Tessa Quinn
The Substance Use Block Grant (SUBG) is awarded through the Arizona Health Care Cost Containment System (AHCCCS) and administered by the Substance Abuse and Mental Health Services Administration (SAMHSA). SUBG funds can be used to cover uninsured individuals or fill gaps in insurance coverage for Substance Use Disorder (SUD) services. However, these funds cannot be used for inpatient hospitalisation and treatment in incarceration settings.
| Characteristics | Values |
|---|---|
| What is SUBG? | Substance Use Block Grant |
| SUBG awarded by | Arizona Health Care Cost Containment System (AHCCCS) |
| SUBG administered by | Substance Abuse and Mental Health Services Administration (SAMHSA) |
| SUBG funding | $5 million |
| SUBG funding recipients | Arizona organizations |
| SUBG funding purpose | Substance use prevention and early intervention services |
| SUBG funding services | Evidence-based drug prevention programs, screening, behavioral health and substance abuse assessments |
| SUBG funding programs | Trauma-Informed Substance Abuse Prevention Program (TISAPP) |
| SUBG funding restrictions | Cannot pay for inpatient hospitalization and treatment in incarceration settings |
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What You'll Learn
- SUBG funds cannot be used for inpatient hospitalisation and treatment in incarceration settings
- SUBG funds can be used to supplement Medicaid coverage for treatment services
- SUBG funds can be used to cover Medicaid spend-down for individuals
- SUBG funds can be used to cover cost-sharing requirements for individuals with private insurance for SUD treatment services
- SUBG funds allow organisations to implement evidence-based drug prevention programs
SUBG funds cannot be used for inpatient hospitalisation and treatment in incarceration settings
The Substance Use Block Grant (SUBG) is a grant awarded through the Arizona Health Care Cost Containment System (AHCCCS) and administered by the Substance Abuse and Mental Health Services Administration (SAMHSA). The SUBG provides funding for the development and implementation of evidence-based drug prevention programs, screening, and behavioural health and substance abuse assessments. SUBG funds can also be used to cover the cost of treatment services for individuals who are uninsured or experiencing gaps in coverage, as well as for substance use disorder (SUD) services not covered by insurance.
However, it is important to note that SUBG funds cannot be used for inpatient hospitalisation and treatment in incarceration settings. This means that jails and prisons must use other funds to address SUD treatment needs for incarcerated individuals. This restriction on the use of SUBG funds is in place even though individuals who are incarcerated are generally ineligible for Medicaid coverage, except for inpatient hospital services.
The reason for this restriction may lie in the purpose of the SUBG funds, which is to prevent and address substance use disorders in the general population through early intervention and treatment services. Inpatient hospitalisation and treatment in incarceration settings may fall outside the scope of this purpose, as they involve providing SUD treatment in a correctional context rather than a preventative or early intervention context.
Additionally, the restriction may be due to the fact that other sources of funding, such as state and federal funds, are available to cover the costs of inpatient hospitalisation and treatment in incarceration settings. By restricting the use of SUBG funds for these purposes, it ensures that they are used specifically to address the needs of the community in preventing and treating substance use disorders, rather than being diverted to other areas of the criminal justice system.
While SUBG funds cannot be used for inpatient hospitalisation and treatment in incarceration settings, they play a crucial role in supporting individuals and communities affected by substance use disorders. These funds enable states to provide treatment services to those who may otherwise lack access, filling gaps in insurance coverage, and ensuring that individuals can receive the help they need regardless of their financial situation.
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SUBG funds can be used to supplement Medicaid coverage for treatment services
SUBG, or the Substance Use Prevention, Treatment, and Recovery Services Block Grant, is a federal grant that provides funding for substance use disorder (SUD) prevention, treatment, and recovery support services. States can use SUBG funds to supplement Medicaid coverage for treatment services, filling gaps in payment for non-covered or limited Medicaid services. SUBG funds can also be used to cover Medicaid spend-down and cost-sharing requirements for individuals with private insurance for SUD treatment services.
While Medicaid is the single largest payer of behavioural health services in the US and guarantees coverage of services to those who qualify, there are some limitations to what it covers. For example, states are precluded from covering services in Institutes of Mental Disease (IMDs) under Medicaid, which are hospitals, nursing facilities, or institutions with more than 16 beds that primarily treat mental health conditions. However, there are exceptions and time-limited options for coverage of IMD services, such as for SUD treatment for pregnant and postpartum individuals.
SUBG funds can be used to fill these gaps in Medicaid coverage and ensure that individuals receive the necessary treatment services. States have the flexibility to distribute SUBG funds to local government entities and community- and faith-based organisations to provide SUD treatment and recovery support services to those in need. Additionally, states must use 70% of SUBG funds for alcohol use disorder (AUD) and SUD prevention, early intervention, treatment, and recovery. This includes funding treatment services for individuals who are uninsured or experiencing gaps in coverage, as well as for SUD services not covered by insurance.
It is important to note that SUBG funds cannot be used to pay for inpatient hospitalization and treatment in incarceration settings. However, individuals who are incarcerated may still be eligible for Medicaid coverage for inpatient hospital services, and states can request exceptions to the IMD exclusion through Medicaid Section 1115 demonstration waivers.
