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Adult Behavioral Health Benefits in Medicaid and the Marketplace

Appendix A: Explicitly Covered Specialty Behavioral Health Services by State

ARIZONA

Appendix Table 1: Arizona Adult Inpatient Behavioral Health Service Coverage
Health Plans Psychiatric Hospital Visit 23-Hour Observation Residential Treatment Facility Adult Group Homes
Medicaid Medicaid RHBA or TRBHA X X X
Platinum Health Net CommunityCare HMO Open Access Platinum X
Humana Connect Platinum 1000/1500 Plan X
Health Net PPO Platinum X
Health Choice Essential Platinum X
Gold Health Net CommunityCare HMO Open Access Gold X
Humana Connect Gold 2500/3500 Plan X
Health Net PPO Gold X
Aetna Premier 2000 PD X
Health Choice Essential Gold X
FitRewards 1500 X
myCigna Health Flex 1250 X X
Meritus Healthy Gold X
Gold Canyon 575 X
Silver Health Net CommunityCare HMO Open Access Silver X
Humana Connect Silver 4600/6300 Plan X
Health Net HAS PPO Silver X
Meritus Community Network – Phoenix X
EverydayHealth Select (Maricopa) 4000 X
Health Choice Essential Silver X
Aetna Classic 3500 PD X
myCigna Health Savings 3400 X X
Silver Canyon 1575 X
Bronze Health Net CommunityCare HAS Open Access Bronze X
Health Net PPO Bronze X
Aetna Advantage 6350 X
EverydayHealth Alliance (Maricopa) 6000 X
Health Choice Essential Bronze X
Meritus Premium Saver Bronze X
myCigna Health Savings 6100 X X
Bronze Canyon X
Appendix Table 2: Arizona Adult Outpatient Behavioral Health Service Coverage
Health Plans Case Management Day Treatment Partial Hospitalization Psychosocial Rehabilitation Intensive Outpatient Mental Health Rehabilitation
Medicaid Medicaid RHBA or TRBHA X X X
Platinum Health Net CommunityCare HMO Open Access Platinum
Humana Connect Platinum 1000/1500 Plan
Health Net PPO Platinum
Health Choice Essential Platinum X X
Gold Health Net CommunityCare HMO Open Access Gold
Humana Connect Gold 2500/3500 Plan
Health Net PPO Gold
Aetna Premier 2000 PD
Health Choice Essential Gold X X
FitRewards 1500
myCigna Health Flex 1250 X
Meritus Healthy Gold
Gold Canyon 575
Silver Health Net CommunityCare HMO Open Access Silver
Humana Connect Silver 4600/6300 Plan
Health Net HAS PPO Silver
Meritus Community Network – Phoenix
EverydayHealth Select (Maricopa) 4000
Health Choice Essential Silver X X
Aetna Classic 3500 PD
myCigna Health Savings 3400 X
Silver Canyon 1575
Bronze Health Net CommunityCare HAS Open Access Bronze
Health Net PPO Bronze
Aetna Advantage 6350
EverydayHealth Alliance (Maricopa) 6000
Health Choice Essential Bronze X X
Meritus Premium Saver Bronze
myCigna Health Savings 6100 X
Bronze Canyon
Appendix Table 3: Arizona Adult Outpatient Provider Behavioral Health Service Coverage
Health Plans Psychiatric Services –Evaluation Psychiatric Services –Testing Medication Evaluation, Prescription, and Management Psychological Testing Individual Testing Individual Therapy Group Therapy Family Therapy
