Today the Centers for Medicare & Medicaid Services (CMS) issued an Informational Bulletin describing new reporting measures available to states that have an approved SUD-focused health home state plan amendment (SPA) under section 1945(c)(4) of the Social Security Act (the Act). Section 1945(c)(4)(B) of the Act requires states with a SUD-focused state plan amendment (SPA) to submit a report to CMS, with respect to SUD-eligible individuals on the following:
- the quality of health care provided to these individuals, with a focus on outcomes relevant to the recovery of each such individual;
- the access of these individuals to health care; and
- the total expenditures of these individuals for health care.
To help states meet these new reporting requirements, CMS is adding two new SUD measures to the existing Medicaid Health Home Core Set. These new reporting requirements are for states that receive approval for an extended enhanced Federal Medical Assistance Percentages (FMAP) period for a SUD-focused health home SPA.