VERMONT DEPARTMENT OF CORRECTIONS, VERMONT
As of July 2018, based on Vermont Act 176, MAT is recognized as a medically necessary component of treatment for all Vermont citizens who are diagnosed with OUDs, including inmates. The Vermont Department of Corrections (DOC) has offered MAT to inmates since 2013. In 2018 this program was expanded to include MAT and counseling for all inmates with OUDs who meet the medical necessity threshold for MAT for as long as medically necessary, in accordance with Act 176 and existing Vermont Department of Health rules and regulations governing treatment and evidence-based best practices. The DOC delivers integrated, patient-centered, whole health care that meets the Vermont community standard of care through its medical contractor, VitalCore Health Strategies. DOC offers buprenorphine, methadone, naltrexone, evidence-based counseling, behavioral health services, and recovery supports, as well as a medication-first approach to the treatment of OUD. To meet these standards, DOC collaborates with many community-based and state partners to provide safe and effective health care and ensure high-quality care coordination upon release.