Opioid treatment program (OTP)
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Spotlight
- 2024 payment rates for opioid treatment program
- Behavioral health services
Medicare covers behavioral, mental and psychiatric health services that may improve outcomes for Medicare patients. For more information, please view this article and share these valuable resources and references with your patients. - Intensive outpatient program
IOP is a distinct and organized outpatient program of psychiatric services provided for individuals who have an acute mental illness or qualified conditions, including substance use disorders. IOP services may be furnished in Opioid Treatment Programs (OTPs) for the treatment of opioid use disorder (OUD).
Education
- Prevent errors on your OTP claims
- Enrolling as an Opioid Treatment Program provider in Medicare
- How to bill Medicare as an Opioid Treatment Program provider
Resources
- Visit the OTP webpage on CMS’ website for additional information.
- OTP enrollment webpage
- OTPs Medicare enrollment fact sheet
- OTP billing and payment webpage
- OTPs Medicare billing and payment fact sheet
- CMS IOM Pub. 100-02, Medicare Benefit Policy Manual, chapter 17
- CMS IOM Pub. 100-04, Medicare Claims Processing Manual, chapter 39
- Medicare and Mental Health Coverage
- Substance Use Screenings and Treatment
- A Prescriber’s Guide to Medicare Prescription Drug (Part D) Opioid Policies
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