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

Substance Use Disorder Confidentiality Regulations and Care Integration in Medicaid and CHIP

June 2018 |

People with substance use disorders (SUDs) often have serious comorbidities, such as other behavioral health disorders, cardiovascular disease, cancer, hepatitis C, and HIV. Yet federal law and regulations on confidentiality of SUD-related patient records, usually referred to as Part 2, can act as a barrier to integrated care. Chapter 2 draws on a review of […]

Access to Substance Use Disorder Treatment in Medicaid

June 2018 | ,

State Medicaid programs are using a variety of approaches to respond to the opioid crisis, but Medicaid beneficiaries—who have been disproportionately affected by the epidemic—continue to face barriers when trying to access substance use disorder (SUD) treatment. Chapter 4 builds on analysis in the June 2017 Report to Congress on Medicaid and CHIP, which found […]

Medicaid and the Opioid Epidemic

June 2017 |

Chapter 2 describes the nationwide opioid epidemic and how state Medicaid programs are responding. The epidemic disproportionately affects Medicaid beneficiaries, who are prescribed pain relievers at higher rates than those with other sources of insurance and have a higher rate of opioid use disorder. The analysis finds that Medicaid beneficiaries receive inpatient and outpatient treatment […]