Medicaid Medicaid RHBA or TRBHA X X X X X X X X
Platinum Health Net CommunityCare HMO Open Access Platinum
Humana Connect Platinum 1000/1500 Plan
Health Net PPO Platinum
Health Choice Essential Platinum X X X
Gold Health Net CommunityCare HMO Open Access Gold
Humana Connect Gold 2500/3500 Plan
Health Net PPO Gold
Aetna Premier 2000 PD
Health Choice Essential Gold X X X
FitRewards 1500
myCigna Health Flex 1250 X X
Meritus Healthy Gold
Gold Canyon 575 X X X
Silver Health Net CommunityCare HMO Open Access Silver
Humana Connect Silver 4600/6300 Plan
Health Net HAS PPO Silver
Meritus Community Network – Phoenix
EverydayHealth Select (Maricopa) 4000
Health Choice Essential Silver X X X
Aetna Classic 3500 PD
myCigna Health Savings 3400 X X
Silver Canyon 1575 X X X
Bronze Health Net CommunityCare HAS Open Access Bronze
Health Net PPO Bronze
Aetna Advantage 6350
EverydayHealth Alliance (Maricopa) 6000
Health Choice Essential Bronze X X X
Meritus Premium Saver Bronze
myCigna Health Savings 6100 X X
Bronze Canyon X X X
Appendix Table 4: Arizona Adult Substance Use Service Coverage
Health Plans Inpatient Rehab. Inpatient Detox. Outpatient Detox. Residential Rehab. Methadone Maint. Suboxone Treatment Intensive Outpatient Smoking and Tobacco Use Partial Hospitalization
Medicaid Medicaid RHBA or TRBHA X X X X
Platinum Health Net CommunityCare HMO Open Access Platinum X X
Humana Connect Platinum 1000/1500 Plan X
Health Net PPO Platinum X X
Health Choice Essential Platinum X X X Medication Management Medication Management X X X
Gold Health Net CommunityCare HMO Open Access Gold X X
Humana Connect Gold 2500/3500 Plan X
Health Net PPO Gold X X
Aetna Premier 2000 PD X X
Health Choice Essential Gold X X X Medication Management Medication Management X X X
FitRewards 1500 X X
myCigna Health Flex 1250 X X X
Meritus Healthy Gold X X
Gold Canyon 575 X * * X X
Silver Health Net CommunityCare HMO Open Access Silver X X
Humana Connect Silver 4600/6300 Plan X
Health Net HAS PPO Silver X X
Meritus Community Network – Phoenix X
EverydayHealth Select (Maricopa) 4000 X
Health Choice Essential Silver X X X Medication Management Medication Management X X X
Aetna Classic 3500 PD X
myCigna Health Savings 3400 X X X
Silver Canyon 1575 X * * X X
Bronze Health Net CommunityCare HAS Open Access Bronze X X
Health Net PPO Bronze X X
Aetna Advantage 6350 X
EverydayHealth Alliance (Maricopa) 6000 X
Health Choice Essential Bronze X X X Medication Management Medication Management X X X
Meritus Premium Saver Bronze X
myCigna Health Savings 6100 X X X
Bronze Canyon X * * X X
* University of Arizona Health plans provide pharmaceutical coverage for medication provided during an inpatient residential stay and for medication management during a detoxification.

