Department of Public Health and Preventive Medicine, Oregon Health and Science University, 3181 S.W. Sam Jackson Park Rd., CB-669, Portland, OR 97239, USA.
Psychiatr Serv. 2011 Mar;62(3):306-9. doi: 10.1176/ps.62.3.pss6203_0306.
Effective January 2008, state Medicaid plans may reimburse for screening and brief intervention for alcohol and drug misuse. This study assessed state Medicaid activity to implement Healthcare Common Procedure Code System codes and pay for screening and brief intervention.
State and District of Columbia Medicaid representatives (N=44) participated in semistructured telephone interviews (N=37) or provided e-mail correspondence (N=7) about implementation of reimbursement codes. Confirmatory Web searches of Medicaid fee schedules supplemented findings and provided information for the remaining seven states.
More than half the states (N=28) list designated screening and brief intervention codes in their state Medicaid fee schedules; 19 of those states are capable of reimbursing for the codes. Qualitative analysis examined the challenges in choosing codes, assigning reimbursement rates, and working within constrained Medicaid budgets.
Implementation of billing codes appears to be an insufficient policy mechanism to promote utilization of screening and brief intervention for treating substance use.
自 2008 年 1 月起，各州的医疗补助计划（Medicaid）可能会为酒精和药物滥用的筛查及简短干预提供报销。本研究评估了各州医疗补助计划实施医疗保健通用程序代码系统（Healthcare Common Procedure Code System）并支付筛查及简短干预费用的情况。
州和哥伦比亚特区医疗补助代表（N=44）参与了半结构化电话访谈（N=37）或提供了电子邮件通讯（N=7），内容涉及报销代码的实施情况。对医疗补助费用表的确认性网络搜索补充了调查结果，并为其余七个州提供了信息。
超过一半的州（N=28）在其州医疗补助费用表中列出了指定的筛查和简短干预代码；其中 19 个州有能力为这些代码报销费用。定性分析检查了在选择代码、分配报销率以及在有限的医疗补助预算内工作方面的挑战。
实施计费代码似乎是一种不足以促进利用筛查和简短干预治疗物质使用的政策机制。
