Opioid Treatment Programs: Comment by September 6, 2022

CMS issued the Calendar Year (CY) 2023 Physician Fee Schedule (PFS) proposed rule that includes proposals to strengthen Opioid Treatment Program (OTP) policies. See a summary of key provisions.

Proposals include:

  • Revising pricing methodology for drug component of methadone weekly bundle and add-on code for take-home methadone supplies
  • Modifying payment rate for individual therapy in non-drug component of the bundled payments for episodes of care
  • Allowing OTP intake add-on code to initiate treatment with buprenorphine provided via 2-way audio-video communications technology or audio-only technology when audio-video technology isn’t available and all requirements are met
  • Clarifying OTPs can bill for medically reasonable and necessary services provided via mobile units

CMS encourage you to review the rule and submit formal comments by September 6, 2022.

Source: CMS MLN Connects dated July 21, 2022


Last Updated Jul 21 , 2022