Medicare Coverage of Services in Opioid Treatment Programs
Centers for Medicare & Medicaid Services (CMS)
Describes a new benefit that covers opioid use disorder (OUD) treatment services under Medicare Part B medical insurance. Enables the Centers for Medicare & Medicaid Services (CMS) to make bundled payments to certified opioid treatment programs (OTPs) for OUD treatment services for an episode of care provided to Medicare Part B beneficiaries. Covers the following services under the new benefit: opioid agonist and antagonist medication-assisted treatment (MAT) medications approved by the U.S. Food and Drug Administration (FDA), substance use counseling, individual and group therapy, toxicology testing, intake activities, and periodic assessments.
Elderly People • Medication-Assisted Treatment (MAT) • Opioids • People with Disabilities • Policy • Reimbursement and Payment Models • Treatment