Colorado

Appendix Table 5: Colorado Adult Inpatient Behavioral Health Service Coverage
Health Plans Psychiatric Hospital Visit 23-Hour Observation Residential Treatment Facility Adult Group Homes
Medicaid Colorado Medical Assistance Program X X
Platinum Navigate X
Colorado HMOx X
Gold Navigate X
Denver LocalPlus X
CCHP Network X
CoOp State Wide Two X
DHMP Expanded Network X Virtual Residency Therapy
Pathway x Enhanced X
Colorado HMOx X
Kaiser Permanente Southern Colorado X
Access Health Colorado X
Rocky Mountain HMO Statewide Provider Network X
Silver Navigate X
Denver LocalPlus X
CCHP Network X
CoOp State Wide One X
DHMP Closed Network X Virtual Residency Therapy
Pathway x Enhanced X
Colorado HMOx X
Kaiser Permanente Southern Colorado X
Access Health Colorado X
Rocky Mountain HMO Statewide Provider Network X
Bronze Navigate X
Denver LocalPlus X
CCHP Network X
CoOp State Wide One X
Pathway x Enhanced X
Colorado HMOx X
Kaiser Permanente Southern Colorado X
Access Health Colorado X
Rocky Mountain HMO Statewide Provider Network X
Appendix Table 6: Colorado Adult Outpatient Behavioral Health Service Coverage
Health Plans Case Management Day Treatment Partial Hospitalization Psychosocial Rehabilitation Intensive Outpatient Mental Health Rehabilitation
Medicaid Colorado Medical Assistance Program X X X X X
Platinum Navigate X
Colorado HMOx
Gold Navigate X
Denver LocalPlus
CCHP Network
CoOp State Wide Two X X
DHMP Expanded Network X X
Pathway x Enhanced X X X
Colorado HMOx
Kaiser Permanente Southern Colorado X
Access Health Colorado X X X
Rocky Mountain HMO Statewide Provider Network
Silver Navigate X
Denver LocalPlus
CCHP Network
CoOp State Wide One X X
DHMP Closed Network X X
Pathway x Enhanced X X X
Colorado HMOx
Kaiser Permanente Southern Colorado X
Access Health Colorado X X X
Rocky Mountain HMO Statewide Provider Network
Bronze Navigate X
Denver LocalPlus
CCHP Network
CoOp State Wide One X X
Pathway x Enhanced X X X
Colorado HMOx
Kaiser Permanente Southern Colorado X
Access Health Colorado X X X
Rocky Mountain HMO Statewide Provider Network
Appendix Table 7: Colorado Adult Outpatient Provider Behavioral Health Service Coverage
Health Plans Psychiatric Services –Evaluation Psychiatric Services –Testing Medication Evaluation, Prescription, & Management Psychological Testing Individual Testing Individual Therapy Group Therapy Family Therapy
Medicaid Colorado Medical Assistance Program X X X X X X X X
Platinum Navigate X Psychiatric Treatment X X
Colorado HMOx X
Gold Navigate X X X
Denver LocalPlus
CCHP Network
CoOp State Wide Two X X X X X
DHMP Expanded Network X X X
Pathway x Enhanced X X X X X
Colorado HMOx X
Kaiser Permanente Southern Colorado X Psychiatric Treatment X X
Access Health Colorado X X X X X
Rocky Mountain HMO Statewide Provider Network X X X X
Silver Navigate X X X
Denver LocalPlus
CCHP Network
CoOp State Wide One X X X X X
DHMP Closed Network X X X
Pathway x Enhanced X X X X X
Colorado HMOx X
Kaiser Permanente Southern Colorado X Psychiatric Treatment X X
Access Health Colorado X X X X X
Rocky Mountain HMO Statewide Provider Network X X X X
Bronze Navigate X X X
Denver LocalPlus
CCHP Network
CoOp State Wide One X X X X X
Pathway x Enhanced X X X X X
Colorado HMOx X
Kaiser Permanente Southern Colorado X Psychiatric Treatment X X
Access Health Colorado X X X X X
Rocky Mountain HMO Statewide Provider Network X X X X
Appendix Table 8: Colorado Adult Substance Use Service Coverage
Health Plans Inpatient Rehab. Inpatient Detox. Outpatient Detox. Residential Rehab. Methadone Maint. Suboxone Treatment Intensive Outpatient Smoking and Tobacco Use Partial Hospitalization
