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Gender Disparities: Women comprise 56% of Medicaid enrollees with opioid use disorder Male enrollees 37% more likely to receive detoxification services Male enrollees 28% more likely to receive agonist medications (methadone, buprenorphine) Overall treatment rate: only 5% of enrollees with OUD receive any treatment Racial Disparities: White enrollees significantly more likely to receive detox and counseling services Non-White enrollees more frequently receive agonist medication treatments Only 4 in 10 Black Medicaid enrollees with OUD received medication treatment nationally Nearly 7 in 10 White enrollees with OUD received medication treatment nationally Addressing Disparities: Indiana implemented initiatives to reduce treatment gaps through policy reforms and expanded access programs