A Statewide SUD Redesign: The Missouri CSTAR Program Case Study

This OPEN MINDS Executive Roundtable was delivered on April 10, 2025 by Natalie Cook, Vice President at CLIVE Solutions and Ryan Essex, Chief Operating Officer at Gibson Center for Behavioral Change. They discussed Missouri’s Comprehensive Substance Treatment and Rehabilitation (CSTAR) program, in which Missouri’s State Plan Amendment was revised to include the ASAM Criteria and a new payment model to support evidence-based treatment services.

The new payment model transitioned the state from a traditional fee-for-service (FFS) model of billing 15-minute increments to a team-based model billed by the ASAM level of care (LOC . . .