Medicaid Colorado Medical Assistance Program X X X X X
Platinum Navigate Monitor Drug Therapy X
Colorado HMOx X
Gold Navigate Monitor Drug Therapy X
Denver LocalPlus X
CCHP Network X
CoOp State Wide Two Covers Medication Management Covers Medication Management X X
DHMP Expanded Network X X X
Pathway x Enhanced X X Covers Medication Management As Part of Medical Detox Covers Medication Management As Part of Medical Detox X X
Colorado HMOx X
Kaiser Permanente Southern Colorado X X Medical Management of Withdrawal Symptoms Medical Management of Withdrawal Symptoms X
Access Health Colorado X X As Part of Medical Detox As Part of Medical Detox X X
Rocky Mountain HMO Statewide Provider Network
Silver Navigate Monitor Drug Therapy X
Denver LocalPlus X
CCHP Network X
CoOp State Wide One Covers Medication Management Covers Medication Management X X
DHMP Closed Network X X X
Pathway x Enhanced X X Covers Medication Management As Part of Medical Detox Covers Medication Management As Part of Medical Detox X X
Colorado HMOx X
Kaiser Permanente Southern Colorado X X Medical Management of Withdrawal Symptoms Medical Management of Withdrawal Symptoms X
Access Health Colorado X X As Part of Medical Detox As Part of Medical Detox X X
Rocky Mountain HMO Statewide Provider Network
Bronze Navigate Monitor Drug Therapy X
Denver LocalPlus X
CCHP Network X
CoOp State Wide One Covers Medication Management Covers Medication Management X X
Pathway x Enhanced X X Covers Medication Management As Part of Medical Detox Covers Medication Management As Part of Medical Detox X X
Colorado HMOx X
Kaiser Permanente Southern Colorado X X Medical Management of Withdrawal Symptoms Medical Management of Withdrawal Symptoms X
Access Health Colorado X X As Part of Medical Detox As Part of Medical Detox X X
Rocky Mountain HMO Statewide Provider Network

CONNECTICUT

Appendix Table 9: Connecticut Adult Inpatient Behavioral Health Service Coverage
Health Plans Psychiatric Hospital Visit 23-Hour Observation Residential Treatment Facility Adult Group Homes
Medicaid Husky A X X X X
Husky C X X X X
Husky D X X X X
Gold Anthem Gold Direct Access (cddm) X X
Anthem Gold Direct Access Standard (cddk) X X
ConnectiCare Standard Gold POS X X
HCT Healthy Partner Preferred X X
Silver Anthem Silver Direct Access (cdne) X X
Anthem Silver Direct Access Standard (cboa) X X
ConnectiCare Standard POS X X
HCT Healthy Partner Max 1 X X
Bronze Anthem Bronze Direct Access (cdad) X X
Anthem Bronze Direct Access Standard (cdcm) X X
Anthem Bronze Direct Access w/ HSA X X
ConnectiCare Bronze POS 10/20 X X
ConnectiCare Bronze POS 20/30 X X
ConnectiCare POS X X
HCT Healthy Partner Essential X X
HCT Healthy Partner Basic Plus X X
Appendix Table 10: Connecticut Adult Outpatient Behavioral Health Service Coverage
Health Plans Case Management Day Treatment* Partial Hospitalization Psychosocial Rehabilitation Intensive Outpatient Mental Health Rehabilitation**
Medicaid Husky A X X X X X
Husky C X X X X X
Husky D X X X X X
Gold Anthem Gold Direct Access (cddm) X*** X X
Anthem Gold Direct Access Standard( cddk) X*** X X
ConnectiCare Standard Gold POS X X
HCT Healthy Partner Preferred X X
Silver Anthem Silver Direct Access (cdne) X*** X X
Anthem Silver Direct Access Standard (cboa) X*** X X
ConnectiCare Standard POS X X
HCT Healthy Partner Max 1 X
Bronze Anthem Bronze Direct Access (cdad) X*** X X X
Anthem Bronze Direct Access Standard (cdcm) X*** X X X
Anthem Bronze Direct Access w/ HSA X*** X X X
ConnectiCare Bronze POS 10/20 X X X
ConnectiCare Bronze POS 20/30 X X X
ConnectiCare POS X X X
HCT Healthy Partner Essential X X
HCT Healthy Partner Basic Plus X X
* Community Behavioral Health Program.
