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Inpatient Addiction Treatment Centers Could Expand with Waiver
Ohio government officials are looking into applying for a waiver in order to expand addiction treatment and mental health services limited by a Medicaid exclusion.
A Medicaid regulation from the Social Security Act regarding institutions of mental disease (IMDs) limits the amount of beds providers of psychiatric care, such as hospitals and residential behavioral health and substance abuse centers, can have. Because of this many inpatient facilities cannot house more than 16 patients at a time.
However, section 1115 waivers for behavioral health have been approved in many states and allow facilities to work around the 16-bed limit.
This year, the Centers for Medicare and Medicaid Services (CMS) gave Ohio Medicaid permission to restructure its payment model, which allows for treatment centers to receive more reimbursements. Many state government officials are now considering applying for a Section 1115 waiver, while different treatment centers in Lorain and other areas of the state are planning on expanding the number of beds in their facilities. This would allow for more patients to be seen and cut down on wait list lengths. However, some residential care centers for substance abuse cannot expand given limited space.
From December 2016 to December 2017, 5,137 drug overdose deaths occurred in Ohio. Lorain is located 30 miles outside of Cleveland, which has seen increased rates of overdose deaths due to fentanyl.