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Oregon is applying to the Centers for Medicare & Medicaid Services (CMS) for a new five-year Medicaid 1115 Demonstration waiver to help build a full continuum of care for Medicaid members with substance use disorders.
We believe substance use disorder is a chronic condition that needs long-term comprehensive care and support. Oregon envisions a person-centered and recovery-oriented system that supports prevention, treatment and ongoing support for sustained recovery. Right now:
If approved, the SUD 1115 waiver would allow Oregon to pay all residential facilities using Medicaid funds. OHA will use these new funds to also provide the supports needed to prevent substance use disorder, identify substance use disorder and sustain long-term recovery.
This waiver has the potential to profoundly change Oregon’s substance use disorder treatment system. OHA plans to seek public comment on the waiver application in October 2019.
Read the OHA fact sheet
Draft application development with CMS
Begin tribal consultation process
Notify coordinated care organizations, fee-for-service stakeholders, and public
Post application for public comment
Public comment begins
Tribal consultation and public comment process ends
Incorporate feedback from tribal consultation and public comment
Submit final application to CMS
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