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Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT)) for Patients and Communities Act Section 1003 Demonstration Project to Increase Substance Use Provider Capacity: Post-Planning Period

Award Number: 2C2CMS331735
ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS
OPDIV: CMS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: DEMONSTRATION
PERIOD OF PERFORMANCE START DATE: 09/30/2021
PERIOD OF PERFORMANCE END DATE: 09/29/2024

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Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT)) for Patients and Communities Act Section 1003 Demonstration Project to Increase Substance Use Provider Capacity: Post-Planning Period - The Department of Social Services (DSS), as the single state Medicaid agency, is submitting this application on behalf of the Connecticut Behavioral Health Partnership (CT BHP). The CT BHP is comprised of the Connecticut Departments of Social Services, Children and Families and Mental Health and Addiction Services through which the Medicaid behavioral health benefits are managed and overseen. CT BHP appreciates the chance to further our commitment to increasing access and provider capacity in effort to meet the substance and opioid use disorder needs of Connecticut Medicaid members. DSS, its contracted Behavioral Health Administrative Service Organization (BH ASO), and sister agencies used the SUPPORT Act Planning Grant to conduct a comprehensive assessment of the SUD service system from multiple perspectives. The incredible work completed on the initial Planning Grant and subsequent data has laid the foundation to continue building access and numbers of substance use disorder (SUD) providers in CT. The impact of substance use disorders in the state of Connecticut is devastating at a level far exceeding that experienced by the nation. Connecticut has a higher-than-average prevalence of SUD with 12.7% of Connecticut beneficiaries versus 8.2% of beneficiaries nationwide. Connecticut beneficiaries also had higher than average prevalence of Alcohol Use Disorder (AUD) (3.3% v 1.8%) and Opioid Use Disorder (OUD) (5.4% v 2.5%). In 2019, Connecticut had the highest overdose rate in New England and the seventh highest of any state/territory. Connecticut experienced another large increase in overdose deaths during the COVID-19 pandemic, with the CDC noting that Connecticut was one of the states with greater than 20% increase in fatal overdoses between June 2019 to May 2020. Through the SUPPORT Act Post-planning demonstration, the CT BHP will achieve the following goals: (1) increase identification of SUD, allowing members to access SUD services earlier; (2) increase member access to and engagement with quality treatment; 3) increase provider capacity and (4) monitor overdose deaths among Medicaid beneficiaries. Should Connecticut be awarded the post-planning demonstration, DSS plans to make investments in the SUD service system using the enhanced match received through the terms of the funding opportunity. The total budget for the demonstration is $1,415,665 to primarily support staffing and demonstration project activities. One specific example of our investment is to amend the behavioral health ASO contract to assist the Department in its fulfillment of the funding opportunity requirements and consider the following activities: (1) continue prevalence and service utilization reporting; (2) develop integrated, member-level overdose fatality data table; (3) develop metrics to assess provider and system quality and (4) continue augmenting quantitative data reporting with qualitative data via stakeholder feedback. Based on results of these actions undertaken through the demonstration project, Connecticut proposes to improve substance and opioid use disorder and recovery services through recruitment and training of providers with specialized expertise and competence in serving our members. DSS and its partners are prepared to leverage inter-agency collaboration and vast experience in understanding and responding to the needs of Connecticut residents to successfully implement this demonstration.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$1 )
2025	2021	DEPARTMENT OF SOCIAL SERVICES CONNECTICUT	55 FARMINGTON AVE	HARTFORD	CT	06105	CAPITOL	USA	Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act	03	1	5/30/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2021	DEPARTMENT OF SOCIAL SERVICES CONNECTICUT	55 FARMINGTON AVE	HARTFORD	CT	06105	CAPITOL	USA	Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act	02	2	5/30/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$1
2025	2019	DEPARTMENT OF SOCIAL SERVICES CONNECTICUT	55 FARMINGTON AVE	HARTFORD	CT	06105	CAPITOL	USA	Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act	03	1	5/30/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$1

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2021	DEPARTMENT OF SOCIAL SERVICES CONNECTICUT	55 FARMINGTON AVE	HARTFORD	CT	06105	CAPITOL	USA	Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act	01	2	1/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $92,541 )
2021	2021	Social Services, Connecticut Department Of	55 Farmington Ave Fl 1	Hartford	CT	06105	CAPITOL	USA	Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act	00	2	9/17/2021	COMPETING CONTINUATION	$1
2021	2021	Social Services, Connecticut Department Of	55 Farmington Ave Fl 1	Hartford	CT	06105	CAPITOL	USA	Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act	02	1	3/24/2021	SUPPLEMENT FOR EXPANSION	$92,540
														Subtotal = $92,541

Issue Date FY: 2020 ( Subtotal = $0 )
2020	2019	Social Services, Connecticut Department Of	55 Farmington Ave Fl 1	Hartford	CT	06105	CAPITOL	USA	Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act	01	1	9/28/2020	EXTENSION WITH OR WITHOUT FUNDS	$0
														Subtotal = $0

Issue Date FY: 2019 ( Subtotal = $2,881,404 )
2019	2019	Social Services, Connecticut Department Of	55 Farmington Ave Fl 1	Hartford	CT	06105	CAPITOL	USA	Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act	00	1	9/18/2019	NEW	$2,881,404
														Subtotal = $2,881,404

Grand Total All Awards = $2,973,944

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Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT)) for Patients and Communities Act Section 1003 Demonstration Project to Increase Substance Use Provider Capacity: Post-Planning Period

Award Number: 2C2CMS331735

ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS

OPDIV: CMS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: DEMONSTRATION

PERIOD OF PERFORMANCE START DATE: 09/30/2021

PERIOD OF PERFORMANCE END DATE: 09/29/2024

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