Do benefits restrictions limit Medicaid acceptance in addiction treatment? Results from a national study

Journal of Substance Abuse Treatment
Christina M AndrewsPeter D Friedmann

Abstract

To assess the relationship of restrictions on Medicaid benefits for addiction treatment to Medicaid acceptance among addiction treatment programs. We collected primary data from the 2013-2014 wave of the National Drug Abuse Treatment System Survey. We created two measures of benefits restrictiveness. In the first, we calculated the number of addiction treatment services covered by each state Medicaid program. In the second, we calculated the total number of utilization controls imposed on each service. Using a mixed-effects logistic regression model, we estimated the relationship between state Medicaid benefit restrictiveness for addiction treatment and adjusted odds of Medicaid acceptance among addiction treatment programs. Study data come from a nationally-representative sample of 695 addiction treatment programs (85.5% response rate), representatives from Medicaid programs in forty-seven states and the District of Columbia (response rate 92%), and data collected by the American Society for Addiction Medicine. Addiction treatment programs in states with more restrictive Medicaid benefits for addiction treatment had lower odds of accepting Medicaid enrollees (AOR = 0.65; CI = 0.43, 0.97). The predicted probability of Medicaid ...Continue Reading

Citations

Jan 25, 2019·American Journal of Public Health·Christina M AndrewsPeter D Friedmann
Jan 8, 2020·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Amanda J AbrahamPeter D Friedmann
Nov 15, 2018·Public Health Reports·Brendan SalonerSusan G Sherman
Apr 28, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Rachel H AlinskyBrendan Saloner
Nov 7, 2020·The Journal of Behavioral Health Services & Research·Mark OlfsonRamin Mojtabai

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