Substance Use Disorders Treatment and Medicaid Benefits Kim - - PowerPoint PPT Presentation
Substance Use Disorders Treatment and Medicaid Benefits Kim McConnell, PhD ACC SUD Administrator June 19, 2019 1 Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial
Kim McConnell, PhD ACC SUD Administrator
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June 19, 2019
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SOURCE: “Colorado Drug Trends,” S. Russell. Drug/Alcohol Coordinated Data System (DACODS), Office of Behavioral Health (OBH), Colorado Department of Human Services (CDHS) (2018).
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In Colorado, there were 1,012 drug overdose deaths in 2016
Drug Number of deaths in CO in 2017 Prescription Opioids 373 (rising) Heroin 224 Fentanyl 81 (more than doubled since 2016) Methadone 58
Source: Colorado Rx Abuse Task Force data
25% of Coloradoans acknowledge using pain relief medications in a way not prescribed by their
1 in 7 HIGH SCHOOL STUDENTS reported taking prescription medications without a doctor’s prescription (2004 to 2013). Unintentional drug poisoning deaths jumped almost 82% from 2004 to 2013.
Sources: Colorado Dept of Ed. Healthy Kids CO Survey (2013), Colorado Consortium for Prescription Drug Overdose Deaths, 2014 Statewide survey by National Research Center.
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first dose of opioids
surgery report using them one year later. (38% for those prescribed a 30 day course)
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with AEDs is a goal
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Level 0.5 Early intervention Level 1 Outpatient Services Level 2 Intensive Outpatient Services (IOP) or partial hospitalization Level 3 Residential or Inpatient Services Level 4 Medically Managed Intensive Inpatient Services
✓ Screening and Brief Intervention ✓ Outpatient Services ✓ IOP (covered under the state plan as outpatient services) ✓ Medically Managed Intensive Inpatient Services (in acute care hospital settings) ✓ Special Connections Residential and Inpatient services are not currently covered. All levels of care are available for children under the age of 21 through EPSDT.
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add inpatient and residential treatment to the SUD benefit
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❑ Access to critical levels of care ❑ Evidence-based, SUD-specific patient placement criteria ❑ Use of nationally recognized standards to set provider qualifications ❑ Sufficient provider capacity, including medication assisted treatment ❑ Treatment and prevention strategies to address opioid abuse ❑ Improved care coordination and transitions
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Two hearings to take place in August during the public notice period. Dates and locations TBD.
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Please visit our stakeholder webpage for updates and news on the SUD inpatient and residential benefit: https://www.colorado.gov/pacific/hcpf/ensuring-full- continuum-sud-benefits
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Kim McConnell ACC SUD Administrator Kim.mcconnell@state.co.us Shingo Ishida ACC SUD Benefits Specialist Shingo.ishida@state.co.us
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