Quick recap

The meeting focused on discussing current challenges and updates in substance use disorder treatment services across Texas, particularly in the context of recent funding changes, regulatory compliance, and operational impacts. Participants shared experiences about weather-related disruptions, discussed the administration's proposed $700 million for services with a focus on faith-based programming, and addressed concerns about state funding allocations and potential budget cuts. Noelle reported that the state is experiencing difficulties with tracking the 25% fund movement allowance due to unpredictable client flows, though HHSC has temporarily paused plans to restrict this flexibility. Multiple providers, including Deirdre and Robert, described challenges with residential treatment capacity, noting decreased patient volumes and shifts in payer mix, particularly following the closure of detox facilities and changes in insurance coverage. The group also discussed recent regulatory inspections, with Robert and Brad sharing experiences about citations and compliance challenges, particularly around electronic health records access…

Quick recap

This meeting focused on identifying gaps and challenges in substance use disorder treatment services across Texas, as ASAP prepared their legislative agenda and provided input to the state on strategic planning. Participants discussed key barriers including the breakdown in transitions from residential to outpatient care, transportation issues, and the lack of integrated mental health services, particularly following the loss of COPS-D funding. The group explored challenges with telehealth implementation, particularly for state-funded providers, and discussed the difficulty in measuring and proving treatment outcomes that could demonstrate cost savings to legislators. Participants also highlighted the need for better coordination between treatment facilities and recovery support services, as well as the importance of addressing co-occurring mental health disorders, with many organizations reporting that 75% or more of their clients have mental health concerns.

Next steps

• Carmen: Research the possibility of billing for medical visits through the county hospital district or…

Where are clients getting stuck or falling out of care?

• What are the most common points where people disengage? 

• What are the biggest barriers to moving to the next level of care? 

Where is capacity insufficient—and where is it mismatched?

• What levels of care have the longest waitlists? 

• Are there services that exist but are underutilized?