Continuum of Care for Opioid Use Disorder in Medicaid Recipients - Summary - MDSpire

Continuum of Care for Opioid Use Disorder in Medicaid Recipients

  • By

  • Thanh T. Lu

  • William N. Dowd

  • Tami L. Mark

  • Marianne Kluckman

  • Barrett Wallace Montgomery

  • Chelsea Katz

  • Dylan E. DeLisle

  • Gary A. Zarkin

  • April 22, 2026

  • 0 min

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Objective:

To assess the cascade of care for opioid use disorder (OUD) among Medicaid beneficiaries from July 2018 to December 2023.

Key Findings:
  • In 2022, 71% of Medicaid beneficiaries diagnosed with OUD received MOUD.
  • 56% to 58% of beneficiaries receiving MOUD continued treatment for at least 180 days.
  • Medicaid prescriptions for MOUD increased from 14.9 to 19.1 per 1000 population from 2018 to 2023.
Interpretation:

The study highlights improvements in access to and continuity of MOUD among Medicaid beneficiaries, indicating progress in addressing OUD treatment.

Limitations:
  • Exclusion of certain states due to data limitations, which may affect the generalizability of the findings.
  • Potential inaccuracies in claims data affecting the assessment of MOUD continuity.
Conclusion:

The findings suggest a positive trend in the treatment of OUD among Medicaid recipients, emphasizing the importance of sustained treatment to reduce overdose deaths, supported by specific data points.

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