Prestera Center The MAT recipe for continuation

*MAT in 6 of 8 counties *827 active clients

*Agency employs physicians that prescribe

*Med Reviews done in group setting *LPN assistance

Key IngredientsScripted program Community EducationSet practice standards Physician buy inProgram specific policies Meds on Medicaid formularyStrong LPN Clinic set-upMARS Meetings Accountability

The Wild and Wonderful WV experience

Genise Lalos, MA, LSW, AADC-S2013 Ohio NIATx Buprenorphine Study

Kick Off Meeting

WV MAT Partners

Prestera Center Valley Healthcare System Seneca Health Services Westbrook Health Services WV DHHR

Financing of the MAT program

State of WV put Bup and Vivitrol on Medicaid formulary

Clients self pay Some insurance companies (not many and not much) Drug companies offer indigent care programs Family members of clients Some care coordination programs to prevent re-

hospitalization

Primary Barrier

People don’t know what they don’t know

General Community ( and our own staff) were against MAT. The 12- step community was against MAT. At times WV’s regulatory licensing bureau was against MAT.

The answer was education, education, education AND having clients speak about their personal experiences.

Created MARS meetings.

Challenges

Diversion was the #1 concern of

physicians in prescribing office based

Buprenorphine Prescribe 1 week at a time Hold clients accountable for attending required

programming and 12 step meetings. Hold staff accountable for holding clients accountable UDS for the presence of Bup in the urine Random pill/film counts

Results*Clients got better *MARS Mtgs successful*Agency made $$$ *Physician incentive*More $ available for meds *General Community and staff support MAT because they see the results

MAT is a standard practice at the agency now. New staff/clients take it for granted. They did not see the strife that paved the way. They only see their lives being changed. That is exactly how it should be.