Half Of States Allow Medicaid Managed Care Plans To Restrict Addiction Disorder Treatment Benefits

Among states that contract with Medicaid managed care organizations (MCOs), at least half do not require the MCOs to cover the full continuum of addiction treatment. Most states require their Medicaid managed care plans to cover common forms of treatment for addiction disorder, and most prohibit the managed care organizations from imposing annual maximums and enrollee cost sharing. For medication assisted treatment, less than two-thirds of states do not allow the MCOs to impose prior authorization, drug testing, “fail first” requirements, or psychosocial therapy requirements.

These findings were reported in “Most States Allow Medicaid Managed Care Plans Discretion To . . .