sud treatment continuum in colorado sud... · 3. develop a plan for addressing capacity...
TRANSCRIPT
SUD Treatment Continuum
in Colorado
Regional Capacity Meetings
Presented by: Kim McConnell
1
February 2020
Our Mission
Improving health care access and
outcomes for the people we serve
while demonstrating sound
stewardship of financial
resources
2
Background and Goals
3
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
4
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
5
Capacity Goals (Continued)
6
American Society of Addiction Medicine
(ASAM) SUD Treatment Continuum
7
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
8
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
9
Goals for Regional Meetings
Data Mapping
10
• How can demand be reflected most accurately?
• What providers should be included?
• How can capacity for special populations be reflected
most accurately?
11
Mapping Considerations
12
SUD Diagnosis Density
13
ASAM Level 3 Providers
14
3.1 Providers per 10,000 SUD
Diagnosis Medicaid Members
16
3.5 Providers per 10,000 SUD
Diagnosis Medicaid Members
18
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
20
Capacity Mapping:
More to Come
Questions and
recommendations…
21
Contact
22
Kim McConnell, PhD
ACC SUD Administrator
Shingo Ishida
ACC SUD Benefits Specialist
Victoria Laskey
SUD Treatment Access Specialist
Stakeholder webpage:
https://www.colorado.gov/pacific/hcpf/ensuring-full-continuum-
sud-benefits
Thank You!
23