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TEAMKY Demonstration

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

Page 104 of 155 3. apply nationally-recognized SUD-specific program standards for the certification of residential treatment facilities 3a. based on self-attestation to American Society of Addiction Medicine (ASAM) level of care in statewide survey, issue pending certification to eligible IMD facilities with 96 or fewer beds, permitting them to qualify for temporary IMD exclusion (4/1/2019) 3b. certify, through state certification program, residential treatment providers to ASAM levels of care, permitting certified IMD facilities with up to 96 beds to qualify for IMD exclusion (1/1/2020) 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 4a. conduct statewide survey of services, hours, staffing, and other characteristics of Medicaid-enrolled residential SUD providers (10/15/2018) 4b. conduct statewide survey of Medicaid outpatient and residential SUD treatment providers, assessing SUD levels of care, services offered—particularly medication- assisted treatment (on-site or facilitated off-site)—and potential Medicaid enrollment (9/12/2019) 5. implement strategies directed at prescribers and dispensers to dampen prescription drug abuse 5a. as part of an opioid utilization program, develop criteria for applying utilization controls of long acting and short acting opioids (e.g., limitations on short acting opiates for the treatment of acute pain, daily dose limits) (9/4/2018) 5b. as part of an opioid utilization program, establish morphine milligram equivalent (MME) thresholds for short acting, long acting, and combination opioids, and employ a step down methodology to reduce overall MME dosing limitations (9/4/2018) 6. improve care coordination and transitions between levels of SUD care 6a. amend state plan to include care coordination within the definition of residential SUD treatment (7/1/2019) 6b. amend state regulations to include care coordination duties to the definition of residential SUD treatment (7/1/2019)