Addiction and Recovery Treatment Services (ARTS)

The Department of Medical Assistance Services (DMAS) has introduced the Addiction and Recovery Treatment Services (ARTS) program beginning April 1, 2017. This program is available to all INTotal Health members.

The ARTS program is an expansion of substance abuse (SA)-covered services traditionally managed by Magellan that will allow INTotal Health to provide a variety of community-based addiction and recovery treatment services to our members.

There are several changes to the program including:
• The current SA services covered under Magellan will now be managed by INTotal Health for our members. These services include SA day treatment, SA intensive outpatient, opioid treatment, SA case management and residential treatment for pregnant women.
• Several new services have been added for INTotal Health members, including inpatient/residential SA detox, SA residential for all members and SA peer supports.
• Rates have been significantly increased for several services.

What are the services offered under the ARTS program?

What type of treatment do patients receive under the various service categories?

​• Inpatient acute, subacute, and residential treatment services:

• Offered in a hospital inpatient or community setting where patient is admitted for detox or treatment.

• Prior authorization is required.

• Substance abuse partial day/hospitalization treatment services:

• Typically offered in an outpatient hospital setting where patients receive 20 or more hours of clinically intensive programming per week to obtain stabilization. A planned format of individual and family therapy; doctor consult; direct access to psychiatric, medical and laboratory and toxicology services; and close coordination with appropriate intensive levels of care, comprehensive biopsychosocial assessments and supportive housing services.
• Provider types that off er the service under this program are a team of credentialed addiction treatment professionals including licensed counselors, social workers, certified addiction registered nurses, psychologists and physicians.
• Prior authorization is required.

• Intensive outpatient treatment services:

• Offered in outpatient professional provider setting to patients receiving counseling and medication management for a minimum of three hours a day (two hours for adolescents) and nine hours a week (six hours for adolescents).
• Prior authorization is required.

• Methadone treatment services:

• Offered in DBHDS-licensed opioid-treatment programs (OTP) including medication and counseling.

• Medication-assisted treatment services:

• Treatment with opioids, e.g. SUBOXONE (buprenorphine) may be based in an outpatient clinic or office setting (OBOT) to assist patients with opioid withdrawal or maintenance in a controlled environment. These services can be administered by a clinic contracted as a facility or by a professional provider, usually a medical doctor who has received approval from the Drug Enforcement Agency to offer these services.