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State Medicaid Director Letter: Permanent Extension of Mandatory Medicaid State Plan Coverage of MAT/MOUD

The Centers for Medicare & Medicaid Services (CMS) is issuing this guidance to address the statutory requirements in the Consolidated Appropriations Act, 2024 (CAA, 2024) (P.L. 118-42), Division G, Title I, Subtitle B, Sections 201, 204, and 211 (hereinafter referred to as “section 201,” “section 204,” and “section 211”). Section 201 made permanent the mandatory Medicaid benefit for medications for opioid use disorder (MOUD). Section 204 made permanent and
amended the state plan option at section 1915(l) of the Social Security Act (the Act) to provide medical assistance for certain individuals who are patients in eligible institutions for mental diseases (IMDs) in which Medicaid benefits generally are not otherwise covered. Section 211 made permanent a managed care provision relating to Medical Loss Ratio remittances

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 19, 2024

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.