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Healthy Behaviors-Substance Abuse Program

The Magellan Complete Care Substance Abuse program will provide incentives and rewards to members who complete a substance abuse assessment and attend a substance abuse treatment program. Members will be required to complete an assessment with an MCC in-network provider who is licensed by the Florida Department of Children and Families; as well as attend an MCC covered substance abuse treatment program with an MCC in- network provider. The substance abuse providers will complete an assessment and individualized treatment plans based on the Substance Abuse and Mental Health Services Administration criteria (SAMHSA). Members who complete a substance abuse assessment and complete 4 weeks of a substance abuse treatment program will receive a $20 Walmart gift card incentive. Members who complete 3 months of a substance abuse treatment program will receive a $20 Walmart gift card reward.

The MCC covered substance abuse treatment programs will include programs such as outpatient counseling, an intensive outpatient program, or medication-assisted treatment. These programs will educate members about addiction and recovery; as well as preventing or improving the psychological, social, economic, health, and legal issues that can occur with substance abuse. The program will also educate the member on the importance of relapse prevention, creating a community based support system for recovery and engaging in healthier behaviors.

Program Benefits:

Too often, individuals with substance use problems believe that only severe cases of addiction require treatment. Thus, many do not seek treatment until long after initiation, when their use has produced significant social, economic, health, and/or legal consequences. Studies suggest that the majority of those with alcohol problems recognize their situation long before they seek treatment, implying that interventions could be provided earlier. Intervening early, before drug use or excessive alcohol use progresses to addiction, is among the most cost-effective ways to address substance abuse, reduce its costs to society, and improve public health. The overarching goal of treatment is to help individuals achieve stable, long-term recovery and become productive members of society, and to eliminate the public health, public safety, and economic consequences associated with addiction.

Participation and Completion Rates:

From July 1, 2019 – June 30, 2020, a total of (4) members enrolled and participated in the Substance Abuse program. Of the total number of enrolled members, (4 members) completed a program milestone and are eligible to earn an incentive.