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Medicaid Strategies for Non-Opioid Pain Management

A new Centers for Medicare & Medicaid Services (CMS) bulletin highlights the Medicaid authorities states may use to cover non-opioid pain management therapies, including both pharmacologic and nonpharmacologic options.

Released to comply with the SUPPORT for Patients and Communities Act, the bulletin notes that states can use several Medicaid authorities for nonpharmacologic care options, including but not limited to:

  • state plan authorities;
  • Section 1945 health home benefits;
  • 1915(i) state plan amendments;
  • Section 1115 demonstrations; and
  • managed care strategies.

The bulletin also includes case studies from state initiatives and resources to aid states in considering appropriate pain relief approaches.

Contact Senior Director of Policy Erin O’Malley at eomalley@essentialhospitals.org or 202.585.0127 with questions.

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About the Author

Emily Schweich is a senior communications associate for America's Essential Hospitals.

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