves, taking payments). That could be at a friend’s store, at a charity shop, at a food shelf — even driving for Meals on Wheels would give you something for your résumé.

It might seem that you shouldn’t have to work so hard just for a part-time job, but maybe that’s what’s holding you back. It’s not “just” a part-time job to the employer who’s giving you access to customers, cash, inventory or databases.

If you haven’t been seeing things from this angle, trying it might open doors that seemed closed before.

Related Articles

Business |


Working Strategies: Holding on when things get tough

Business |


Working Strategies: Using AI tools to prepare for interviews

Business |


Working Strategies: Part 3: Preparing for a possible buyout or layoff

Business |


Working Strategies: Weighing the buyout offer Part 2, personal considerations

Business |


Working Strategies: Responding to a worker buyout offer – Part 1

Amy Lindgren owns a career consulting firm in St. Paul. She can be reached at alindgren@prototypecareerservice.com.

بكرة أسرع أعظم مجنون الخروج خطوة 1 إيداع المقامرة ACHS كلية أو جامعة

posted in: All news | 0

يُطلب منك المراهنة بأموالك الإضافية في وقت محدد قبل سحبها من الكازينو. لا داعي لأن تجلس أمام مكتبك للاستمتاع بإيداع 5 دولارات في كازينو رائع. مع كل موقع، يتغير كل شيء بسلاسة من الكمبيوتر المكتبي إلى الهاتف المحمول، والجهاز اللوحي، والكمبيوتر المحمول، لن تُساوم على السعر أو الأداء إذا كنت ترغب في اللعب أثناء التنقل مع أفضل كازينوهات الهواتف المحمولة. جميع المواقع التي أوصي بها سريعة الاستجابة ومُحسّنة لمتصفحات الهواتف المحمولة.

شرح حوافز الكازينو بدون إيداع

يقدم بينجو كريزي الآن مجموعة واسعة من الألعاب، بما في ذلك 75 كرة جولف، و80 بيسبول، و90 بيسبول، والبلاك جاك، وألعاب رمز المكافأة Megawin القمار، والألعاب الفورية، وماكينات القمار، وكلها تجدها في علامات تبويب مستقلة. بعد استيفاء شرط الرهان البالغ 65 ضعفًا، يمكنك سحب جميع أرباحك للحصول على نسبة مئوية آمنة وسريعة. بعد إكمال الاشتراك الجديد وإدخال الرمز، سيتم تحويل المبلغ إلى حساب اللاعب، وستكون جاهزًا للاستخدام في اللعبة المرتبطة بهذا العرض الترويجي. تتراوح فلسفة “العودة إلى الرياضي” الجديدة لألعاب بلايتك عبر الإنترنت من 82.93percent إلى رهانات الزوج الأساسي، و98.94percent إلى رهانات الموزع، وقد ظهرت هذه الفلسفة لأول مرة قبل 36 شهرًا. يشرف ماسون، مدير الحلبة الشجاع (رئيس التحرير)، على جميع أحداث “في لاس فيغاس أستراليا”. بفضل رؤيتها المتحمسة للمخطط التفصيلي وقدرتها على التنظيم، تضمن لك المراجعة وستحصل على أفضل تجربة حجز.

أفضل 5 ماكينات القمار ذات البكرات مقابل أموال حقيقية

راجع رهاناتك المسبقة في خيارات الحساب لتقييم مدى جاذبيتك، لتتمكن من تلبية المعايير الجديدة. وضعت شركة Yggdrasil معايير عالية لألعابها، ولن تخيب لعبة Alchymedes آمالكم. جميعها تتميز بمضاعف 1x، ولكن قد يرتفع هذا المضاعف خمس مرات عشوائيًا في كل دورة جديدة. يرجى مراجعة القوانين واللوائح المحلية قبل اللعب عبر الإنترنت للتأكد من أنك مؤهل قانونيًا للعب وفقًا للسنوات، ويمكنك الالتزام بها. يُمثل الرمز الأخضر الجديد للبطاقة البرية الرمز الجديد الموجود في الجرة، والذي يحتوي على 15,100 خيار. البكرات الخمس التي تحتوي على 31 رمزًا هي فقط ما تحتاجه، بمجرد إضافة القليل من السطوع.

