Changes in Residential Substance Use Treatment Service Access Resulting From Recent Medicaid Section 1115 Waivers
Changes in Residential Substance Use Treatment Service Access Resulting From Recent Medicaid Section 1115 Waivers
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DOI：
10.1176/appi.ps.201800543
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发表时间：
2019-05-01
影响因子：
3.8
通讯作者：
Miles, Jennifer
中科院分区：
文献类型：
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作者：
Miles, Jennifer
医疗补助在解决物质使用障碍患者的需求方面发挥着重要作用;然而，许多州的医疗补助计划并不涵盖完整的连续护理。越来越多的州正在利用第1115条的示范豁免来增加其覆盖的福利，包括试验为以前没有资格报销的住院治疗服务提供资金。对这些服务的潜在过度使用或由于这种服务扩展而增加支出的担忧可能会通过以控制成本和提高护理质量为重点的补充性交付系统转型来缓解。
Medicaid stands to play a significant role in addressing the needs of individuals with a substance use disorder; however, many state Medicaid programs do not cover a full continuum of care. A growing number of states are taking advantage of Section 1115 demonstration waivers to augment their covered benefits, including experimenting with financing residential treatment services that previously were not eligible for reimbursement. Concerns over potential overuse of these services or increased spending due to this service expansion may be tempered by complementary delivery system transformation focused on reining in costs and improving care quality.