Original Investigation

Opioid Use Disorder and Evidence-Based Care Among Medicaid-Enrolled Youths

JAMA Network Open 10.1001/jamanetworkopen.2026.37263

October 02, 2026 at 11:00 AM EDT

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In this cohort study of Medicaid-enrolled youths with OUD, most did not receive timely, evidence-based treatment, and only 1 in 32 received sustained pharmacotherapy. Gaps and persistent disparities exist across the COC, particularly for youths of color, underscoring the need for policies and care models that expand equitable treatment access.

Corresponding Author: Scott E. Hadland, MD, MPH, MS, Division of Adolescent and Young Adult Medicine, Mass General Brigham for Children, 175 Cambridge St, 5th Floor, Boston, MA 02114 (shadland@mgh.harvard.edu).

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