Centers for Medicare & Medicaid Services (CMS) Resources

Offers technical assistance for clinicians in small, underserved, and rural practices to participate actively in the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP), which establishes value-based payment systems and models for clinicians serving Medicare patients. Help participants understand QPP requirements, learn about flexible options for small practices, and implement measures to improve quality and efficiency.

Offers states information and advice regarding strategies to combat the opioid crisis using technology, as well as potential funding opportunities for these efforts. Discusses implementing prescription drug monitoring programs (PDMPs) to track and facilitate the safe prescription of opioid medications and increasing data-driven approaches, interoperability, and telehealth services to improve care coordination among healthcare professionals.

Describes treatment and prevention strategies aimed at increasing healthcare quality, availability, and outcomes for Medicaid recipients with opioid use disorder (OUD) and other substance use disorder (SUD). Discusses long-term objectives focused on enhancing states' ability to track and implement evidence-based services to help beneficiaries with OUD and SUD.

Offers a dataset with information on Medicare-enrolled Opioid Treatment Program (OTP) providers that is updated monthly. Contains the name, National Provider Identifier (NPI), address, phone number, and the effective enrollment date for each provider. Includes resources for understanding and using the data.

Describes the Centers for Medicare & Medicaid Services (CMS) activities to address the opioid epidemic related to prevention, treatment, and data. Highlights program successes, innovative approaches, and future goals of CMS efforts to address the opioid crisis.

Provides a dataset with comparisons of the number and percentage of Medicaid opioid prescriptions from each state. Includes an interactive mapping tool and resources for understanding and using the data.

Describes a 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 benefit: opioid agonist and antagonist medication-assisted treatment (MAT) medications approved by the U.S. Food and Drug Administration (FDA), naloxone and overdose education, substance use counseling, individual and group therapy, toxicology testing, intake activities, and periodic assessments.

Provides a dataset with comparisons of the number and percentage of Medicare Part D opioid prescriptions at the state, county, and ZIP code level. Includes an interactive mapping tool and resources for understanding and using the data.