Three states—Maryland, Rhode Island, and Vermont—adopted the Affordable Care Act optional Medicaid health home model for people with opioid use disorder. The model coordinates opioid use disorder treatment with medical and behavioral health care and social services and supports. This study examines state approaches to opioid health homes and identifies key facilitators and barriers to the program's implementation. By providing whole-person, integrated health care and links to nonclinical supports, the model appears to have the potential to effectively address complex health care and psychosocial needs of people with opioid use disorder. The experiences of Maryland, Rhode Island, and Vermont can guide development and implementation of similar treatment initiatives in other states.

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