Today, Governor Tom Wolf announced several additional steps the commonwealth is taking to help combat the opioid addiction crisis. These steps will help tighten the rules under which medication such as buprenorphine can be prescribed under the Medicaid program.
“Success in the fight against opioid crisis requires that we address the issue from all angles,” said Governor Wolf. “Not only must we make sure that quality treatment options are available from Pennsylvanians suffering from an opioid use disorder, we must also make sure that we are doing everything we can to make sure treatment is appropriate and that we keep unscrupulous individuals from taking advantage of those who are fighting the disease of addiction.”
In order to help make sure that medication is used appropriately, the Department of Human Services (DHS) will take the following actions for Medicaid providers:
“We are tightening the medication rules to ensure that the Medicaid providers writing these prescriptions are thoroughly treating the individual, coordinating care, and getting folks the counseling services they need while going through this treatment,” said DHS Secretary Ted Dallas. “Our physical health, behavioral health, and pharmaceutical providers need to work together to provide the best care possible.”
“If you, or someone you love, is receiving treatment from an Medicaid-enrolled provider, you should not pay out of pocket for that treatment. We ask that you refer the provider to DHS’ tip line at 1-844-DHS-TIPS,” said Governor Wolf.
In addition to the latest actions, the commonwealth has:
New investments in battling the opioid epidemic in the 2017-2018 budget include:
Continued investments in battling the opioid epidemic in the 2017-2018 budget include:
If an individual needs treatment for substance use disorder, and they are on Medicaid, they should call their MCO to determine a provider that is in their network. If the person is in the fee-for-service program, they can call DHS at 800-692-7462 for assistance in locating a provider.
For more information, visit www.pa.gov.