Individuals testing positive for defined drugs will be required to comply with treatment or receive a time period of no medical coverage. Wisconsin legislators plan to submit this in the form of a waiver to the Federal - Centers for Medicare and Medicaid.
This facilitates the implementation of a structure of multiple factors to limit access to the medical delivery system. A huge role in public funded health programming is to move addiction in to the medical delivery system . This effort will compete with community coordination designed to get individuals with identified needs to the proper provider.
Non-compliance is a well documented symptom of drug addiction in public funded programming aggregates. The other certain is properly testing an individual for drugs costs money. Any clinic lab or hospital could perform the testing if the individual has a valid pay source.
No lab will perform the drug testing without payment - and Medicaid does not appear to be available prior to the drug screening for the individual. Once a failed drug test occurs - the frequency of the testing is expected to have enforced limits. There does not exist a pay source that will reimburse a lab for a series of drug tests until a clean screen is achieved.
If the structure pushes the cost on to the participating (drug user) individual the opportunity for non-compliance persists. Regions with multiple higher populated Counties will be confronted with under performing public funded health outcome rated programming.
Value based - outcome rated programming determines future funding. In the past incarcerated drug users were bumped off the public funded programming as the Department of Corrections became the treating administration. But with the broad implementation of drug style courts to reduce jail- prison over crowding the user remains in the community without access to medical care.
Our medical delivery system has always been a primary source of service for individuals using illegal drugs. The prevalence of heroin creates costly medical needs in a much more rapid time line. With holding the benefits of Medicaid from non-compliant drug users detaches drug addiction from the medical delivery system.
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