SUD Treatment Continuum in Colorado Regional Capacity Meetings - PowerPoint PPT Presentation

SUD Treatment Continuum in Colorado Regional Capacity Meetings Presented by: Kim McConnell February 2020 1

Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources 2

Background and Goals 3

Overall Goals for the Department’s Capacity Work 1. Develop understanding of Colorado’s capacity for substance use disorder (SUD) treatment at all levels 2. Identify gaps in the availability of services Examples: ➢ Shortages in the number of beds available compared with the demand for treatment ➢ Levels of care where no treatment is available in parts of the state ➢ Populations that have limited access to critical SUD services 4

Capacity Goals (Continued) 3. Develop a plan for addressing capacity deficiencies 4. Support the Regional Accountable Entities (RAEs) in developing SUD provider networks in anticipation of expanded SUD service coverage by Medicaid 5

American Society of Addiction Medicine (ASAM) SUD Treatment Continuu m 6

Medicaid Coverage of SUD Services in Colorado SUD Continuum of Care Intensive Early Inpatient Outpatient Residential Outpatient/Partial Intervention Hospitalization ASAM level 0.5 1 2 3.1, 3.3, 3.5 3.7, 4 Withdrawal Management Services Ambulatory Ambulatory Withdrawal Clinically Medically Medically Withdrawal Management Managed WM Monitored WM Managed WM Management w/monitoring ASAM level 1-WM 2-WM 3.2-WM 3.7-WM 4-WM Current coverage Future coverage 7

Work to Date • Review of existing reports on SUD capacity • Preliminary data mapping by Department's data analysts • Development of SUD Capacity Building Workgroup • Planning of regional meetings for further data collection and collaboration with stakeholders 8

Goals for Regional Meetings • Share information gathered by Department on treatment programs in the state • Elicit feedback on the data and mapping • Collect additional information about regional needs from stakeholders 9

Data Mapping 10

Mapping Considerations How can demand be reflected most accurately? • What providers should be included? • How can capacity for special populations be reflected • most accurately? 11

SUD Diagnosis Density 12

ASAM Level 3 Providers 13

3.1 Providers per 10,000 SUD Diagnosis Medicaid Members 14

3.5 Providers per 10,000 SUD Diagnosis Medicaid Members 16

3.7 Providers per 10,000 SUD Diagnosis Medicaid Members 18

Capacity Mapping: More to Come Refine maps by: Bed count • Add correctional providers (map separately) • Map intensive outpatient (IOP) providers • Map MAT services • Map services for special populations: pregnant/parenting individuals, Spanish-speaking individuals and youth 20

Questions and recommendations… 21

Contact Kim McConnell, PhD ACC SUD Administrator kim.mcconnell@state.co.us Shingo Ishida ACC SUD Benefits Specialist shingo.ishida@state.co.us Victoria Laskey SUD Treatment Access Specialist victoria.laskey@state.co.us Stakeholder webpage: https://www.colorado.gov/pacific/hcpf/ensuring-full-continuum- sud-benefits 22

Thank You! 23