ArticleJournal of substance use and addiction treatment2025
Screening, treatment, and referral for substance use disorder in Medicaid health homes: Results of a national pilot study.
Article in Journal of substance use and addiction treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Medicaid health home design and buprenorphine receipt, 2009-2020.Journal of substance use and addiction treatment · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
introductionEstablished under the Affordable Care Act, Medicaid health homes are designed to provide comprehensive health care for enrollees with chronic health conditions. Given high rates of substance use disorder (SUD) in Medicaid, health homes have the potential to enhance SUD identification and treatment. Yet little is known about the extent to which they engage in these activities. In this study, we assessed the proportion of health homes that screen, treat, and refer for SUD; health homes compliance with state plan requirements for SUD screening and treatment; and the extent to which these trends differ among health homes focusing on physical versus mental health and SUD.
methodsWe administered a pilot survey in 2022 to all health care providers participating in active Medicaid health home models. Health home models were categorized as physical-, mental health-, or SUD-focused. We estimated the percentage of health homes engaged in SUD screening, treatment, and referral, and the percentage of health homes that complied with state requirements in each domain.
resultsOur sample included 113 Medicaid health homes in 15 states and the District of Columbia. Physical health-focused health homes were more likely to screen for SUD than mental health-focused and SUD-focused health homes (81.0 % versus 63.4 % and 55.0 % respectively). Most health homes referred out at least some SUD treatment (84.1 %). Among those that did refer, fewer than 20 % had a formal contractual agreement with an SUD treatment program. The majority of health homes complied with state requirements for referral. However, among health homes required by their state to offer SUD screening, 38.5 % of physical health-, 10.0 % of mental health-, and 25.0 % of SUD-focused health homes failed to do so. Similarly, 5.9 % of physical health-, 67.9 % of mental health- and 45.0 % of SUD-focused health homes did not offer onsite SUD treatment, even when required to do so.
conclusionsWhile Medicaid health home plans were established to promote care coordination and integration, relatively few health homes in this study reported doing so in the case of SUD. A concerning number of health homes did not comply with state plan requirements for SUD screening and treatment.
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