الطائرات الشخصية تتصدر أحدث العلامات الحمراء المتاحة، وستساعدك تعليقاتها العالمية الضخمة على اتخاذ قرار مدروس وتذكيرك بمناقشة نظام الألعاب المتطور. حافز كازينو Reel in love بدون إيداع، 100 دورة مجانية، يمكنك استخدام روليت لايف، ويجب إنشاء حساب. للتواصل مع خدمة العملاء في Regent Play، أو Ballys Corps Vp، أو CMO، تحقق دائمًا من كلمات المكافأة عند لعب اللعبة المناسبة، وقد يتم استبعادك. حدد عنوانًا فائزًا قبل معالجة شروط الرهان للحصول على أفضل إدارة للخيارات.

عندما تتزايد وتيرة تقنين القمار، كما يتوقع الكثيرون، فإنهم سيحققون ذلك، بالإضافة إلى لعب رموز الائتمان من أصل عشرة على مستوى رائع. يعتقد المراهنون الكنديون أنهم مسجلون، مما يعني أنك لن تحتاج إلى تنزيل أي تطبيق. جون مبارز ماهر ومحارب شرس. يجب على اللاعبين الحذر إذا واجهوا مجموعة كبيرة أخرى على طاولة المنافسة.

اختيار خطوط الدفع

في المجمل، يُعدّ Bingo In love موقعًا إلكترونيًا رائعًا يوفر جميع الميزات التي يبحث عنها مُحبو البنغو، وهو خيارٌ ننصح به بالتأكيد. أُطلق Bingo In love عام ٢٠٢٠، وهو أحد مواقع البنغو الأكثر رواجًا هذا العام، وقد حقق شعبيةً واسعةً في جميع أنحاء المملكة المتحدة. يجمع Bingo Crazy بين الحيوية والرفقة المُطلقة، ويُقدّم لك تجربة بنغو مُمتعة عبر الإنترنت، إلى جانب سخاء عروضه الرائعة. خلال عملية الاشتراك أو في آخر نقطة مُخصصة، أدخل كلمة مرور كازينو Rare Metal Reels Local الإضافية التي يُقدّمها SlotsCalendar لتتمكن من المطالبة بمكافأتهم.

مع خيارات الدفع المحدودة التي تقدمها كازينوهات الإيداع بخمسة جنيهات إسترلينية، يمكنك التحكم في خيارات elizabeth-wallets المتاحة، وهو خيار أفضل لإجراء الإيداعات. لا يُشكل السحب أي مشكلة، حيث تستغرق جميع مواقع الكازينوهات التي تُقدم إيداعات بخمسة جنيهات إسترلينية والموضحة في هذه الصفحة فترة تتراوح بين يوم وثلاثة أيام لمعالجة الرسوم. عادةً ما يكون لديهم وقت أقل لمعالجة الرسوم (بضع ساعات كحد أقصى) عند استخدام elizabeth-wallets.

هذا نوع من عروض الحوافز يمنحك دورات مجانية بنسبة 100percent بمجرد الانضمام. تتضمن هذه العروض شروطًا، ولكن من المرجح تحويلها إلى أموال حقيقية قابلة للسحب. مكافأة القبول في كازينو رويال تنافسية، خاصةً مع مزيجها من مكافآت الإيداع والدورات المجانية. ولأن شروط الرهان شائعة في العالم، فإن قلة مكافأة عدم الإيداع قد تُثني اللاعبين عن البدء بدون مخاطرة بنسبة 100percent. مع ذلك، تُقدم أحدث العروض النموذجية قيمة مستمرة عالية.

بعد اختيار لعبة سلوتس بخمس بكرات مثالية لتجربتها والاستمتاع بها، ابحث بعناية في جميع الرموز ومجموعات الفوز، فقد تختلف من لعبة لأخرى. على سبيل المثال، تبدأ بعض ألعاب السلوتس ذات الخمس بكرات بالبكرة اليسرى، وتظل مجموعات الأرقام على البكرة اليمنى، بينما تكون في غيرها من الألعاب متعددة الاتجاهات. إن وجود خمس بكرات يوفر مجموعات أكثر فعالية يزيد من احتمالية فوز اللاعب. ولكن، كما هو الحال في أي لعبة سلوتس، فإن الأرباح تُحسب من خلال شريحة اللعبة، وبالتالي، إحصائيًا، تكون المكاسب القصيرة أكثر ثباتًا، بينما تكون المكاسب الكبيرة أقصر. وبالطبع، يبدو أن الحظ هو العامل الحاسم في المكاسب الكبيرة، بغض النظر عن مستوى بكرات اللعبة.

