Medicaid payment rates for substance use disorder treatment – design, data, and lack of transparency

Kayla N. Tormohlen; Erika L. Crable; Emma E McGinty

doi:10.1093/haschl/qxag224

August 24, 2026Health Affairs ScholarOpen Access

Medicaid payment rates for substance use disorder treatment – design, data, and lack of transparency

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Key Points

To examine the design, data availability, and transparency of Medicaid reimbursement rates for substance use disorder treatment services.
Reviewed Medicaid reimbursement policies, payment rate methodologies, and administrative data transparency across substance use disorder treatment programs.
Identified substantial gaps in publicly available data regarding how Medicaid payment rates for substance use disorder services are calculated and updated.
Demonstrated that limited transparency in rate structures hinders efforts to evaluate provider participation and patient access to addiction treatment.

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Implication

Policy analysis examines Medicaid payment rate structures for substance use disorder treatment, highlighting significant data transparency challenges.

Abstract

Kayla N Tormohlen, PhD, MPH, Erika L Crable, PhD, MPH, Emma E McGinty, PhD, MS; Medicaid payment rates for substance use disorder treatment – design, data,

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Tormohlen et al. (2026) studied this question.

synapsesocial.com/papers/6a8fea1c10c91c1e92622398 https://doi.org/10.1093/haschl/qxag224

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Medicaid payment rates for substance use disorder treatment – design, data, and lack of transparency

Key Points

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Implication

Abstract

Discussion

Cite This Study

Medicaid payment rates for substance use disorder treatment – design, data, and lack of transparency

Key Points

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Implication

Abstract

Discussion

Cite This Study

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