Adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.

Managed Care Enrollment Process Update

Sole Community Inpatient Hospital Rates

Expands the substance use disorder service called “Preferred Office-Based Opioid Treatment” which has been available only to individuals with a primary diagnosis of opioid use disorder to individuals with a substance-related or addictive disorder.

Adds medication-assisted treatment (MAT) as a mandatory benefit.

Adds peer support and coordination services, which are provided to individuals after an opioid overdose, to the state’s Alternative Benefit Plan (ABP). These peer support and coordination services have been added to the benefit package in the Medicaid state
plan and this SPA would align the benefits of both benefit packages.

Reimbursement methodology for Targeted Case Managament for At-Risk children

extends the Private Hospital Supplemental Fund program for the state fiscal year ending 2022.