The Louisiana Department of Health (LDH) submits this study of Medicaid residential substance use disorder (SUD) service rates across states and recommendations for rate increases pursuant to House Concurrent Resolution (HCR) 111 of the 2022 Regular Session requesting LDH to examine options to improve reimbursement rates for residential substance abuse treatment facilities. The resolution
requests LDH to study these topics:

  1. Rate comparison and service array relative to Mississippi.
  2. Analysis of rising costs and the impact of COVID-19.
  3. The feasibility of the use of Opioid Legal Settlement Funds in a trust fund, a self-assessed provider fee to improve funding through federal matching options, or any combination of the two.
  4. Analysis of parity between psychiatric inpatient rates and inpatient substance abuse rates.