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Center for Financing Reform & Innovation (CFRI)


Learn about behavioral health financing mechanisms, options, and innovations through CFRI reports and webinars.

What is CFRI?

What is CFRI?

The Center for Financing Reform and Innovation (CFRI) is a SAMHSA contract that seeks to understand financing mechanisms of behavioral health care to identify opportunities, innovations, and challenges to service delivery and access. CFRI provides SAMHSA with a dynamic mechanism to further its leadership and the field on immediate and relevant behavioral health financing and delivery issues.

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To be notified of the release of SAMHSA publications and webinar registration, sign up for SAMHSA Email updates.


In addition, CFRI provides information and analysis to address changes in the organization and financing of behavioral health care as well as guidance on the most effective and efficient use of available resources to meet the prevention, treatment, and recovery support needs of the American public.

What’s New

Medicaid Coverage of Medications to Reverse Opioid Overdose and Treat Alcohol and Opioid Use Disorders
This report provides an update on the present state of coverage, availability of, and access to, medications for treating ongoing alcohol use disorder (AUD) and opioid use disorder (OUD) and reversing an opioid overdose within state Medicaid plans. It also includes examples of innovative efforts to increase access to medications for the treatment of SUDs.

Exploring Value-Based Payment for Substance Use Disorder Services in the United States 
This report and webinar explore the use of Value-Based Payment (VBP) models and their potential to improve delivery of integrated and coordinated substance use disorder (SUD) treatment services.

Coordinated Specialty Care for First Episode Psychosis: Costs and Financing Strategies
This report includes data on the cost of CSC programs; how they are financed; case studies of cost reimbursement methodologies; funding options; trends in costs and financing for CSCs; and data evaluation of Medicaid and private insurance coverage and barriers.

Upcoming Reports & Webinars

Time: 3:30 - 4:30 p.m. ET


This report and webinar are resources for states and program managers interested in learning about the use of braided funding to support substance use disorder (SUD) services.

Time: 1 - 2 p.m. ET

Check back for registration link.

This report and webinar explore and summarize the financing, utilization, and regulatory structures of peer recovery support services (PRSS) for substance use disorder (SUD) within select federal grant programs and state Medicaid programs. Based on these findings and a panel discussion with subject matter experts, the report identifies opportunities to strengthen PRSS and improve financing for these services.

Additional Financing, Payment, and Innovative Resources

Additional Financing, Payment, and Innovative Resources

Last Updated

Last Updated: 01/24/2024

Last Updated