{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:07:25Z","timestamp":1778083645151,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T00:00:00Z","timestamp":1576022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p>\n                    Opioid use disorder (OUD) among older adults has been increasing, yet evidence still remains scarce for age\u2010specific treatment. We discuss the three US Food and Drug Administration\u2013approved medications used to treat OUD (methadone, buprenorphine, and naltrexone) and consider evidence gaps in OUD treatment in older adults. Legislation passed in 2018 (the Substance Use Disorder Prevention That Promotes Opioid Recovery and Treatment for Patients and Communities Act [also known as the SUPPORT Act]) expanded Medicare coverage to include bundled payment for OUD treatment through opioid treatment programs, permitting coverage of methadone treatment for the first time. Since the policy change will take effect in January 2020, healthcare providers need to be aware of new opportunities for treatment when caring for older adult patients with OUD.\n                    <jats:bold>J Am Geriatr Soc 68:637\u2013640, 2020<\/jats:bold>\n                  <\/jats:p>","DOI":"10.1111\/jgs.16281","type":"journal-article","created":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T09:32:00Z","timestamp":1576056720000},"page":"637-640","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Help Is on the Way: Medicare Coverage of Opioid Treatment Programs"],"prefix":"10.1111","volume":"68","author":[{"given":"Cynthia","family":"Felix","sequence":"first","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua M.","family":"Sharfstein","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yngvild","family":"Olsen","sequence":"additional","affiliation":[{"name":"Institutes for Behavior Resources\/REACH Health Services  Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders: Diagnostic and Statistical Manual of Mental Disorders Fifth Edition. 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Raising Awareness and Seeking Solutions to the Opioid Epidemic's Impact on Rural Older Adults: For \u201cGrantmakers in Aging.\u201d August 2017. 170818_Benson\u2010Aldrich_paper_for_GIA_web_FINAL.pdf.https:\/\/www.giaging.org\/documents\/170818_Benson\u2010Aldrich_paper_for_GIA_web_FINAL.pdf. Accessed December 1 2019."},{"key":"e_1_2_7_7_1","article-title":"President trump signs bipartisan bill to fight opioid","author":"Coukell A","year":"2018","journal-title":"Crisis"},{"key":"e_1_2_7_8_1","unstructured":"FingarKR SkinnerH JohannJ CoenenN FreemanWJ HeslinKC. Geographic Variation in Substance\u2010Related Inpatient Stays Across States and Counties in the United States 2013\u20132015. HCUP Statistical Brief #245. Rockville MD: Agency for Healthcare Research and Quality; 2018.http:\/\/www.hcup\u2010us.ahrq.gov\/reports\/statbriefs\/sb244\u2010Opioid\u2010Inpatient\u2010Stays\u2010ED\u2010Visits\u2010Older\u2010Adults.pdf. 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Accessed December 1 2019.https:\/\/www.samhsa.gov\/medication-assisted-treatment\/treatment."},{"key":"e_1_2_7_12_1","first-page":"CD002207","article-title":"Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence","volume":"2","author":"Mattick RP","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.7326\/M17-3107"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2018.17101112"},{"key":"e_1_2_7_15_1","volume-title":"Basic & Clinical Pharmacology","author":"Schumacher MA","year":"2018"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-144-2-200601170-00010"},{"key":"e_1_2_7_17_1","volume-title":"Electronic Code of Federal Regulations","author":"Government Publishing Office"},{"issue":"5","key":"e_1_2_7_18_1","first-page":"CD011117","article-title":"Opioid agonist treatment for pharmaceutical opioid dependent people","author":"Nielsen S","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2019.02.031"},{"key":"e_1_2_7_20_1","unstructured":"SAMHSA. 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