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Substance Use Disorder

State Medicaid programs cover substance use disorder treatment and supportive services to varying degrees. They are working to integrate care for physical health and treatment for substance use disorders across providers and with other social programs. They also are implementing programs to reduce opioid overprescribing in order to prevent opioid use disorder from developing in the first place. Many of these efforts are being undertaken in conjunction with other state and federal initiatives.

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Featured Publications

Comment Letter: Confidentiality of Substance Use Disorder Patient Records

January 31, 2023

In a letter to the U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra, MACPAC commented on a notice of proposed rulemaking on the confidentiality of substance use disorder (SUD) patient records. The proposed rule implements section 3221 of the Coronavirus Aid, Relief, and Economic Security Act (CARES, P.L. 116-136), which aligns certain 42 […]

Access in Brief: Health Care Needs and Use of Services by Adolescents Involved with the Juvenile Justice System

August 31, 2021

Medicaid and the juvenile justice system share responsibility for providing health care to justice-involved youth. With few exceptions, Medicaid is the payer of health care services for eligible and enrolled individuals living in the community, while correctional institutions, including juvenile detention facilities and local jails, must pay for health care costs while youth are confined […]

Access in Brief: Health Care Needs of Adults Involved with the Criminal Justice System

August 31, 2021

While Medicaid’s role is limited with respect to those who are incarcerated, it plays an important role in the treatment of mental illness and substance use disorders for adults under community supervision. Historically, most justice-involved adults were uninsured. But, with the expansion of Medicaid to the new adult group under the Patient Protection and Affordable […]