sud treatment continuum in colorado sud... · 3. develop a plan for addressing capacity...

SUD Treatment Continuum

in Colorado

Regional Capacity Meetings

Presented by: Kim McConnell

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February 2020

Our Mission

Improving health care access and

outcomes for the people we serve

while demonstrating sound

stewardship of financial

resources

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Background and Goals

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1. Develop understanding of Colorado’s capacity for

substance use disorder (SUD) treatment at all levels

2. Identify gaps in the availability of services

Examples:

➢ Shortages in the number of beds available compared with the demand for

treatment

➢ Levels of care where no treatment is available in parts of the state

➢ Populations that have limited access to critical SUD services

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Overall Goals for the

Department’s Capacity Work

3. Develop a plan for addressing capacity deficiencies

4. Support the Regional Accountable Entities (RAEs) in

developing SUD provider networks in anticipation of

expanded SUD service coverage by Medicaid

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Capacity Goals (Continued)

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American Society of Addiction Medicine

(ASAM) SUD Treatment Continuum

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Medicaid Coverage of SUD Services

in Colorado

Early

InterventionOutpatient

Intensive

Outpatient/Partial

HospitalizationResidential

ASAM level 0.5 1 2 3.1, 3.3, 3.5 3.7, 4

Ambulatory

Withdrawal

Management

Ambulatory

Withdrawal

Management

w/monitoring

Clinically

Managed WM

Medically

Monitored WM

Medically

Managed WM

ASAM level 1-WM 2-WM 3.2-WM 3.7-WM 4-WM

SUD Continuum of Care

Inpatient

Withdrawal Management Services

Current coverage Future coverage

• Review of existing reports on SUD capacity

• Preliminary data mapping by Department's data analysts

• Development of SUD Capacity Building Workgroup

• Planning of regional meetings for further data collection

and collaboration with stakeholders

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Work to Date

• Share information gathered by Department on treatment

programs in the state

• Elicit feedback on the data and mapping

• Collect additional information about regional needs from

stakeholders

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Goals for Regional Meetings

Data Mapping

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• How can demand be reflected most accurately?

• What providers should be included?

• How can capacity for special populations be reflected

most accurately?

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Mapping Considerations

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SUD Diagnosis Density

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ASAM Level 3 Providers

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3.1 Providers per 10,000 SUD

Diagnosis Medicaid Members

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3.5 Providers per 10,000 SUD

Diagnosis Medicaid Members

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3.7 Providers per 10,000 SUD

Diagnosis Medicaid Members

Refine maps by:

• Bed count

• Add correctional providers (map separately)

• Map intensive outpatient (IOP) providers

• Map MAT services

Map services for special populations: pregnant/parenting

individuals, Spanish-speaking individuals and youth

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Capacity Mapping:

More to Come

Questions and

recommendations…

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Contact

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Kim McConnell, PhD

ACC SUD Administrator

kim.mcconnell@state.co.us

Shingo Ishida

ACC SUD Benefits Specialist

shingo.ishida@state.co.us

Victoria Laskey

SUD Treatment Access Specialist

victoria.laskey@state.co.us

Stakeholder webpage:

https://www.colorado.gov/pacific/hcpf/ensuring-full-continuum-

sud-benefits

Thank You!

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