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

Kayla N Tormohlen, Erika L Crable, Emma E McGinty · 2026

Read Medicaid payment rates for substance use disorder treatment—design, data, and lack of transparency by Kayla N Tormohlen, Erika L Crable, Emma E McGinty (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13535230.txt.

Description

Kayla Tormohlen, Erika Crable, and Emma McGinty examine how Medicaid sets payment rates for substance use disorder treatment in the United States. Their 2026 paper notes that Medicaid is the largest payer for such services, yet pays the lowest rates.

Low payment can push clinicians away from addiction care and limit how many Medicaid patients are treated. Complex payment methods and limited public data make rates hard to study or improve. The authors ran semistructured interviews with state Medicaid leaders in seven states. They asked how rates are set and whether public data can describe them well. Transparency, they show, is a core problem.

Catalog record

CREATORKayla N Tormohlen, Erika L Crable, Emma E McGinty
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE11 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13535230

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