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Recovery Support Services for Medicaid Beneficiaries with a Substance Use Disorder

Treatment for beneficiaries with a substance use disorder (SUD) often includes non-clinical services, known as recovery supports. These services address psychosocial factors in an individual’s environment and provide emotional and practical support to maintain remission. They may include peer support, skills training and development, and supported employment.

MACPAC documented coverage of clinical SUD services in Chapter 4 of the June 2018 Report to Congress on Medicaid and CHIP. To complement this information, this issue brief presents results from our 50-state policy review documenting coverage of recovery support services and SUD case management services. It also describes how Medicaid programs pay for recovery support services and discusses opportunities to coordinate clinical treatment and recovery support services.