States

State Approaches to Opioid Use Disorder Treatment across the Correctional Continuum

This toolkit, informed by interviews with key leaders across several states, examines state policy actions at each of the intercept levels defined in the Sequential Intercept Model framework, and explores opportunities for states to successfully integrate treatment and prevention services across the behavioral health and criminal justice continuum.

Telebehavioral Health: An Effective Alternative to In-Person Care

This brief provides summary findings from a 2019, pre-pandemic review of the evidence of telebehavioral health's effectiveness on key clinical outcomes. It also describes the programmatic structure and relevant telebehavioral health policies of three programs: Texas Medicaid, Massachusetts Medicaid, and the Portland Veterans Affairs Medical Center Rural Telemental Health Program.

Medicaid Delivery System Reforms to Combat the Opioid Crisis

This brief provides an overview of state Medicaid opioid use disorder (OUD) care delivery innovations and offers recent examples from state Medicaid programs based on findings from an OUD policy inventory of nine state Medicaid programs that have been substantially impacted by the opioid epidemic and participate in the Medicaid Outcomes Distributed Research Network.

The Provision of Medications for Opioid Use Disorder in Correctional Settings in the Time of COVID-19: Opportunities and Solutions

This policy brief explores strategies for ensuring people in jails and prisons have uninterrupted access to medications for opioid use disorder (MOUD) during the pandemic. These include taking advantage of a new federal waiver that allows providers to initiate MOUD via telemedicine, without a prior physical examination; providing adequate medication supplies upon release; and offering virtual counseling and peer support.