** Limited to those in Private Nonprofit Mental Institutions (PNMIs).
*** Plan may also extend Covered Services beyond the Benefit Maximums of this Plan.

Appendix Table 11: Connecticut Adult Outpatient Provider Behavioral Health Service Coverage

Health Plans Psychiatric Services –Evaluation Psychiatric Services –Testing Medication Evaluation, Prescription, & Management Psychological Testing Individual Testing Individual Therapy Group Therapy Family Therapy
Medicaid Husky A X X X X X X X X
Husky C X X X X X X X X
Husky D X X X X X X X X
Gold Anthem Gold Direct Access (cddm)
Anthem Gold Direct Access Standard (cddk)
ConnectiCare Standard Gold POS
HCT Healthy Partner Preferred
Silver Anthem Silver Direct Access (cdne)
Anthem Silver Direct Access Standard (cboa)
ConnectiCare Standard POS
HCT Healthy Partner Max 1
Bronze Anthem Bronze Direct Access (cdad)
Anthem Bronze Direct Access Standard (cdcm)
Anthem Bronze Direct Access w/ HSA
ConnectiCare Bronze POS 10/20
ConnectiCare Bronze POS 20/30
ConnectiCare POS
HCT Healthy Partner Essential
Appendix Table 12: Connecticut Adult Substance Use Service Coverage
Health Plans Inpatient Rehab. Inpatient Detox. Outpatient Detox. Residential Rehab. Methadone Maint. Suboxone Treatment Intensive Outpatient Smoking and Tobacco Use Partial Hospitalization
Medicaid Husky A X X X X X X X
Husky C X X X X X X X
Husky D X X X X X X X
Gold Anthem Gold Direct Access (cddm) X X X X
Anthem Gold Direct Access Standard (cddk) X X X X
ConnectiCare Standard Gold POS X X X X X
HCT Healthy Partner Preferred X ` X *
Silver Anthem Silver Direct Access (cdne) X X X X
Anthem Silver Direct Access Standard (cboa) X X X X
ConnectiCare Standard POS X X X X X
HCT Healthy Partner Max 1 X X *
Bronze Anthem Bronze Direct Access (cdad) X X X X
Anthem Bronze Direct Access Standard (cdcm) X X X X
Anthem Bronze Direct Access w/ HSA X X X X
ConnectiCare Bronze POS 10/20 X X X X X
ConnectiCare Bronze POS 20/30 X X X X X
ConnectiCare POS X X X X X
HCT Healthy Partner Essential X X *
HCT Healthy Partner Basic Plus X X *
* Smoking cessation is covered if the beneficiary meets program criteria.

MICHIGAN

Appendix Table 13: Michigan Adult Inpatient Behavioral Health Service Coverage
Health Plans Psychiatric Hospital Visit 23-Hour Observation Residential Treatment Facility Adult Group Homes
Medicaid Medicaid Program (fee-for-service Medicaid)
Medicaid Health Plans (managed care Medicaid)
Prepaid Inpatient Health Plans (specialty managed behavioral health care organizations) X X
Platinum HAP Personal Alliance 500 X X
Humana Connect Platinum 100/1500 Plan X
McLaren Rewards Platinum X
Gold Blue Cross Gold, a Multi-State Plan X
Consumers Mutual Premier – No Deductible X
HAP Personal Alliance 1500 PPO X X X
Humana Connect Gold 2500/3500 Plan X
McLaren Rewards Gold X
Meridian Choice: Your Connection to Bronson Healthcare X
Molina Marketplace Gold Plan X X
MyPriority Access HSA Gold 1250 X
Total HMO Standard X
Silver Blue Cross Preferred Silver X X
Consumers Mutual Choice – Low Deductible X
HAP Personal Alliance 3000 X X X
Humana Connect Silver 4600/6300 Plan X
McLaren Rewards Silver X
Meridian Choice: Your Connection to Bronson Healthcare X
Molina Silver 150 Plan X X
MyPriority MyHealth Silver 2000 X
Totally You X
