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Today, the Centers for Medicare & Medicaid Services (CMS) released its second publication of the Transformed Medicaid Statistical Information System (T-MSIS) based Medicaid Substance Use Disorder (SUD) Data Book to help policymakers, researchers and other stakeholders better understand where to focus drug prevention and treatment efforts. The data book contains 2018 data on Medicaid beneficiaries treated for SUD, and the services they received by type and setting, delivery system, and progression of care. This Data Book is published annually in accordance with the requirements of the Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act) that was passed into law by Congress in 2018.
CMS’ first T-MSIS based SUD Data Book (using data from 2017) was published on October 24, 2019, releasing Medicaid data on SUD diagnosis, to help stakeholders to better understand where to focus attention. The 2018 SUD Data Book targets opioid use disorder (OUD) prevention and treatment efforts, which is a central part of the CMS strategy to fight the opioid epidemic.
Key findings contained in the 2018 data book reveal the following:
- Of the 55.9 million Medicaid beneficiaries with full or comprehensive benefits ages 12 and older, 4.6 million (8%) were treated for a SUD in 2018
- 57% of beneficiaries treated for a SUD were diagnosed with tobacco use disorder and 30% had an opioid use disorder
- Nearly half of beneficiaries (46%) treated for a SUD received emergency services (the most common SUD treatment service)
- 26% received at least one service in an outpatient or home- or community-based setting within 30 days of discharge
The complete interactive T-MSIS based Substance Use Disorder Data Book can be found here: T-MSIS based Substance Use Disorder Data Book.
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