Evaluation Requirements. a. The demonstration evaluation will meet the prevailing standards of scientific evaluation and academic rigor, as appropriate and feasible for each aspect of the evaluation, including standards for the evaluation design, conduct, and interpretation and reporting of findings. i. The demonstration evaluation will use the best available data; use controls and adjustments for and reporting of the limitations of data and their effects on results; and discuss the generalizability of results. ii. The state shall acquire an independent entity to conduct the evaluation. The evaluation design shall discuss the state’s process for obtaining an independent entity to conduct the evaluation, including a description of the qualifications the entity must possess, how the state will assure no conflict of interest, and a budget for evaluation activities. b. The state shall also conduct an evaluation pursuant to STC 27 which shall include an investigation of the impact of providing Medicaid reimbursement for IMD services on the following outcomes among beneficiaries in need of acute mental health or substance use disorder treatment: i. Emergency room utilization for consequences of substance use disorders including opioid overdoses; ii. Access to acute inpatient treatment and residential treatment for substance use disorders; iii. Lengths of stay in acute inpatient and residential settings for treatment for treatment of substance use disorder; iv. Access to acute inpatient and residential treatment for substance use disorders; v. Quality of substance use disorder treatment including medication assisted treatment; vi. Quality of discharge planning in making effective linkages to community- based care; vii. Readmissions to the same level of care or higher; viii. Cost of treatment for substance use disorder conditions; ix. Overall cost of care for individuals with substance use disorders including co-morbid physical and mental health conditions; x. Opioid prescribing patterns; and, xi. Drug overdose deaths.
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