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. These services 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, MACPAC contracted with RTI International to compile Medicaid coverage policies for recovery support services in all 50 states and the District of Columbia.
This presentation reviews RTI’s findings, which found that states are paying for recovery support services using several approaches, including the state plan rehabilitative services option and Section 1115 SUD demonstrations. Most states pay for peer supports services, while few states offer skills training and development, supported employment or supportive housing to beneficiaries with an SUD.