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TEAMKY Demonstration

Approval Period: January 1, 2025 through December 31, 2029

Page 103 of 155 2. require the use of evidence-based SUD-specific criteria for patient placement in outpatient and residential care, with the goal of improving SUD screening and patient care and retention; 3. apply nationally-recognized SUD-specific program standards for the certification of residential treatment facilities; 4. assess provider capacity at critical levels of care, including for medication-assisted treatment for OUD, with the goal of ensuring greater access to care; 5. implement strategies directed at prescribers and dispensers to dampen prescription drug abuse; 6. improve care coordination and transitions between levels of SUD care.

A brief summary of key actions associated with each goal is listed in Table 1. Please refer to the implementation plan for a detailed description of the full set of proposed actions [5].

Table 1. Summary of Key Actions Associated with Demonstration Goals

Goal Key Actions (Estimated Completion Date) 1. improve access to critical levels of care for Opioid Use Disorder (OUD) and other SUDs for Medicaid beneficiaries 1a. amend state plan to include coverage of SUD treatment planning (7/1/2019) 1b. amend regulations to include partial hospitalization as an allowable service for Behavioral Health Services Organizations/ BHSOs (7/1/2019) 1c. amend state plan to include coverage of methadone for medication-assisted treatment, with a waiver of the non- emergency medical transportation assurance except for children under age 21, former foster care youth, and pregnant women (7/1/2019) 1d. expand, through state certification process [Goal #3], number of residential treatment providers eligible for the Institution of Mental Disease (IMD) exclusion (1/1/2020) 1e. amend service definitions to include withdrawal management in all levels of care, i.e., beyond hospital setting (7/1/2019) 2. require the use of evidence-based SUD- specific criteria for patient placement in outpatient and residential care, with the goal of improving SUD screening and patient care and retention 2a. amend state plan to require all SUD providers to incorporate ASAM's 6- dimensional assessment into their patient assessment in determining placement into treatment (7/1/2019)