Substance Use Treatment
Data for 2020-2021 should be interpreted with caution as they were not typical treatment years due to fewer claims being submitted because of the alternate payment arrangement (APA), CBH members may not have not utilized services due to the COVID-19 stay-at-home order or they had difficulties accessing services, as well as provider staff being impacted by COVID-19, thus increasing wait times and clinician availability.
Data for 2020-2021 should be interpreted with caution as they were not typical treatment years due to fewer claims being submitted because of the alternate payment arrangement (APA), CBH members may not have not utilized services due to the COVID-19 stay-at-home order or they had difficulties accessing services, as well as provider staff being impacted by COVID-19, thus increasing wait times and clinician availability.
In 2022, DBHIDS removed prior authorizations for residential rehabilitation (ASAM level 3.5) accessed by Medicaid Beneficiaries. Of note, Philadelphians with private insurance may still need prior authorization to access residential rehab.
Data for 2020-2021 should be interpreted with caution as they were not typical treatment years due to fewer claims being submitted because of the alternate payment arrangement (APA), CBH members may not have not utilized services due to the COVID-19 stay-at-home order or they had difficulties accessing services, as well as provider staff being impacted by COVID-19, thus increasing wait times and clinician availability.
In 2022, DBHIDS also removed prior authorizations for outpatient services (ASAM level 1) allowing more Medicaid beneficiaries to access the service. Of note, Philadelphians with private insurance may still need prior authorization to access outpatient services.