Original Investigation

Opioid Treatment Programs’ Medicaid Patient Retention Rates

JAMA Network Open 10.1001/jamanetworkopen.2025.53538

January 23, 2026 at 11:00 AM EST

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What are the Medicaid patient retention rates in opioid treatment programs (OTPs) in the US?In this cohort study involving 261 025 Medicaid beneficiaries, the median OTP had a 30-day, 90-day, and 180-day retention rates of 61.2%, 41,5%, and 27.5%, respectively. The 30-day retention rates varied widely across OTPs.The low and highly variable retention rates found in this study highlight an opportunity for OTPs to improve patent engagement and outcomes.

Corresponding Author: Tami L. Mark, PhD, RTI International, 3040 E Cornwallis Rd, Durham, NC 27709 (tmark@rti.org).

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