Report Finds Majority of Publicly Funded Substance Use Clinics Take Medicaid

Despite concern that few substance abuse clinics are enrolled in Medicaid, a new report finds that 64 percent of publicly funded facilities that deliver substance use disorder treatment accept Medicaid.

The report, “Understanding the Baseline: Publicly Funded Substance Abuse Providers and Medicaid,” also found that 49 states already encourage or have plans to encourage substance abuse providers’ enrollment in Medicaid. The analysis was conducted by the National Association of State Alcohol and Drug Abuse Directors’ (NASADAD) Research and Program Applications Department.

The findings are important in light of the Parity Act and the Affordable Care Act’s requirement that substance abuse services be included in the new Medicaid expansion, says Dr. Tom McLellan, Professor in the Department of Psychiatry at the University of Pennsylvania and Director of the Penn Center for Substance Abuse Solutions.

“Providers are finally getting it, and they are wisely signing up for another payment opportunity,” says Dr. McLellan. “With the coming changes in payment structure, substance abuse treatment will be transitioning into the rest of health care. Substance use disorders—not just addiction—will be eligible for treatment. It will become part of the repertoire of our nation’s 550,000 primary care physicians. We’ll see more prevention, early intervention and support services opportunities because they will be reimbursed.”

The Affordable Care Act will require treatment for substance abuse disorder services by 2014. The Parity Act does not require health plans to cover addiction or mental illness, or any specific types of treatment, but mandates that plans which do include such benefits treat these conditions on par with other illnesses. According to the law, group health insurance plans may not limit benefits or impose higher patient costs for addiction and mental health treatment than those applying for general medical or surgical benefits.

Once substance abuse treatment is integrated into the payment system for the rest of health care, treatment programs will begin getting more referrals from primary care and other physicians, according to Dr. McLellan. “We’ll see substance abuse treatment become mainstream, just as we once did for depression and AIDS.”

The NASADAD study included data from 2009 on 12,700 facilities that deliver substance use disorder treatment services in the 50 states and the District of Columbia. The study found that 7,833 facilities are publicly funded, and 4,999 of these facilities accept Medicaid as payment. The report was done in light of concern expressed that too few substance abuse providers are enrolled to receive Medicaid reimbursement. This concern was shared by NASADAD, the Substance Abuse and Mental Health Services Administration, and State Associations of Addictions Services, among others, according to the report.

The study found a great deal of variation across states in the percentage of substance abuse facilities enrolled in Medicaid. Seven states (Iowa, Maine, Montana, Rhode Island, South Carolina, Vermont and Washington) had more than 90 percent of facilities that accepted Medicaid. Twenty-seven states had 70 percent or more of the providers report that they accepted Medicaid.

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    August 23, 2015 at 7:32 PM

    Dear Thomas,
    I am writing to you after watching one of your interviews with Sanjay Gupta.
    I am a poled that you can say cannabis makes your IQ drop.
    Let me be the first to inform that all through my public school, middle school, and what I did complete in actual high school I had barley passing grades due to concentration, anxiety and memory. Since I’ve been using cannabis within medical grade I’ve accomplished getting my high school diploma with ease as well as many other accomplishments that I would never have been able to accomplish other wise. I would love the chance to speak with you in person sometime so i can better explain the advantages from cannabis I’ve been able to experience that you are criticizing. Please if ever you have the chance to listen I would be more than happy to fill an ear or two. Thank you

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    Brenda E

    December 30, 2013 at 11:11 AM

    I see no way that this is helping the hardest of substance abuse people. The clinic I attend is a private pay and they will stay that way they said. Paying $378.00 a month out of a fixed income really hurts, some days I have to even go without eating. But on the other hand I have lived a productive life for 19 years and I attend to stay that way so I have no choice but to pay.

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    July 29, 2011 at 2:55 PM

    Here in Washington DC our Nations Capitol we have transitioned from a voucher program to Medicaid to fund our opiate treatment and it has been a mess…..medicaid has requirements that are not in line with best practices treatment. Unless there are some addiction medicine specialists in the local Medicaid offices….there will be problems.
    More access is great but it has to be well thought out access, not all ‘drug treatment” is the same.

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    Norman Briggs

    July 27, 2011 at 12:23 PM

    Being an approved medicaid provider is by meaans a panacea for the financial health of addiction treatment providers. In our State, the reimbursement rates and limits on the duration of the treatment episode under medicaid will drive us out of business if that is are only reimbursement. Payments do not cover costs by any means.

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    Outa Luck

    July 27, 2011 at 10:25 AM

    Could any of this reluctance be because medicaid is a deadbeat organization using any excuse possible to deny payment due. Most people don’t realize that all the medicaid money for a state is issued to a middleman agency, If this middleman agency decides not to pay you for any reason they can find, they keep the money and you are just out of luck. That is one of the reasons that many agencies will not accept Medicaid. We seem to get paid about 50% of the time which is robbery as far as I am concerned.

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