Researchers from Brigham and Women's Hospital, a founding member of Mass General Brigham, studied state Medicaid coverage policies for anti-obesity medications from 2011 through thefirst quarterof 2023, finding that 10 out of 47 states covered at least one anti-obesity medication. "At least 1 in...
TheMedicaid programcurrently serves 60 million low-income U.S. citizens, or about 20 percent of the population, according to the paper. It is jointly funded by the federal and state governments and is managed by the states. Each state develops its own Preferred Drug List for its fee-for-se...
Recent evidence demonstrates that compared with nonexpansion states, Medicaid expansion states experienced increases in overall prescriptions for, Medicaid-covered prescriptions for, and Medicaid spending on both MOUDs, particularly buprenorphine and naltrexone, and the opioid overdose reversal medication ...
Medication-assisted treatment (MAT) brings together behavioral therapy and medications to help treat substance use disorders (SUDs). Typically used to treat disorders related to opioids or alcohol use, MATs also can be helpful for a person who is working to quit smoking. MAT is one element in ...
The prescription drug benefit offered by Medicare covers medication costs. At the same time, Medicaid may cover Part D health plan co-payments and premiums and cover some drugs that are not covered under the Part D plan. A significant benefit that Medicaid offers for some people is that it ...
Medication Assisted Treatment. Transportation to medical care. Rural health clinic services. Laboratory and X-ray services. Certain services for pregnant women and families. There are also various benefits that states can choose to cover. These optional benefits allow states to tailor their offerings ...
Outcomes included 5 measures of MH care access that assessed whether in the past year the respondent had any (1) MH services (including inpatient or outpatient visits and medication prescriptions), (2) inpatient MH stays, (3) outpatient MH visits, (4) MH prescription (ie, “prescription medic...
Effective January 21, 2015, clinical pre-authorization will be required on pharmacy claims for ADHD/ADD medication prescriptions for recipients <48 months old. Please refer to www.lamedicaid.com for specifics. TO ALL DME PROVIDERS Effective December 15, 2014, portable oxygen equipment will be ...
EFFECTIVE WITH DATE OF SERVICE OF JULY 1, 2005, ERECTILE DYSFUNCTION MEDICATION WILL NO LONGER BE REIMBURSED BY MEDICAID. CLAIMS FOR THESE MEDICATIONS WILL DENY WITH ERROR CODE 299 (PRODUCT/DRUG NOT COVERED BY MEDICAID) WHICH IS LINKED TO NCPDP REJECTION CODE 70 (PRODUCT/SERVICE NOT COVERED)....
4 Minimum covered services include case management, medication-assisted treatment, and a 30-day supply of all medications. Additional services address physical and behavioral health, as well. Policy makers hope the waiver reduces the number of emergency department visits and inpatient hospitalizations as...