TY - JOUR
T1 - Prevalence of Testing for Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus Among Medicaid Enrollees Treated With Medications for Opioid Use Disorder in 11 States, 2016-2019
AU - Ahrens, Katherine
AU - Sharbaugh, Michael
AU - Jarlenski, Marian P.
AU - Tang, Lu
AU - Allen, Lindsay
AU - Austin, Anna E.
AU - Barnes, Andrew J.
AU - Burns, Marguerite E.
AU - Clark, Sarah
AU - Zivin, Kara
AU - Mack, Aimee
AU - Liu, Gilbert
AU - Mohamoud, Shamis
AU - McDuffie, Mary Joan
AU - Hammerslag, Lindsey
AU - Gordon, Adam J.
AU - Donohue, Julie M.
AU - Kelley, David
AU - Everette James, A.
AU - Costlow, Monica
AU - Cohn, Lisa
AU - LaPres, Marie
AU - Walker, Lauryn
AU - Harrell, Ashley
AU - Voskuil, Kristen
AU - Tyska, Steve
AU - Parsons, Cynthia
AU - Becker, James
AU - Cai, Yilin
AU - Brown, Alyssa
AU - Middleton, Alice
AU - Woodcock, Cynthia
AU - Brown, Elizabeth
AU - Hall, Dara
AU - Rose, Roderick
AU - Sandoe, Emma
AU - Dowler, Shannon
AU - McGuire, Catherine
AU - Jorgenson, David
AU - Schutze, Maik
AU - Taylor, Angela
AU - Talbert, Jeff
AU - Applegate, Mary
AU - Markman, Kendallyn
AU - Rizzutti, Mark
AU - Truex-Powell, Elizabeth
AU - Ashmead, Robert
AU - Bailey, Emelie
N1 - Publisher Copyright:
© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved.
PY - 2023/5/15
Y1 - 2023/5/15
N2 - Background. Limited information exists about testing for human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) among Medicaid enrollees after starting medication for opioid use disorder (MOUD), despite guidelines recommending such testing. Our objectives were to estimate testing prevalence and trends for HIV, HBV, and HCV among Medicaid enrollees initiating MOUD and examine enrollee characteristics associated with testing. Methods. We conducted a serial cross-sectional study of 505 440 initiations of MOUD from 2016 to 2019 among 361 537 Medicaid enrollees in 11 states. Measures of MOUD initiation; HIV, HBV, and HCV testing; comorbidities; and demographics were based on enrollment and claims data. Each state used Poisson regression to estimate associations between enrollee characteristics and testing prevalence within 90 days of MOUD initiation. We pooled state-level estimates to generate global estimates using random effects meta-analyses. Results. From 2016 to 2019, testing increased from 20% to 25% for HIV, from 22% to 25% for HBV, from 24% to 27% for HCV, and from 15% to 19% for all 3 conditions. Adjusted rates of testing for all 3 conditions were lower among enrollees who were male (vs nonpregnant females), living in a rural area (vs urban area), and initiating methadone or naltrexone (vs buprenorphine). Associations between enrollee characteristics and testing varied across states. Conclusions. Among Medicaid enrollees in 11 US states who initiated medications for opioid use disorder, testing for human immunodeficiency virus, hepatitis B virus, hepatitis C virus, and all 3 conditions increased between 2016 and 2019 but the majority were not tested.
AB - Background. Limited information exists about testing for human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) among Medicaid enrollees after starting medication for opioid use disorder (MOUD), despite guidelines recommending such testing. Our objectives were to estimate testing prevalence and trends for HIV, HBV, and HCV among Medicaid enrollees initiating MOUD and examine enrollee characteristics associated with testing. Methods. We conducted a serial cross-sectional study of 505 440 initiations of MOUD from 2016 to 2019 among 361 537 Medicaid enrollees in 11 states. Measures of MOUD initiation; HIV, HBV, and HCV testing; comorbidities; and demographics were based on enrollment and claims data. Each state used Poisson regression to estimate associations between enrollee characteristics and testing prevalence within 90 days of MOUD initiation. We pooled state-level estimates to generate global estimates using random effects meta-analyses. Results. From 2016 to 2019, testing increased from 20% to 25% for HIV, from 22% to 25% for HBV, from 24% to 27% for HCV, and from 15% to 19% for all 3 conditions. Adjusted rates of testing for all 3 conditions were lower among enrollees who were male (vs nonpregnant females), living in a rural area (vs urban area), and initiating methadone or naltrexone (vs buprenorphine). Associations between enrollee characteristics and testing varied across states. Conclusions. Among Medicaid enrollees in 11 US states who initiated medications for opioid use disorder, testing for human immunodeficiency virus, hepatitis B virus, hepatitis C virus, and all 3 conditions increased between 2016 and 2019 but the majority were not tested.
KW - HIV
KW - Medicaid
KW - hepatitis
KW - opioid use disorder
KW - testing
UR - http://www.scopus.com/inward/record.url?scp=85160204276&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85160204276&partnerID=8YFLogxK
U2 - 10.1093/cid/ciac981
DO - 10.1093/cid/ciac981
M3 - Article
C2 - 36594172
AN - SCOPUS:85160204276
SN - 1058-4838
VL - 76
SP - 1793
EP - 1801
JO - Clinical Infectious Diseases
JF - Clinical Infectious Diseases
IS - 10
ER -