Medicaid recipients struggle to find mental health care. Looming cuts could make it harder

posted in: All news | 0

By Shalina Chatlani, Stateline.org

Charmeka Newton, a psychologist who has her own practice in Lansing, Michigan, is passionate about serving Black and Hispanic patients. They’re often looking for therapists who will understand how their race, ethnicity and culture may affect them, she said, and she helps provide that care.

Medicaid is a major source of health care for people of color. But Newton can only afford to see a small number of Medicaid patients, because the program pays her so much less than commercial insurance.

Republicans in Congress are aiming to make extensive cuts to Medicaid, the joint federal-state health insurance program that covers a total of 72 million low-income people and people with disabilities, or 1 in 5 U.S. residents. If that happens, Newton and many other mental health providers worry that already-low Medicaid reimbursement rates will stagnate or even decline.

That would make it difficult for her to keep seeing Medicaid patients.

“Medicaid is probably one of the most challenging insurances to work with,” Newton told Stateline. “My biggest fear if cuts happen is that individuals won’t have access to providers that are able to help them.”

Related Articles

Health |


Rosemount soldier’s heart recipient dies 15 years later. ‘It felt like Ben died all over again,’ his mother says.

Health |


Pollard, Mendelson: We have nutrition labels on food. Why not alcohol?

Health |


Ramsey County to hire 80 employees to eliminate Medicaid backlogs

Health |


FDA crackdown on poppers prompts rush on popular gay party drug

Health |


Flu deaths rise as anti-vaccine disinformation takes root

Already, there is a shortage of mental health care providers. About 122 million people, or about 35% of the U.S. population, are living in an area with a mental health care professional shortage, according to data from the federal Health Resources and Services Administration. If Medicaid reimbursement rates go down and more providers refuse to see those patients, the shortage would get worse.

Nationwide, Medicaid covers nearly 1 in 3 working-age adults who live with mental illness, or about 15 million adults, according to health policy research organization KFF.

The U.S. House Energy and Commerce Committee, which oversees Medicaid, is looking for at least $880 billion in budget savings over the next decade, largely to pay for extensive tax cuts. A March 5 letter from the Congressional Budget Office, the nonpartisan research arm of Congress, confirmed that a cut of that size would have to come from either Medicaid or Medicare, the insurance program for older adults.

President Donald Trump has said that Medicare is off the table, so that leaves Medicaid.

Lawmakers are considering numerous options, including shrinking the federal government’s share of the cost of covering people who became newly eligible for Medicaid under the Affordable Care Act. If that happens, states that opted to expand to cover those residents — adults with incomes up to 138% of the federal poverty level — would have to either increase their own spending or find savings elsewhere.

That could mean removing some people from Medicaid rolls, eliminating coverage for certain services or reducing reimbursement rates — any one of which could reduce Medicaid recipients’ access to mental health care, said Stephen Gillaspy, director of health policy and health care financing at the American Psychological Association.

“Those [actions] would have a huge negative impact for behavioral health care,” Gillaspy told Stateline. “Everyone’s on pins and needles about the potential cuts right now.”

Variations across states, different challenges

In at least 15 states, more than 40% of people on Medicaid reported experiencing a mental illness, according to a KFF analysis of 2021-2022 survey data from the federal Substance Abuse and Mental Health Services Administration.

Republicans in Congress are still hammering out whether or how they might cut Medicaid. Chris Pope, a senior fellow at the conservative-leaning policy group the Manhattan Institute, told Stateline he doubts mental health services or reimbursement rates would be affected, because the largest sources of spending are acute and long-term care.

“From a fiscal point of view, mental health is basically a drop in the bucket. It’s not where the big savings are going to need to come from,” Pope said.

