Opioid Treatment Programs (OTPs) Medicare Billing and Payment Fact Sheet
Guidance announcing that beginning January 1, 2020, Medicare will pay Medicare-enrolled Opioid Treatment Programs (OTPs) to deliver opioid use disorder (OUD) treatment services to Medicare beneficiaries. It also includes information about covered opioid use disorder (OUD) treatment services, who can provide OTP services, enrolling in Medicare Electronic Data Interchange (EDI), checking Medicare beneficiary eligibility, coding and submitting claims for OTP services, payment and remittance advice, issues with payment, how to check claims status, and helpful resources.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 01, 2020
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.