The 2018 SUPPORT Act passed by Congress directed the Centers for Medicare and Medicaid Services to create a exception to the institution for mental disease (IMD) exclusion for certain pregnant and postpartum women. The IMD exclusion forbids the expenditure of federal funding on services provided in facilities with
Researchers and health care providers increasingly realize the importance of coordinating a patient’s behavioral and medical health care. Federal regulations under 42 CFR Part 2 require that providers obtain patient consent before sharing information about substance use disorder treatment. This report from the Association for Community Health Plans describes the challenges insurers
This 4 page document briefly summarizes the Centers for Medicare & Medicaid Services strategy for fighting the opioid crisis including their initiatives in prevention, treatment, and data analysis.
This website provides information about Medicaid’s Maternal Opioid Misuse (MOM) Model pilot, which seeks to improve the quality and coordination of care for pregnant and postpartum women with opioid use disorder. The pilot prog;ram was launched in 2019 with a 5 year project period. This website provides up
This 2019 bulletin describes evidence-based practices for providing medication assisted treatment (MAT) for individuals with opioid use disorder and coverage of these treatment by Virginia’s Medicaid program.
This 2015 report from the Association for Community Affiliated Health Plans summarizes the findings from their reducing prescription drug abuse collaborative. The report describes projects designed and implemented by 13 participating health plans in the areas of screening, brief intervention, and referral to treatment (SBIRT);
This website describes the Integrated Care for Kids (InCK) Model Medicaid is piloting to improve behavioral health care for children and youth with the goals of improving child outcomes, reducing inpatient hospitalizations and out-of-home placements, and creating alternative funding streams for these services.
This review looks at evidence and program models for alternatives to hospitalization to treat serious infections in people who inject drugs.
This case study looks at an innovative strategy to provide community based substance use disorder services for individuals dually insured by Medicare and Medicaid in Hennepin County, Minnesota.
This 2017 report from the Association for Community Affiliated Plans describes innovative practices designed to address opioid misuse and treat opioid use disorder (OUD) implemented in 5 Medicaid managed care organizations across the country. The practices focus on prevention and detection of misuse of