Brazos / Treatment for alcoholism
HHSC · TAC
Treatment for alcoholism in Texas before the first gluteal dose
Updated
Treatment for alcoholism in Texas is a Medicaid SUD benefit for a person who meets DSM substance-related disorder criteria. Medication assisted treatment is a recognized best practice for AUD. All individuals with AUD should be educated about the availability of MAT and the evidence supporting MAT and have the opportunity to receive MAT regardless of where they are receiving SUD services. Chemical dependency treatment facilities, physicians, nurse practitioners, and physician assistants may prescribe and provide for the administration of long acting injectable naltrexone (Vivitrol) to treat cravings associated with alcohol use disorder.
Medication treatment for alcoholism
A healthcare provider gives VIVITROL 380 mg as a deep intramuscular gluteal injection every 4 weeks or once a month. The alcohol-dependence indication is for patients able to abstain from alcohol in an outpatient setting before the first dose. The person should not be actively drinking when that first injection is given. VIVITROL is part of a comprehensive management program that includes psychosocial support. The single-dose vial holds 380 mg of naltrexone in a microsphere suspension. Only a deep intramuscular gluteal injection is allowed.
What is the treatment for alcoholism
Initiation of MAT may begin early in withdrawal management for AUD and can be initiated as appropriate at any point in time during the course of treatment. Duration of MAT is determined on an individual basis, depending on the individual's unique needs and treatment goals. Outpatient services may be appropriate at the start of treatment, throughout treatment, or after an episode of residential or inpatient treatment, depending on individual acuity, severity, comorbidity, needs, or preferences. Determination of which MAT medication to use is also an individualized treatment decision based on provider assessment and the individual's needs and treatment goals.
Outpatient treatment for alcoholism
For individuals unable or unwilling to access SUD treatment services at a CDTF, psychotherapy delivered by a licensed practitioner of the healing arts may be an alternative treatment option to address an individual's SUD. Outpatient services can address active symptoms as well as provide ongoing treatment for individuals in partial or full remission who need continuing help to maintain progress. Prescribing of certain MAT medications may be done via telemedicine presuming all other applicable state and federal laws are followed. With the exception of prescribing MAT medications via telemedicine, SUD treatment services may not be delivered via telemedicine or telehealth.
Treatment centers for alcoholism
All prior authorization requests must be completed and signed by a Qualified Credentialed Counselor. Beginning January 1, 2019, the Residential Substance Use Disorder Treatment Request Form and the Outpatient Substance Use Disorder Counseling Extension Request Form are the TMHP forms for that file. Call Brazos at (844) 833-0738.