For nearly a decade, behavioral health providers in Minnesota pushed to increase access and reduce wait times for substance use disorder treatment for low-income residents. To do so, state officials reworked a system in place for more than 30 years — one that required low-income people seeking treatment to sometimes wait more than a month to receive state-funded care. Policymakers’ solution, called Direct Access, was implemented last summer, promising to provide quick evaluations and care for people who ask for treatment. But because of preexisting gaps in the state’s behavioral health care system — like those that limit options for care in other states — that promise of
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