The Opioid Epidemic: Medicaid Reimbursement and Other Funding Opportunities

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In the fourth episode of our series on the national opioid crisis, Ruth Granfors and Tracy Lawless discuss how opioid treatment is reimbursed under Medicaid and other public programs.

Recently, policymakers have considered a variety of solutions for increased funding, such as the availability of Section 1115 waivers of the institution for mental diseases (“IMD”) exclusion to provide funding for residential treatment of individuals aged 21-64 in such institutions. While inpatient and outpatient reimbursement operates somewhat differently in each state, many states have responded to the opioid crisis in some way and plan to make further changes to ensure that opioid treatment is accessible and affordable for the Medicaid population.

Triage: Rapid Legal Lessons for Busy Health Care Professionals has been created by K&L Gates to convey information about developments in health law through short, five to ten minute podcasts. Catch-up on past episodes by visiting our Triage program page (http://healthcare-triage.klgates-media.libsynpro.com) or subscribe to Triage via your favorite podcast app to have our episodes delivered directly to you as they become available.

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