Implementation of a Hub-and-Spoke Partnership for Opioid Use Disorder Treatment in a Medicaid Nonexpansion State

David E. Marcovitz, Mariah Pettapiece-Phillips, Kristopher A. Kast, Katie White, Heather Himelhoch, Carolyn Audet

Research output: Contribution to journalArticlepeer-review

Abstract

Hub-and-spoke (H&S) partnerships for managing opioid use disorder vary by U.S. state. This column provides the first description of the development of an H&S partnership in Tennessee, a Medicaid nonexpansion state. Medicaid expansion allows states to fund evidence-based substance use disorder treatment and community-based psychosocial interventions. In an H&S model in a Medicaid nonexpansion context, federal grant support must fund not only treatment itself but also the creation and maintenance of parallel billing and documentation processes for various partners, reducing the funds available for patient care.

Original languageEnglish (US)
Pages (from-to)819-822
Number of pages4
JournalPsychiatric services (Washington, D.C.)
Volume73
Issue number7
DOIs
StatePublished - Jul 1 2022

Keywords

  • Bridge clinic
  • Co-occurring disorders
  • Drug abuse
  • Hub and spoke
  • Implementation
  • Opioid use disorder

ASJC Scopus subject areas

  • General Medicine

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