Better Care Playbook September 12, 2024
Andrew Spencer, Center for Health Care Strategies

Individuals leaving correctional facilities experience rates of drug overdose an estimated 10 times higher than the general population. To mitigate this risk, jails and prisons are increasingly providing medication for addiction treatment (MAT), an evidence-based approach for treating addiction, particularly opioid use disorder. Notably, MAT is included in the Center for Medicare & Medicaid Services’ reentry 1115 demonstration waiver opportunity, which enables states to reimburse for key pre-release services through Medicaid. However, providing MAT in jail settings presents unique challenges compared to prisons, as lengths of stay can be short and unpredictable.

The Camden County Correctional Facility (CCCF), a jail in Camden County, New Jersey, operates an MAT program that serves around 225 people daily (out of an average daily...

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