This report highlights efforts in 11 states to expand access to healthcare services and other supports for Medicaid beneficiaries with substance use disorder and/or involvement with the justice system.
This document addresses the increasing rate of drug overdoses since 2019, noting that substance use disorders (SUDs) are especially common among people involved in the justice system; it describes the unique efforts in 11 states to expand access to healthcare services and other supports for Medicaid beneficiaries with SUD and/or involvement with the justice system. After a brief introduction to Medicaid, the Affordable Care Act expansion of coverage, and the Medicaid waiver (Section 1115 of the Social Security Act), the document describes the eleven programs: Arizona’s health care cost containment system, Targeted Investments 2.0 Program; Arkansas’ Life360 HOME Program; California’s Advancing and Innovating MediCal (CalAIM) Justice-Involved Initiative; Illinois’ SUD Case management Pilot; Maryland’s Assistance in Community Integration Services (ACIS) Pilot; Massachusetts Specialized Community Support Program for Individuals with Justice Involvement (CSP-JI); Pennsylvania’s Opioid Use Disorder Centers of Excellence (COEs); Tennessee’s Maternal Opioid Misuse (MOM); Texas’ Regional Healthcare Partnerships (RHPs): Care Management Intervention Programs; Vermont’s Substance Use Disorder Community Intervention and Treatment (SUD-CIT) Group and Supportive Housing Assistance Plot; and Wisconsin’s Hub and Spoke Health Homes Pilot Program for Substance Use Disorder (SUD).
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