Medicaid reimbursement rates for mental health services vary dramatically from state to state. Reimbursement for an hourlong individual psychotherapy session ranged from $95 to $135 in 2022, according to a 2023 study published in the journal Health Affairs.

States generally have flexibility in setting their physician reimbursement rates. So “if states have money to increase reimbursement rates,” they can do that, Pope noted. And many states have done that. According to a January 2023 KFF report, nearly two-thirds of the 44 states that responded to a survey said they increased behavioral health reimbursement rates for some Medicaid enrollees in 2022 or planned to in 2023.

Oregon passed a bill during its 2022 session to raise the state’s Medicaid behavioral health reimbursement rates by an average of 30% for providers who mostly see Medicaid patients, in an effort to address mental health care workforce challenges. In 2022, the state had the fourth-highest rate for unmet need in mental health treatment across the nation. Now, the state has one of the highest reimbursement rates.

“In Oregon, they actually have always really committed to paying providers well and giving cost-of-living updates so that it makes it much more attractive to providers providing Medicaid services,” Jen Yerty, a licensed counselor in Portland, Oregon, told Stateline. But Yerty said the higher reimbursement rate is the bare minimum to keep providers interested. She said she helps her clients with case management, including assisting them with accessing social services and rental aid.

“It would be great if they would actually reimburse us more for all the case management things that we do. It would be great if they offer a lot more resources,” Yerty said.

But behavioral health services, such as a psychological test to assess mental health function, are not one of the federally required Medicaid services, like a primary care doctor visit.

Gillaspy, of the American Psychological Association, noted the level of services offered across states also varies. And case management and psychological testing are exactly the types of services that may be on the chopping block as states consider cuts, he said.

What states can and have done

Researchers at KFF point out four main ways states have been trying to address mental health workforce shortages for state Medicaid programs. They include increasing reimbursement rates, reducing administrative burden on providers, creating licensure compacts to allow providers to work across state lines or reducing licensure requirements, and incentivizing participation by, for example, reimbursing providers quickly.

Megan Cole, an associate professor of health policy at Boston University, told Stateline there are other options states could pursue, such as raising taxes to offset the federal cuts and keeping reimbursement rates high. She also said Medicaid can ask primary care providers to start integrating preventive mental health screenings and services before care becomes acute and requires an emergency room visit.

“There are models of care that work well in this space, and not every state is currently implementing them. So I think there is a lot of opportunity for expansion of some of these integrated care models,” Cole said.

Another option she recommends is for states to invest in community health centers, where a lot of patients on Medicaid see mental health providers.

Investment in public health facilities is also what Michigan Republican state Rep. Phil Green had sought when he cosponsored a bill with Democratic lawmakers in 2023 to increase reimbursement rates to community behavioral health clinics. But the bill died last year, likely because other issues took priority, he said.

Green told Stateline that mental health issues are a bipartisan issue. Green says lawmakers in his caucus, including some veterans, are well aware that mental health issues are a big concern within the population. “Republicans and conservatives alike realize that this is a growing issue and a growing need.”

He thinks that if the feds cut their contributions to Medicaid, state Republican lawmakers will still be interested in finding some solutions to the shortage of mental health care workers.

In California, the state in 2023 implemented changes to improve reimbursement for providers of Medicaid mental health and substance use disorder services through county behavioral health departments. The goal of the effort was to remove some of the common problems providers faced, including long delays in reimbursements and lengthy auditing processes.

David Hindman, a past president of the California Psychological Association, said the most important effect was to increase the rates of reimbursement to help meet the increased costs of providing care for Medicaid recipients. Hindman works for the Los Angeles County Department of Public Health, but said he is not authorized to speak on behalf of the department.

“We’ve actually expanded services significantly,” Hindman said. “It’s completely incentivized provider agencies to see low-income patients because it gives them better reimbursement rates. It covers more things.”

Still, Hindman said, clinicians not working through county health departments who see a lot of Medicaid patients still struggle with making ends meet. And he says states will still have to explore solutions to the workforce shortage in the face of major federal funding cuts.

Stateline reporter Shalina Chatlani can be reached at schatlani@stateline.org.

©2025 States Newsroom. Visit at stateline.org. Distributed by Tribune Content Agency, LLC.