Use of Pharmacotherapy for Opioid Use Disorder - Total (OUD, CMS Adult Core Set)

Percentage of Medicaid members ages 18 to 64 with an opioid use disorder (OUD) who filled a prescription for or were administered or dispensed an FDA-approved medication for the disorder during the measurement year. This measure is the overall total rate capturing the following FDA-approved drug products used in medication assisted treatment of opioid dependence and addiction:

  • Buprenorphine
  • Oral Naltrexone
  • Long-acting, injectable naltrexone
  • Methadone

Measure Identifier: CMS_A_OUD.01

Please see Report Details below for more information on selected subgroups, organizations, and aggregation.

Tables

Data


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Utilizing the Technical Specifications and Resource Manual and the Value Sets for the Adult and Child Core Set and data from this report indicates your agreement and acceptance of the following license agreements and acknowledgements.

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For the CMS Use of Pharmacotherapy for Opioid Use Disorder measure in the Adult Core Set:

The Use of Pharmacotherapy for Opioid Use Disorder (OUD) measure is maintained by The Lewin Group for Centers for Medicare & Medicaid Services (CMS) Programs through the Home and Community-Based Services (HCBS) Measures Development, Endorsement, Maintenance, and Alignment contract HHSM-500-2014-00033I, Task Order 75FCMC19F0004.


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The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) is published by the World Health Organization (WHO). ICD-10-CM is an official Health Insurance Portability and Accountability Act standard.

The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) is published by the World Health Organization (WHO). ICD-10-PCS is an official Health Insurance Portability and Accountability Act standard.

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