Factors related to Medicaid payment acceptance at outpatient substance abuse treatment programs.

Abstract:

OBJECTIVE:To examine factors associated with Medicaid acceptance for substance abuse (SA) services by outpatient SA treatment programs. DATA SOURCES:Secondary analysis of 2003-2006 National Survey of Substance Abuse Treatment Services data combined with state Medicaid policy and usage measures and other publicly available data. STUDY DESIGN:We used cross-sectional analyses, including state fixed effects, to assess relationships between SA treatment program Medicaid acceptance and (1) program-level factors, (2) county-level sociodemographics and treatment program density, and (3) state-level population characteristics, SA treatment-related factors, and Medicaid policy and usage. DATA EXTRACTION METHODS:State Medicaid policy data were compiled based on reviews of state Medicaid-related statutes/regulations and Medicaid plans. Other data were publicly available. Principal Findings. Medicaid acceptance was significantly higher for programs: (a) that were publicly funded and in states with Medicaid policy allowing SA treatment coverage; (b) with accreditation/licensure and nonprofit/government ownership, as well as mental- and general-health focused programs; and (c) in counties with lower household income. CONCLUSIONS:SA treatment program Medicaid acceptance related to program-, county, and state-level factors. The data suggest the importance of state policy and licensure/accreditation requirements in increasing SA program Medicaid access.

journal_name

Health Serv Res

journal_title

Health services research

authors

Terry-McElrath YM,Chriqui JF,McBride DC

doi

10.1111/j.1475-6773.2010.01206.x

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

632-53

issue

2

eissn

0017-9124

issn

1475-6773

journal_volume

46

pub_type

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