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Wisconsin Expands Medicaid Coverage of Residential Substance Use Disorder Treatment for Members

New benefit becomes effective on February 1, 2021 After extensive consultation with health care providers, counties, tribes, and other stakeholders, Wisconsin will cover the treatment for substance use disorder in a residential setting for members of most of its Medicaid programs beginning February 1. The treatment offered uses a “whole patient” approach that is clinically effective, reduces overdoses and deaths, and helps people sustain recovery. Health care providers will determine whether their patients require this level of care using criteria from the American Society of Addiction Medicine. “Addiction doesn’t just affect the individual,” said Wisconsin Medicaid Director Jim Jones. “It affects their families, loved ones, and communities. The services offered under this benefit are critical to providing the most appropriate level of care for many of those dealing with severe and long-term addictions.”

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