Regulations & Recordkeeping

This report is intended to support state Medicaid agencies and payers in improving access to substance use disorder treatment, quality, and capacity, with a special focus on medication-assisted treatment for opioid use disorder.

This report explores the use of Value-Based Payment model and the potential to improve delivery of integrated and coordinated substance use disorder treatment services. This page also includes the webinar slides and recording from the presentation on this report.

Using a national Medicaid claims database, this brief estimates the number of pregnant beneficiaries with substance use disorder who lost Medicaid coverage 60 days postpartum at the national and state-level.

This report provides an update on the present state of coverage, availability of, and access to, medications for treating ongoing alcohol use disorder and opioid use disorder, and reversing an opioid overdose within state Medicaid plans.

This report, produced in collaboration with the Partnership to End Addiction, analyzes states' parity compliance reporting requirements for mental health and substance use disorder,

This report, produced in collaboration with the Partnership to End Addiction, discusses federal and state regulation and enforcement of the Parity Act with regard to network adequacy for substance use disorder and mental health services.

This report, produced in collaboration with the Partnership to End Addiction, analyzes requirements for health plans to use specific criteria and assessment tools to determine medical necessity for substance use disorders.

This Topic Brief provides information on the impact of the COVID-19 pandemic on the behavioral health of the general public and healthcare workers, the impact of substance use disorders on COVID-19 outcomes, and other topics.

This issue brief provides federal and state policymakers with ways they can support low-threshold buprenorphine prescribing through reimbursement policies, treatment guidelines, and regulations.

This report, produced in collaboration with the Partnership to End Addiction, analyzes standards of prior authorization requirements in both public and private insurance plans.