New OPEN MINDS Market Intelligence Report Provides State-By-State Analysis Of The Financing & Delivery Of Addiction Treatment Benefits

Gettysburg, Pa. (June 12, 2016) — The Medicaid delivery system for addiction varies widely from state to state, utilizing one of three main models to deliver addiction treatment services. However, within these systems, how specific addiction treatment services are managed and what is included in the carve-out can vary greatly. OPEN MINDS recently completed an analysis of the 50 states and the District of Columbia to understand how addiction treatment benefits are delivered and the trends in the delivery of addiction treatment. The full analysis is available in the recently released Market Intelligence Report, “What State Medicaid Plans Carve-Out Addiction Treatment Services?” This new report provides an analysis of the financing and delivery of addiction treatment benefits in every state and outlines the entities responsible for the management of addiction treatment benefits.

As outlined in the report, only two states offer no coverage for addiction treatment services and only six states offer the full continuum of addiction treatment services – inpatient detoxification, non-hospital-based detoxification, outpatient treatment, intensive outpatient, residential treatment, and medication assisted treatment.

The OPEN MINDS team found that over the past few years, most states have worked to integrate their mental health and addiction treatment delivery systems. When it comes to addiction treatment services, most states are relying on some form of managed care delivery system for addiction benefits:

• Of the 21 states that provide residential treatment, 11 utilize a MCO, three utilize a MBHO, and seven cover residential treatment via FFS.
• Of the 48 states that provide outpatient treatment benefits, 19 utilize a MCO, 13 utilize a MBHO, and 19 cover outpatient services via FFS.
• All 50 states cover substance abuse medications, but only two states, California and Michigan, utilize a carve-out for substance abuse treatment medications. All other states include substance abuse medications in their general pharmacy benefit (whether that benefit resides with the MCO or is carved-out to FFS is dependent upon the state).

For a detailed summary of the report, check out the article, The Integration Of Medicaid Addiction Treatment Services, which is available at no cost to the public. The OPEN MINDS Market Intelligence Report, “What State Medicaid Plans Carve-Out Addiction Treatment Services?” provides:

• An explanation of the Medicaid carve-out and the different types of carve-outs utilized to manage addiction treatment benefits
• A state-by-state chart showing the delivery system used for each of the following services: inpatient detoxification, detoxification in a non-hospital based setting, outpatient services, residential treatment, and methadone maintenance
• A look at how state Medicaid programs plan to provide addiction treatment benefits in the future

Published weekly by OPEN MINDS’ team of experts, the Market Intelligence Reports are provided as a free resource to Premium & Elite members of the OPEN MINDS Circle. Click here for details on how to become a Premium or Elite member. The reports are also available for purchase in the OPEN MINDS store by clicking here.

OPEN MINDS is a national strategic advisory firm specializing in the sectors of the health and human service industry serving individuals with complex support needs: mental health; addiction treatment; children & family services; intellectual & developmental disabilities; chronic disease management; long term care; social services; correctional health care, reentry & diversion; and juvenile justice.

Founded in 1987 and based in Gettysburg, Pennsylvania, the 75+ associates believe by providing the latest market intelligence and management best practices to organizations serving the health and social support needs of the most vulnerable consumers, those organizations will be better able to provide efficient and effective services. Learn more at www.openminds.com.

For additional questions and inquiries, please contact Angela McDonald, Marketing Manager, OPEN MINDS at 717-334-1329 or openminds@openminds.com.