How does a work requirement improve access to treatment? How can an individual that’s suffering from addiction access treatment to fulfill their work requirement if they’re not allowed to get Medicaid and can’t have that to cover such a treatment? Can you explain how we would address this circular situation where someone doesn’t have coverage, so they can’t get treatment, but they can’t fulfill the work requirement because they need to be in treatment to do that?
• Brandt: As part of our issuance last week, states are required to take steps to ensure access to appropriate treatments and services. One of the things they are supposed to do is make reasonable modifications to ensure that people receiving treatment for substance use disorders or opioid treatments are able to have reasonable accommodations. We’ve worked to provide guidance to states to help them ensure that balance. Our goal is to ensure that beneficiaries receiving those treatments can have appropriate accommodation made so they can continue to receive it.
If a state doesn’t come up with a workaround as you’ve described, how would someone access Medicaid so they can get treatments if they can’t fulfill …show more content…
Because a substance use disorder is such a complicated condition that demands a coordination of care, this may be one of the conditions that warrants a risk adjustment. And in fact, Massachusetts did this managed-care demonstration with dual-eligible enrollees under 65. Have you considered how we can better align payment to promote coordination and quality care for people with substance use disorders and other value-based and managed-care arrangements like ACOs and Medicare or Medicare advantage plans? And how is CMS promoting coordination of care between providers to mitigate the instances of high amounts of opioid
• Brandt: As part of our issuance last week, states are required to take steps to ensure access to appropriate treatments and services. One of the things they are supposed to do is make reasonable modifications to ensure that people receiving treatment for substance use disorders or opioid treatments are able to have reasonable accommodations. We’ve worked to provide guidance to states to help them ensure that balance. Our goal is to ensure that beneficiaries receiving those treatments can have appropriate accommodation made so they can continue to receive it.
If a state doesn’t come up with a workaround as you’ve described, how would someone access Medicaid so they can get treatments if they can’t fulfill …show more content…
Because a substance use disorder is such a complicated condition that demands a coordination of care, this may be one of the conditions that warrants a risk adjustment. And in fact, Massachusetts did this managed-care demonstration with dual-eligible enrollees under 65. Have you considered how we can better align payment to promote coordination and quality care for people with substance use disorders and other value-based and managed-care arrangements like ACOs and Medicare or Medicare advantage plans? And how is CMS promoting coordination of care between providers to mitigate the instances of high amounts of opioid