This 5-page overview examines the role Medicaid plays in improving access and quality of substance use disorder treatment (SUD). The report describes 3 roles Medicaid plays in the SUD treatment field: payer and contractor; collaborator, evaluator, and educator; and regulator, monitor and enforcer.
This 2019 patient/provider decision tool lists alternative pain management therapies that may be considered as an alternative to opioids and whether or not listed treatments are covered by Minnesota Medicaid health plans.
In 2019, CMS issued this informational bulletin to state Medicaid directors describing strategies state Medicaid programs could adopt to provide non-opioid and non-medication based treatments for chronic pain.
This 2020 overview of state Medicaid coverage of family and youth peer support services, prepared by the Institute for Innovation and Implementation at the University of Maryland School of Social Work, describes the efforts of states who reimburse for these peer support services.
This 2019 report from the Urban Institute analyzed Medicaid State Drug Utilization Data to assess variation in buprenorphine prescriptions across state Medicaid programs between 2011 and 2018.
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.
This policy brief from the National Academy for State Health Policy reviews Medicaid strategies for identifying and caring for pregnant women with substance use disorders. The report provides a high-level overview of programs operational in 5 states: Connecticut, Florida, Tennessee, Montana, and Vermont.
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.
This 2016 publication reviews Medicaid policies to encourage or require non-opioid treatments for acute or chronic non-cancer pain.
The 2018 SUPPORT Act passed by Congress directed the Centers for Medicare and Medicaid Services to create a new provider type in Medicaid of “residential pediatric recovery centers” (RPRCs) which treat infants with neonatal opiate withdrawal/neonatal abstinence syndrome. This letter provides guidance for states wishing to add RPRCs as provider types eligible for reimbursement through Medicaid.