Methadone Maintenance and State Medicaid Managed Care Programs

Dennis McCarty, Richard G. Frank, Gabrielle C. Denmead

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Coverage for methadone services in state Medicaid plans may facilitate access to the most effective therapy for heroin dependence. State Medicaid plans were reviewed to assess coverage for methadone services, methadone benefits in managed care, and limitations on methadone treatment. Medicaid does not cover methadone maintenance medication in 25 states (59 percent). Only 12 states (24 percent) include methadone services in Medicaid managed care plans. Moreover, two of the 12 states limit coverage for counseling or medication and others permit health plans to set limits. State authorities for Medicaid and substance abuse can collaborate to ensure that appropriate medication and treatment services are available for Medicaid recipients who are dependent on opioids and to construct payment mechanisms that minimize incentives that discourage enrollment among heroin-dependent individuals.

Original languageEnglish (US)
Pages (from-to)341-362
Number of pages22
JournalMilbank Quarterly
Volume77
Issue number3
StatePublished - 1999
Externally publishedYes

Fingerprint

Methadone
Medicaid
Managed Care Programs
managed care
medication
coverage
state authority
substance abuse
Heroin Dependence
counseling
recipient
Heroin
incentive
Opioid Analgesics
Substance-Related Disorders
Motivation
Counseling
health
Health

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

McCarty, D., Frank, R. G., & Denmead, G. C. (1999). Methadone Maintenance and State Medicaid Managed Care Programs. Milbank Quarterly, 77(3), 341-362.

Methadone Maintenance and State Medicaid Managed Care Programs. / McCarty, Dennis; Frank, Richard G.; Denmead, Gabrielle C.

In: Milbank Quarterly, Vol. 77, No. 3, 1999, p. 341-362.

Research output: Contribution to journalArticle

McCarty, D, Frank, RG & Denmead, GC 1999, 'Methadone Maintenance and State Medicaid Managed Care Programs', Milbank Quarterly, vol. 77, no. 3, pp. 341-362.
McCarty, Dennis ; Frank, Richard G. ; Denmead, Gabrielle C. / Methadone Maintenance and State Medicaid Managed Care Programs. In: Milbank Quarterly. 1999 ; Vol. 77, No. 3. pp. 341-362.
@article{6a9a9e6c6245475d8a6b7c6337526735,
title = "Methadone Maintenance and State Medicaid Managed Care Programs",
abstract = "Coverage for methadone services in state Medicaid plans may facilitate access to the most effective therapy for heroin dependence. State Medicaid plans were reviewed to assess coverage for methadone services, methadone benefits in managed care, and limitations on methadone treatment. Medicaid does not cover methadone maintenance medication in 25 states (59 percent). Only 12 states (24 percent) include methadone services in Medicaid managed care plans. Moreover, two of the 12 states limit coverage for counseling or medication and others permit health plans to set limits. State authorities for Medicaid and substance abuse can collaborate to ensure that appropriate medication and treatment services are available for Medicaid recipients who are dependent on opioids and to construct payment mechanisms that minimize incentives that discourage enrollment among heroin-dependent individuals.",
author = "Dennis McCarty and Frank, {Richard G.} and Denmead, {Gabrielle C.}",
year = "1999",
language = "English (US)",
volume = "77",
pages = "341--362",
journal = "Milbank Quarterly",
issn = "0887-378X",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Methadone Maintenance and State Medicaid Managed Care Programs

AU - McCarty, Dennis

AU - Frank, Richard G.

AU - Denmead, Gabrielle C.

PY - 1999

Y1 - 1999

N2 - Coverage for methadone services in state Medicaid plans may facilitate access to the most effective therapy for heroin dependence. State Medicaid plans were reviewed to assess coverage for methadone services, methadone benefits in managed care, and limitations on methadone treatment. Medicaid does not cover methadone maintenance medication in 25 states (59 percent). Only 12 states (24 percent) include methadone services in Medicaid managed care plans. Moreover, two of the 12 states limit coverage for counseling or medication and others permit health plans to set limits. State authorities for Medicaid and substance abuse can collaborate to ensure that appropriate medication and treatment services are available for Medicaid recipients who are dependent on opioids and to construct payment mechanisms that minimize incentives that discourage enrollment among heroin-dependent individuals.

AB - Coverage for methadone services in state Medicaid plans may facilitate access to the most effective therapy for heroin dependence. State Medicaid plans were reviewed to assess coverage for methadone services, methadone benefits in managed care, and limitations on methadone treatment. Medicaid does not cover methadone maintenance medication in 25 states (59 percent). Only 12 states (24 percent) include methadone services in Medicaid managed care plans. Moreover, two of the 12 states limit coverage for counseling or medication and others permit health plans to set limits. State authorities for Medicaid and substance abuse can collaborate to ensure that appropriate medication and treatment services are available for Medicaid recipients who are dependent on opioids and to construct payment mechanisms that minimize incentives that discourage enrollment among heroin-dependent individuals.

UR - http://www.scopus.com/inward/record.url?scp=0032613335&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032613335&partnerID=8YFLogxK

M3 - Article

VL - 77

SP - 341

EP - 362

JO - Milbank Quarterly

JF - Milbank Quarterly

SN - 0887-378X

IS - 3

ER -