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. Continue reading
Resource Tag: Medicaid
State Guidance for the New Limited Exception to the IMD Exclusion for Certain Pregnant and Postpartum Women (SUPPORT Act): Help for Moms and Babies
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 Continue reading
State Guidance for Implementation of the Treatment for Infants with Neonatal Abstinence Syndrome in Residential Pediatric Recovery Centers (SUPPORT Act)
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. Continue reading
Report to the President and Congress: Section 1018 Action Plan for Technical Assistance and Support for Innovative State Strategies to Provide Housing-related Supports to Individuals with Substance Use Disorder Under Medicaid
This 2019 report to the President and Congress describes how the U.S. Department of Health and Human Services plans to assist states in providing housing-related supports to individuals with substance use disorders in Medicaid as instructed by the 2018 SUPPORT Act. The report describes forthcoming initiatives from Continue reading
State Strategies for Expanding Access to Opioid Use Disorder Medications
This 2 page guide summarizes effective strategies to increase patient access to medication assisted treatment for opioid use disorder (OUD). Strategies for state program administrators, clinicians and health systems, and individuals with OUD are presented. Continue reading
The Impact of 42 CFR Part 2 on Care Coordination by Health Plans for Members with Substance Use Disorders
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 Continue reading
Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act)
This is the comprehensive opioid use disorder legislation passed by the 115th Congress and signed into law by the president in 2018. The bill is known as the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act, or the SUPPORT for Patients and Communities Act. Continue reading
CMS Roadmap: Fighting the Opioid Crisis
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. Continue reading
Strategies to Reduce Prescription Drug Abuse: Lessons Learned from the ACAP SUD Collaborative
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); Continue reading
Responding to the Prescription Opioid Crisis
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 Continue reading