Substance use disorder treatment carve outs in Medicaid managed care

Medicaid managed care organizations (MCO) play a major role in addressing the nation's epidemic of drug overdose and mortality by administering substance use disorder (SUD) treatment benefits for over 50 million Americans. While it is known that some Medicaid MCO plans delegate responsibility for managing SUD treatment benefits to an outside “carve out” entity, the extent and structure of such carve out arrangements are unknown. This is an important gap in knowledge, given that carve outs have been linked to reductions in rates of SUD treatment receipt in several studies.

Source: Journal of Substance Abuse Treatment - March 28, 2024 Category: Addiction Authors: Allie F. Silverman, Melissa A. Westlake, Olivia M. Hinds, Samantha J. Harris, Amanda J. Abraham, Colleen M. Grogan, Christina M. Andrews Source Type: research