Missouri Substance Use Disorder Demonstration

On July 15, 2022, the State of Missouri submitted a section 1115 demonstration application that seeks federal authority to reimburse for medically necessary residential substance use disorder (SUD) services provided in an institution for mental diseases (IMD). The proposed demonstration would authorize reimbursement for SUD IMD services provided in facilities with greater than 16 beds to the demonstration population. Medicaid enrollees, ages 12-64 who receive full Medicaid benefits, and require a residential level of care for SUD treatment services, would be eligible for services under this demonstration. There will be no modifications to the current Missouri Medicaid delivery system under this demonstration. All enrollees will continue to receive services from their current delivery system. The federal comment period will be open from August 2, 2022 through September 1 , 2022.

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