Bronze Blue Cross Select Bronze X X
Consumers Mutual Basic – High Deductible X
HAP Personal Alliance 5000 X X
Humana Connect Bronze 6300/6300 Plan X
Meridian Choice: Your Connection to Bronson Healthcare X
Molina Marketplace Bronze Plan X X
MyPriority HSA Bronze 6000 X
Appendix Table 14: Michigan Adult Outpatient Behavioral Health Service Coverage
Health Plans Case Management Day Treatment Partial Hospitalization Psychosocial Rehabilitation Intensive Outpatient Mental Health Rehabilitation
Medicaid Medicaid Program (fee-for-service Medicaid)* Not Required
Medicaid Health Plans (managed care Medicaid)
Prepaid Inpatient Health Plans (specialty managed behavioral health care organizations) X X** X Yes, as Clubhouse
Platinum HAP Personal Alliance 500 X X
Humana Connect Platinum 100/1500 Plan X
McLaren Rewards Platinum X
Gold Blue Cross Gold, a Multi-State Plan X X
Consumers Mutual Premier – No Deductible X X
HAP Personal Alliance 1500 PPO X X
Humana Connect Gold 2500/3500 Plan X
McLaren Rewards Gold X
Meridian Choice: Your Connection to Bronson Healthcare X X
Molina Marketplace Gold Plan X X
MyPriority Access HSA Gold 1250 X X
Total HMO Standard X X
Silver Blue Cross Preferred Silver X X X
Consumers Mutual Choice – Low Deductible X X
HAP Personal Alliance 3000 X X
Humana Connect Silver 4600/6300 Plan X
McLaren Rewards Silver X
Meridian Choice: Your Connection to Bronson Healthcare X X
Molina Silver 150 Plan X X
MyPriority MyHealth Silver 2000 X X
Totally You X X
Bronze Blue Cross Select Bronze X X X
Consumers Mutual Basic – High Deductible X X
HAP Personal Alliance 5000 X X
Humana Connect Bronze 6300/6300 Plan X
Meridian Choice: Your Connection to Bronson Healthcare X X
Molina Marketplace Bronze Plan X X
MyPriority HSA Bronze 6000 X X
* MHPs must provide up to 20 visits-per-year and may be provided through contracts with PIHPs/CMSHPs.
** Medicaid Provider Manual uses the term “day program.”
Appendix Table 15: Michigan Adult Outpatient Provider Behavioral Health Service Coverage
Health Plans Psychiatric Services –Evaluation Psychiatric Services –Testing Medication Evaluation, Prescription, & Management Psychological Testing Individual Testing Individual Therapy Group Therapy Family Therapy
Medicaid Medicaid Program (fee-for-service Medicaid)
Medicaid Health Plans (managed care Medicaid)
Prepaid Inpatient Health Plans (specialty managed behavioral health care organizations) X X X X X X
Platinum HAP Personal Alliance 500 X X
Humana Connect Platinum 100/1500 Plan X X
McLaren Rewards Platinum X X
Gold Blue Cross Gold, a Multi-State Plan X X X X
Consumers Mutual Premier – No Deductible X Diagnostic Coverage Diagnostic Coverage X X
HAP Personal Alliance 1500 PPO X Diagnostic Coverage X Diagnostic Coverage X X
Humana Connect Gold 2500/3500 Plan X X
McLaren Rewards Gold X X
Meridian Choice: Your Connection to Bronson Healthcare Diagnostic Coverage Diagnostic Coverage X X
Molina Marketplace Gold Plan X X X X
MyPriority Access HSA Gold 1250 Diagnostic Coverage X Diagnostic Coverage X X
Total HMO Standard X X X
Silver Blue Cross Preferred Silver X X X X
Consumers Mutual Choice – Low Deductible X Diagnostic Coverage Diagnostic Coverage X X
HAP Personal Alliance 3000 X Diagnostic Coverage X Diagnostic Coverage X X
Humana Connect Silver 4600/6300 Plan X X
