Table 2.
Use of opioid agonist therapy among Medicaid-insured pregnant women admitted to specialty opioid use disorder treatment in states with Medicaid coverage of methadone maintenance versus no coverage (n=3,354)a
| Service setting | Unadjusted | Regression-adjustedb | ||||
|---|---|---|---|---|---|---|
|
| ||||||
| Opioid agonist treatment use, % (95% CI) | State Medicaid coverage of methadone maintenance | State Medicaid coverage of methadone maintenance | ||||
| Noc, % (95% CI) | Yesd, % (95% CI) | No, % (95% CI) | Yes, % (95% CI) | Adjusted difference, % (95% CI) | ||
| All settings | 52.9 (51.2, 54.6) | 22.7 (19.9, 25.6) | 63.4 (61.5, 65.3) | 28.1 (19.7, 36.4) | 61.0 (51.4, 70.5) | 32.9 (19.2, 46.7) |
| Residential | 30.7 (27.2, 34.3) | 15.4 (9.3, 21.4) | 34.8 (30.7, 38.9) | 19.1 (9.1, 29.0) | 33.3 (21.7, 45.0) | 14.3 (-0.7, 29.2) |
| Intensive outpatiente | 36.3 (32.0, 40.6) | 4.8 (1.0, 8.5) | 47.3 (42.1, 52.5) | 5.3 (0, 11.7) | 45.4 (24.2, 66.6) | 40.2 (15.5, 64.8) |
| Non-intensive outpatient | 63.5 (61.4, 65.5) | 28.4 (24.7, 32.1) | 76.6 (74.5, 78.7) | 36.0 (27.6, 44.4) | 73.9 (65.1, 82.7) | 37.9 (25.1, 50.7) |
Data are unique at the level of the treatment admission; therefore, individual patients may be included more than once
Estimates adjusted for age, race/ethnicity, daily use prior to treatment, heroin as primary substance used, first episode of treatment, referral to treatment from the criminal justice system, and state Medicaid income eligibility limit
The 12 states that do not cover methadone maintenance in Medicaid are: AR, IA, IL, KS, KY, LA, MS, MT, SC, SD, TN, WV
The 18 states that cover methadone maintenance in Medicaid are: AK, AL, CO, DE, HI, MA, MD, ME, MO, ND, NH, NJ, NM, OR, PA, TX, UT, WY
Intensive outpatient treatment is defined as ≥2 hours of service per day for ≥3 days per week