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01-07-2020 | Buprenorphine | Concise Research Report

Substance Use Disorder Treatment Availability Among States Considering Medicaid Work Requirements

Authors: Paul J. Christine, MD, PhD, Renuka Tipirneni, MD, MSc

Published in: Journal of General Internal Medicine | Issue 7/2020

Excerpt

In 2018, the Department of Health and Human Services began inviting state Medicaid reforms to “increase employment and community engagement” among enrollees by requiring work or similar activities as a condition of Medicaid eligibility. As of September 2019, seventeen states have applied for section 1115 Medicaid work requirement waivers, nine of which have been approved (with three currently on hold by federal courts).¹ Such programs oblige individuals to complete a specified number of work, job training, job search, or community service hours to maintain Medicaid coverage, with exemptions for pregnant and disabled individuals. …

Henry J Kaiser Family Foundation. Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State. https://www.kff.org/medicaid/issue-brief/medicaid-waiver-tracker-approved-and-pending-section-1115-waivers-by-state/. Published 2019. Accessed September 19, 2019.

National Academy for State Health Policy. A Snapshot of State Proposals to Implement Medicaid Work Requirements Nationwide. https://nashp.org/state-proposals-for-medicaid-work-and-community-engagement-requirements/. Published 2019. Accessed August 9, 2019.

Olfson M, Wall M, Barry CL, Mauro C, Mojtabai R. Impact of Medicaid expansion on coverage and treatment of low-income adults with substance use disorders. Health Aff (Millwood). 2018;37(8):1208–1215. doi:https://doi.org/10.1377/hlthaff.2018.0124 CrossRefPubMedPubMedCentral

Beetham T, Saloner B, Wakeman SE, Gaye M, Barnett ML. Access to office-based buprenorphine treatment in areas with high rates of opioid-related mortality: an audit study. Ann Intern Med. 2019;171(1):1–9. doi:https://doi.org/10.7326/M18-3457 CrossRefPubMedPubMedCentral

Wen H, Saloner B, Cummings JR. Behavioral and other chronic conditions among adult Medicaid enrollees: implications for work requirements. Health Aff. 2019;38(4):660–667. doi:https://doi.org/10.1377/hlthaff.2018.05059 CrossRef

Tipirneni R, Patel MR, Goold SD, et al. Association of expanded Medicaid coverage with health and job-related outcomes among enrollees with behavioral health disorders. Psychiatr Serv. 2019:appips201900179. doi:https://doi.org/10.1176/appi.ps.201900179

Title: Substance Use Disorder Treatment Availability Among States Considering Medicaid Work Requirements
Authors: Paul J. Christine, MD, PhD
Renuka Tipirneni, MD, MSc
Publication date: 01-07-2020
Publisher: Springer International Publishing
Keywords: Buprenorphine
Opioids
Opioids
Published in: Journal of General Internal Medicine / Issue 7/2020
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-019-05623-1

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