Pub. L. 115-271, tit. I, sec. 1014

MACPAC STUDY AND REPORT ON MAT UTILIZATION CONTROLS UNDER STATE MEDICAID PROGRAMS.

EnactedYear: 2018Length: 206 wordsOfficial source
SEC. 1014. MACPAC STUDY AND REPORT ON MAT UTILIZATION CONTROLS UNDER STATE MEDICAID PROGRAMS.(a) Study.—The Medicaid and CHIP Payment and Access Commission shall conduct a study and analysis of utilization control policies applied to medication-assisted treatment for substance use disorders under State Medicaid programs, including policies and procedures applied both in fee-for-service Medicaid and in risk-based managed care Medicaid, which shall—(1) include an inventory of such utilization control policies and related protocols for ensuring access to medically necessary treatment;(2) determine whether managed care utilization control policies and procedures for medication-assisted treatment for substance use disorders are consistent with section 438.210(a)(4)(ii) of title 42, Code of Federal Regulations; and(3) identify policies that—(A) limit an individual’s access to medication-assisted treatment for a substance use disorder by limiting the quantity of medication-assisted treatment prescriptions, or the number of refills for such prescriptions, available to the individual as part of a prior authorization process or similar utilization protocols; and(B) apply without evaluating individual instances of fraud, waste, or abuse.(b) Report.—Not later than 1 year after the date of the enactment of this Act, the Medicaid and CHIP Payment and Access 132 STAT. 3921 Commission shall make publicly available a report containing the results of the study conducted under subsection (a).
Pub. L. 115-271, tit. I, sec. 1014: MACPAC STUDY AND REPORT ON MAT UTILIZATION CONTROLS UNDER STATE MEDICAID PROGRAMS. | Justis AI