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Michigan's Section 1003 SUD Demonstration Project to Increase Substance Use Disorder Provider Capacity (MDHHS FY21)

Zivin, Kara

PI

Michigan has been significantly impacted by the nation's opioid epidemic, experiencing a per capita opioid overdose death rate nearly 1.5 times greater than the national rate. Despite substantial state efforts, overdose rates remain high and serious gaps in access to SUD care, including Medication Assisted Treatment, remain, as evidenced by a recent study demonstrating that only 20% of Michiganders with an SUD diagnosis received treatment. With Section 1003 SUD Demonstration Project cooperative agreement funding, U-M will work with MDHHS and its partners will to conduct a robust assessment of SUD treatment and recovery provider capacity for Michigan's Medicaid program, to include the following key activities: *Conduct/utilize existing research to ascertain Medicaid beneficiary demand for SUD/OUD treatment and recovery services in Michigan *Conduct/utilize existing data and research to create an inventory of payment methodologies, reimbursement rates, administrative requirements, and limitations on capacity by region, Medicaid delivery system, and specific services and provider types to elucidate any relationship between these variables and access to SUD treatment and recovery services *Perform a gap analysis to identify and prioritize opportunities for improvement, including specific Medicaid subpopulations *Conduct/utilize existing research on strategies to increase SUD/OUD provider capacity, including those related to payment, administrative issues, and programs relative to recruitment and retention *Conduct focus groups, stakeholder analyses, and key informant interviews to solicit input on the direction of the overall assessment and for provider surveys *Conduct provider surveys to ascertain provider willingness and barriers to provide SUD treatment and recovery services in addition to assessing the level of coordination between SUD treatment and recovery services and other aspects of healthcare (e.g., primary care, mental health care, etc.) *Analyze the impact of training and education activities on SUD provider capacity *Create an algorithm to determine the effect of various policy levers on SUD provider capacity The ultimate goal of this project is to create a targeted and prioritized strategic plan to increase SUD treatment and recovery provider capacity for Medicaid beneficiaries in Michigan. U-M's role in this project is to Coordinate with MDHHS SUD-related entities, analyze SUD payment and reimbursement issues, analyze Medicaid administrative data and conduct key informant interviews.

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