Changes in Outpatient Services and Medication Use Following a Non-fatal Opioid Overdose in the West Virginia Medicaid Program
West Virginia leads the USA in opioid overdoses, with a rate more than three times the national average.1 Post-overdose medications for opioid use disorder (MOUD) are protective against future deaths,2 yet are infrequently prescribed.2, 3, 4
Mental health disorders increase opioid overdose risk.5 Given the substantial burden of psychiatric comorbidities among people who overdose, it is important to understand how both MOUD and treatment for co-occurring mental health conditions change following overdoses.
We obtained West Virginia Medicaid claims data for individuals enrolled under the Affordable Care Act expansion from 2014 to 2016. Opioid overdoses were identified using diagnosis codes for opioid poisoning (965.00-965.02, 965.09, E850.0-E850.2, appropriate T40 codes) as defined by ICD-9/10.6Office visits (99x) for opioid use disorder (OUD) (304.00-304.03, 305.50-305.53, F11x) and counseling (H0004, H0031, H0036, H0040, H2036, 90791, 90792, 908x) and diagnoses...
Funding disclosure: Dr. Saloner receives funding from the National Institute on Drug Abuse (K01 DA042139) and Dr. Stein receives funding from the National Institute on Drug Abuse (P50DA046351, R01DA045800-01).
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they do not have a conflict of interest.
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