Medication Assisted Treatment (MAT)

Medication Assisted Treatment (MAT) is an evidence-based practice that combines pharmacological interventions with substance abuse counseling and social support. Although not for everyone, it is an essential part of the comprehensive array of services available to people struggling with addiction to alcohol or other drugs. A paradox in our field is that although we recognize addiction as a chronic, relapsing disease, some substance abuse counselors and administrators have been reluctant to embrace new technologies for its treatment. At the same time, most physicians and other health care professionals receive little or no training in the treatment of addiction. As a result, adoption of MAT has been slow in some areas.We hope to see Missouri’s treatment providers educate their staff and consumers about the complete array of treatment options available to them.

Mark G. Stringer, Director


MAT Videos

The Division of Behavioral Health (DBH), formerly the Divisions of Alcohol and Drug Abuse and Comprehensive Psychiatric Services, is pleased to announce the release of Medication Assisted Addiction Treatment videos for physicians and non-physician clinicians. These videos were produced by the Missouri Institute of Mental Health as part of a statewide effort to shed light on MAT fact and fiction.

ADA-Approved Medications

This list identifies the medications currently approved for reimbursement to contracted providers by the Division of Behavioral Health (DBH).  Treatment providers are referred to their contracts for other requirements associated with the use of, and reimbursement for, medications used in the treatment of substance use disorders.

MO HealthNet Division Links

Some medications on the DBH-approved medication list may be subject to prior authorization criteria utilized by the MO HealthNet formulary via the clinical edit process.

MAT Links

NIATx: Getting Started with Medication-Assisted Treatment
This resource highlights lessons that emerged from the Advancing Recovery (AR) project. The summary of the AR Missouri project offers the field a great implementation tool, along with strategies for finding funding for MAT.
"Know Your Rights" Brochure for Individuals in Medication-Assisted Treatment

Individuals in Medication-Assisted Treatment (MAT) often face discrimination despite laws that plainly prohibit it. This discrimination is largely due to lack of knowledge about MAT’s value, effectiveness and safety, and a lack of knowledge about the anti-discrimination laws that protect people in MAT. The "Medication-Assisted Treatment Know Your Rights Brochure" (21pp, PDF, 415KB) presents and explains the Federal laws that prohibit discrimination against individuals with disabilities and how they protect people receiving Medication-Assisted Treatment for opioid addiction. This brochure aims to reduce discrimination by giving people in MAT (and their advocates) basic information necessary to exercise their rights or, at a minimum, know where to turn for help. It also seeks to reduce discrimination by educating those who might discriminate (e.g., employers, housing providers, and government agencies) about such laws, as well as about MAT itself.

"Legal Action Center: Legality of Denying Access to Medication Assisted Treatment in the Criminal Justice System"

This 2011 report examines the prevalence of opiate addiction in the criminal justice system, its devastating consequences, and the widespread denial of access to one of its most effective forms of treatment: medication assisted treatment (“MAT”). The report then analyzes the circumstances in which the denial of MAT violates Federal anti-discrimination laws and the United States Constitution.

Substance Abuse and Mental Health Services Administration (SAMHSA)
A federal agency, SAMHSA is charged with improving the quality and availability of prevention, treatment, and rehabilitative services in order to reduce illness, death, disability, and cost to society resulting from substance abuse and mental illnesses. This link is to the Division of Pharmacologic Therapies, SAMHSA's site for information on medication assisted treatment.
National Clearing House for Alcohol and Drug Information (NCADI)
Sponsored by SAMHSA, this site offers free publications on a variety of subjects pertaining to substance abuse and dependence, including many on medication assisted treatment.
Vivitrol
Site administered by Alkermes.  Offers prescribing information, recovery support resources and provider support resources, as well as, a provider locator.
Besse Medical
For information about a specialty distribution program for Vivitrol.
Suboxone
Site administered by Reckitt Benckiser Pharmaceuticals. Offers prescribing information, physician certification information, as well as, patient and professional resources.