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Abstract

Objective:

Coordinated care models, such as the Medicaid health home, may be well positioned to identify and address addiction, yet little is known about the strategies health home plans use to identify and treat this condition. This study examined state requirements of active Medicaid health home plans.

Methods:

Content analyses of all 35 active Medicaid health home plans were conducted to identify state requirements related to enrollment eligibility; provision of addiction screening, treatment, and prevention services; inclusion of addiction treatment professionals within the health home provider care team; and outcomes monitoring.

Results:

Apart from health homes specifically focused on addiction, few states require health home plans to screen (44% of primary care–based and 33% of psychiatric health homes), treat (0% and 13%, respectively), and monitor treatment services for addiction (25% and 13%, respectively).

Conclusions:

Limited screening and treatment of addiction within health homes may limit the model’s effectiveness in improving overall health.

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 951 - 954
PubMed: 33957764

History

Received: 22 May 2020
Revision received: 8 September 2020
Accepted: 9 October 2020
Published online: 7 May 2021
Published in print: August 01, 2021

Keywords

  1. Alcohol and drug abuse
  2. Health care reform
  3. Medicaid
  4. care coordination
  5. screening

Authors

Details

Christina M. Andrews, Ph.D. [email protected]
Arnold School of Public Health, University of South Carolina, Columbia
Melissa A. Westlake, M.S.W.
Arnold School of Public Health, University of South Carolina, Columbia
Allie F. Silverman, M.P.H., M.S.W.
Arnold School of Public Health, University of South Carolina, Columbia
Sophia N. D. Negaro, M.S.W.
Arnold School of Public Health, University of South Carolina, Columbia

Notes

Send correspondence to Dr. Andrews ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

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