McLaren Rewards Silver X X
Meridian Choice: Your Connection to Bronson Healthcare Diagnostic Coverage Diagnostic Coverage X X
Molina Silver 150 Plan X X X X
MyPriority MyHealth Silver 2000 Diagnostic Coverage X Diagnostic Coverage X X
Totally You X X X
Bronze Blue Cross Select Bronze X X X X
Consumers Mutual Basic – High Deductible X Diagnostic Coverage Diagnostic Coverage X X
HAP Personal Alliance 5000 X X
Humana Connect Bronze 6300/6300 Plan X X
Meridian Choice: Your Connection to Bronson Healthcare Diagnostic Coverage Diagnostic Coverage X X
Molina Marketplace Bronze Plan X X X X
MyPriority HSA Bronze 6000 Diagnostic Coverage X Diagnostic Coverage X X
Appendix Table 16: Michigan Adult Substance Use Service Coverage
Health Plans Inpatient Rehab. Inpatient Detox. Outpatient Detox. Residential Rehab. Methadone Maintenance Suboxone Treatment Intensive Outpatient Smoking and Tobacco Use Partial Hospitalization
Medicaid Medicaid Program (fee-for-service Medicaid) Not Required* Not Required Not Required Not Required Not Required Not Required X
Medicaid Health Plans (managed care Medicaid) X
Prepaid Inpatient Health Plans (specialty managed behavioral health care organizations) X X X X X X
Platinum HAP Personal Alliance 500 X X X
Humana Connect Platinum 100/1500 Plan X X
McLaren Rewards Platinum X X
Gold Blue Cross Gold, a Multi-State Plan X X Pays for Drugs Used in Facility Pays for Drugs Used in Facility X
Consumers Mutual Premier – No Deductible Intensive Inpatient X X X X X
HAP Personal Alliance 1500 PPO X X X X X
Humana Connect Gold 2500/3500 Plan X X
McLaren Rewards Gold X X
Meridian Choice: Your Connection to Bronson Healthcare Intensive Inpatient X X X X X
Molina Marketplace Gold Plan X X Prescription Drugs for Withdrawal Prescription Drugs for Withdrawal X X
MyPriority Access HSA Gold 1250 Intensive Inpatient X X Pays for Drugs Used in Facility Pays for Drugs Used in Facility X X X
Total HMO Standard Intensive Inpatient X X X X X X
Silver Blue Cross Preferred Silver X X X X X X
Consumers Mutual Choice – Low Deductible Intensive Inpatient X X X X X
HAP Personal Alliance 3000 X X X X X
Humana Connect Silver 4600/6300 Plan X X
McLaren Rewards Silver X X
Meridian Choice: Your Connection to Bronson Healthcare Intensive Inpatient X X X X X
Molina Silver 150 Plan X X Prescription Drugs for Withdrawal Prescription Drugs for Withdrawal X X
MyPriority MyHealth Silver 2000 Intensive Inpatient X X Pays for Drugs Used in Facility Pays for Drugs Used in Facility X X X
Totally You Intensive Inpatient X X X X X X
Bronze Blue Cross Select Bronze X X X X X X
Consumers Mutual Basic – High Deductible Intensive Inpatient X X X X X
HAP Personal Alliance 5000 X X X
Humana Connect Bronze 6300/6300 Plan X X
Meridian Choice: Your Connection to Bronson Healthcare Intensive Inpatient X X X X X
Molina Marketplace Bronze Plan X X Prescription Drugs for Withdrawal Prescription Drugs for Withdrawal X X
MyPriority HSA Bronze 6000 Intensive Inpatient X X Pays for Drugs Used in Facility Pays for Drugs Used in Facility X X X
* Only required if hospitalized for medical complications due to substance abuse.
Methodology Appendix B: Additional Information on Study States’ Medicaid Programs

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