Policymakers & Community Leaders
Payers & Providers

Translating Local Innovation Into Statewide Policy: Lessons From a Medications for Addiction Treatment (MAT) Prior Authorization Pilot in Camden, New Jersey

Evidence Ranking: Promising

Source: Camden Coalition of Health Care Providers

In 2017 the Camden Coalition of Healthcare Providers began a pilot in partnership with local addiction treatment providers and UnitedHealthCare to see if removing prior authorization requirements for buprenorphine would reduce barriers to treatment and improve patient and system outcomes.

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Policymakers & Community Leaders
Payers & Providers

Policy Evaluation: Substance Use Disorders

Evidence Ranking: Proven

Source: Oregon Health Authority

This 2019 review from Oregon’s Drug Use Research & Management Program examined whether removing Medicaid prior authorization requirements for medication assisted treatment for individuals with opioid use

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Policymakers & Community Leaders

Medicaid Acupuncture Pilot Project Outcomes Report

Evidence Ranking: Promising

Source: State of Vermont - Department of Vermont Health Access

This 2017 report to the Vermont legislature summarizes the findings of a pilot study of providing acupuncture to Medicaid patients with chronic pain.

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Policymakers & Community Leaders
Payers & Providers

Opioid Use Disorder: Barriers to Medicaid Beneficiaries’ Access to Treatment Medications

Source: United States Government Accountability Office

The U.S. Department of Health and Human Services has prioritized expanding access to medication assisted treatment (MAT) for opioid use disorder (OUD) as an evidence-based treatment. Because many individuals with OUD are Medicaid beneficiaries, this U.S. Governmental Accountability Office report looked at state Medicaid policies and state and federal laws that might act as a barrier to Medicaid patients accessing MAT.

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Policymakers & Community Leaders
Payers & Providers

State Team-Based Care Strategies for Medicaid-Eligible Women

Source: National Association for State Health Policy

This 2 pager provides a brief overview of state strategies to implement team-based care for pregnant women eligible for Medicaid from the National Academy for State Health Policy. It also gives a brief overview of strategies adopted in Minnesota, Montana, and the District of Columbia with links for additional information.

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Policymakers & Community Leaders

Use of Medicaid Data Sources to Identify and Manage Patients and Providers with Problematic Opioid Behavior

Source: Center for Evidence-based Policy

This report examines how 6 state Medicaid agencies have used data to develop strategies to address the opioid crisis. The report describes how states use data from medical and pharmacy claims, prescription drug monitoring projects (PDMPS), health information exchanges (HIE) and admission, discharge and transfer (ADT) databases to identify providers and patients with problematic opioid-related behaviors and what they do to address these behaviors. Case studies of initiatives in South Dakota, Minnesota and Tennessee are featured.

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