State Medicaid agencies are on the frontline in combating an epidemic of opioid use disorder. One vehicle states are using to deliver opioid treatment services is the Medicaid health home state plan optional benefit. To date, five states — Maine, Maryland, Michigan, Rhode Island, and Vermont — have approved health homes that focus on opioid use disorder.

This document describes some of the best practices identified by these states for designing and implementing opioid health home programs. It also discusses early evaluation results of these states’ efforts and highlights from several program innovations and early implementation successes and challenges.