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Table 1: Candidate Structure Measures* Measure Description Denominator Numerator 1. Assesses the proportion of SUD providers Total number of SUD Total number of providers in the in a SUD specialty care setting who are trained providers in a SUD denominator with a certificate, license to provide specified mental health care, and specialty care setting or other acceptable documentation to who have a certificate, license or some other prove their competency to provide documentation to demonstrate proficiency. specified mental health care 2. Assesses the proportion of programs in a Total number of Total number of programs in the defined service area (e.g., county, city or state) programs in a defined denominator that report having that report having integrated services (e.g., service area integrated or co-located SUD and SUD and MHD services in the same treatment MHD services program) or co-located services (e.g., SUD and MHD services in the same location) 3. Assesses the proportion of SUD providers Total number of SUD Total number of SUD providers in the in a defined service area (e.g., county, city or providers in a defined denominator that report the ability to state) reporting the ability to bill for MHD service area bill for MHD services provided to services provided to patients. patients 4. Assesses the proportion of SUD specialty Total number of SUD Total number of SUD specialty care care settings in a defined service area (e.g., specialty care settings in settings in the denominator with county, city or state) that have formal a defined service area formal documented referral policies documented referral policies for MHD for MHD services services. *Measures 1, 3 and 4 can be modified to be used in mental health settings by exchanging SUD for MHD (vice versa). be applied to both SUD and MHD settings. Data Source Facility data Program records SUD provider survey Facility survey Measure 2 can