Substance Use Tools & Resources    

In the Calender Year 2020 Physician Fee Schedule final rule, the Centers for Medicare and Medicaid Services included new coding and payment for a monthly bundle of services for the treatment of opioid use disorder that includes overall management, care coordination, individual and group psychotherapy, substance use counseling, and add-on code for additional counseling. This is a way for clinicians to bill for a group of services in the office setting similar to the services covered under the Opioid Treatment Program benefit for clinics.

Starting January 1, 2020, under the Calendar Year (CY) 2020 Physician Fee Schedule final rule the Centers for Medicare & Medicaid Services will pay Opioid Treatment Programs through bundled payments for opioid use disorder treatment services in an episode of care provided to people with Medicare Part B (Medical Insurance).

This primer examines the policy levers available to improve access and quality of substance use disorder treatment and recovery services.

This report, produced in collaboration with the Partnership to End Addiction, analyzes standards of prior authorization requirements in both public and private insurance plans.

Provides guidance to clinicians and practices on using telehealth for substance use services during COVID-19, including benefits of using telehealth, Federal and State policy changes, private payers, and general considerations

This brief provides summary findings from a 2019, pre-pandemic review of the evidence of telebehavioral health's effectiveness on key clinical outcomes. It also describes the programmatic structure and relevant telebehavioral health policies of three programs: Texas Medicaid, Massachusetts Medicaid, and the Portland Veterans Affairs Medical Center Rural Telemental Health Program.

Provides a form that can be used when advocating with insurers about prior authorization process for buprenorphine.

Includes information for healthcare professionals, professional and patient organizations, and community groups, including tips for getting started, fact sheets on the requirements for providing chronic care management in practices, and educational materials to share with patients.

Describes service delivery models and corresponding rate design tools for the provision of MAT to individuals with opioid dependence.

Provides an overview of how organizations can use NIATx practices and tools to implement or improve a buprenorphine treatment program.