Though medication assisted treatment (MAT) is the known evidence-based treatment for individuals with opioid use disorder (OUD), utilization remains low. To connect individuals with OUD to appropriate care, more high quality MAT providers are necessary. Individuals experience their lives across complex and fragmented sectors. To better align resources for these members in the community, we have created targeted micro-incentive payment models to enable providers to deliver comprehensive, evidence-based OUD treatment where people already receive care (PCP, OB-GYN). These payment models not only directly fund evidence-based treatment and related supports, but through this funding, we also seek to build additional capacity at the provider level.
MAT Retention Model
Care management activities include:
- Conduct comprehensive assessment on physical, behavioral, and social needs and case severity.
- Create and support an individualized Addiction Treatment and Recovery Plan
- Provide coordination to help individuals overcome barriers to care, and improve overall health, including providing treatment for other co-occurring physical or behavioral conditions and connecting to psychosocial supports and social service providers.
- Educate on harm reduction including providing a naloxone prescription
- Provide reproductive health counseling and family planning options to women of child-bearing age
- Perform random drug urine screens
- Screen for HIV, Hepatitis B, Hepatitis C, and pregnancy