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SUBG funds can be used to cover Medicaid spend-down for individuals
The Substance Abuse Prevention and Treatment Block Grant (SABG) program provides funds to all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, 6 Pacific jurisdictions, and 1 tribal entity to prevent and treat substance abuse. The SUBG is allocated to AHCCCS from the Substance Abuse and Mental Health Services Administration (SAMHSA) for the purpose of planning, implementing, and evaluating substance use disorder (SUD) services throughout the state. The grant provides for prevention, treatment, and recovery services. SUBG funds can be used to cover Medicaid spend-down for individuals.
SUBG funds are used to ensure access to treatment and support services for uninsured and underinsured individuals. SUBG funds for treatment and recovery services are primarily allocated from AHCCCS to ACC-RBHAs and TRBHAs for the implementation of services. SUBG funds can be used to cover Medicaid spend-down for individuals, as well as cost-sharing requirements for individuals with private insurance for SUD treatment services. SAMHSA has provided guidance for states indicating that SUBG funds may be used to cover Medicaid spend-down for individuals.
SUBG funds can also be used to cover cost-sharing requirements for individuals with private insurance for SUD treatment services. This means that SUBG funds can be used to help pay for deductibles, copayments, or coinsurance for individuals who have private insurance that covers SUD treatment services. SUBG funds can be used to ensure that individuals have access to the treatment and support services they need, regardless of their insurance status or coverage gaps.
SUBG funds are also used to provide early intervention services for HIV and tuberculosis (TB) in high-risk individuals who use substances. To receive their full SUBG awards, states must enact and enforce laws prohibiting the sale or distribution of tobacco products to individuals under the age of 18. This includes conducting random, unannounced inspections of tobacco outlets and reporting annual findings to the secretary of the U.S. Department of Health and Human Services.
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SUBG funds can be used to cover cost-sharing requirements for individuals with private insurance for SUD treatment services
SUBG (Substance Use Prevention, Treatment, and Recovery Services Block Grant) funds can be used to cover cost-sharing requirements for individuals with private insurance for SUD (Substance Use Disorder) treatment services. While SUBG funds can be used to supplement Medicaid coverage, they are restricted from paying for inpatient hospitalization and treatment in incarceration settings.
SUBG funds are intended to address gaps in payment to providers for non-covered or limited Medicaid services. SAMHSA (Substance Abuse and Mental Health Services Administration) has provided guidance indicating that SUBG funds may be used to cover cost-sharing requirements for individuals with private insurance for SUD treatment services. This flexibility allows states to use SUBG dollars to fund treatment services for individuals who are uninsured or experiencing gaps in coverage, as well as for SUD services not covered under insurance.
SUBG funds are crucial in supporting states' efforts to provide a comprehensive continuum of care for individuals with SUD. States have the flexibility to determine the coverage of various SUD treatment and recovery supports, including counseling, withdrawal management, medication-assisted treatment, intensive outpatient programs, case management, peer support, skills training, and development. Additionally, SUBG funds can be distributed to local government entities and community organizations to provide substance use prevention activities and SUD treatment and recovery support services to individuals and families impacted by SUDs.
It is important to note that SUBG funds cannot be used to supplant other federal funds or Medicaid coverage. They are meant to supplement existing SUD-related activities and programs in states. States must also adhere to certain requirements to receive their full SUBG awards, such as enacting and enforcing laws prohibiting the sale or distribution of tobacco products to individuals under the age of 18.
By utilizing SUBG funds to cover cost-sharing requirements for individuals with private insurance, states can ensure that individuals receive the necessary treatment for SUD. This approach helps to bridge the gap between insurance coverage and the actual cost of treatment, making it more accessible and affordable for those seeking help for SUD.
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SUBG funds allow organisations to implement evidence-based drug prevention programs
SUBG (formerly known as SABG) funds are provided by the Substance Abuse and Mental Health Services Administration (SAMHSA) to all 50 states, the District of Columbia, Puerto Rico, the US Virgin Islands, 6 Pacific jurisdictions, and 1 tribal entity. These funds are used to plan, implement, and evaluate activities that prevent and treat substance use and promote public health.
The SUBG program provides funding for prevention, treatment, and recovery services for substance use disorders (SUD). SUBG funds are used to ensure access to treatment and support services for uninsured and underinsured individuals. Specifically, SUBG funds may be used for SUD recovery services for those who are uninsured or underinsured, in alignment with AHCCCS Covered Behavioral Health Services and additional SAMHSA guidance. SAMHSA defines recovery as a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential.
SUBG funds are also used to provide early intervention services for HIV and tuberculosis (TB) in high-risk individuals who use substances. In addition, states must use 70% of SUBG funds for alcohol use disorder (AUD) and other SUD prevention, early intervention, treatment, and recovery. SUBG funds can be used to supplement Medicaid, Medicare, and private insurance services. However, they cannot be used to pay for inpatient hospitalization and treatment in incarceration settings.
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Frequently asked questions
SUBG stands for Substance Use Block Grant. It is awarded through the Arizona Health Care Cost Containment System (AHCCCS) and administered by the Substance Abuse and Mental Health Services Administration (SAMHSA).
SUBG dollars can fund treatment services for individuals who are uninsured or experiencing gaps in coverage or for SUD services not covered under insurance. However, these funds cannot pay for inpatient hospitalization and treatment in incarceration settings.
The purpose of SUBG is to implement substance use prevention and early intervention services for youth, adults, families, and communities. It also funds the Trauma-Informed Substance Abuse Prevention Program (TISAPP), which aims to prevent substance abuse by supporting and expanding the use of trauma-informed care principles.
