This report describes the ways and extent to which state Medicaid programs covered peer support services for adult Medicare beneficiaries with substance use disorders (SUD) and how three state Medicaid programs - Colorado, Missouri, and Oregon - offered these services. The experience of these programs can assist other states in optimizing the management of peer support services.

This is a report from Milbank and Academy Health that highlights innovative delivery models for Medicaid beneficiaries with opioid use disorder (OUD), including opioid health homes, warm handoffs, and care transitions. As the primary payer for OUD treatment, state Medicaid programs are uniquely positioned to enact innovative delivery system reforms. 

This is a report from the National Association of Medicaid Directors that offers states options to consider to promote the health and wellbeing of Medicaid beneficiaries and expand access to behavioral health services. It includes strategies along a continuum of need, ranging from upstream prevention and health promotion for all Medicaid beneficiaries to increasing access to behavioral health treatment for unique subpopulations in Medicaid.

This is a toolkit from the Center for Connected Health Policy that gives an overview of various approaches to the use of telehealth to treat substance use disorder from federal, state and local perspectives.

This is a downloadable report from the Robert Wood Johnson Foundation that assists state policymakers in understanding the Medicaid program and their role in leveraging it to improve the health of their states’ residents and communities in the context of the opioid crisis. 

This is a report from Manatt Health and funded by the Robert Wood Johnson Foundation that reviews Medicaid strategies to combat the opioid crisis, with a focus on payment, delivery, and waiver strategies. 

This toolkit developed by the Alaska Native Tribal Consortium focuses on the provision of medication-assisted treatment (MAT) services in rural areas of Alaska. The guide is aimed at educating healthcare providers who want to learn more about addiction medicine, practitioners who want to start an MAT program in their community, as well as current practitioners of addiction medicine. 

This is an academic article that provides commentary on the possibilities of new models of care for opioid use disorder (OUD) as a result of changing regulations during the coronavirus pandemic. Framed in the cascade of care model, new models could identify, initiate, engage, and retain more people in OUD treatment with medications. 

This is a toolkit from the National Council for Behavioral Health and Vital Strategies that provides correctional administrators and health care providers the information necessary to plan and implement a program using medications for opioid use disorder (MOUD) within jails and prisons.

This brief from the Office of Assistant Secretary for Planning and Evaluation (ASPE) describes four key challenges related to the use of medications for opioid use disorder (MOUD) in child welfare contexts for parents with opioid use disorder. It draws on results from a mixed-methods study examining how substance use affects child welfare systems across the country. There are also links to additional resources on the topic in this document. 

This is a report from the Legal Action Center and the Center for Court Innovation that is designed to help drug court practitioners understand medications for opioid use disorder (MOUD) and to provide strategies for incorporating MOUD into their practice. Different MOUD models are discussed that can serve as a resource for courts that currently permit MOUD as well as those considering it.

Various drug courts and their experience with MOUD in New York are highlighted in this document. The information provided in this report also gives drug courts the tools to comply with recent mandates and public health imperatives so that they can improve participant outcomes by including MOUD. 

This technical brief, a publication of the Agency for Healthcare Research and Quality (AHRQ), describes promising and innovative medications for opioid use disorder (MOUD) models of care in primary care settings, describes barriers to MOUD implementation, summarizes the evidence available on MOUD models of care in primary care settings, and identifies gaps in the evidence base. 

The various models of care presented in this technical brief may help inform the individualized implementation of MOUD models of care in different primary care settings.