Payment & Reimbursement

Medicaid and Medicare coding, billing, and reimbursement manual for Wisconsin clinic and administrative staff to support implementation of SBIRT services

Slides for part 3 of a 3-part webinar series which focused on the successful implementation of MAT within an organization; focuses on considerations related to financing and reimbursement of MAT

Fact sheet that provides overview of codes used for reimbursement for SBIRT services

Guidance on billing codes and documentation necessary for implementing SBIRT in medical settings

The Decision Support Tool empowers providers to estimate Medicare and Medicaid revenue across prominent integrated care services to finance these services more effectively in community mental health care, substance use treatment and primary care provider organizations. It includes a list of specific billing codes, service types, professional discipline coverage, documentation and time requirements.

Examines how States and payers can use value-based payment to promote the integration of substance use disorder treatment in primary care

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

Discusses the alternative payment model designed to improve outcomes and reduce spending for opioid addiction by overcoming the barriers in the current payment system for successful outpatient care.

Provides background on payable chronic care management service codes, identifies eligible practitioners and patients, and details the Medicare Physician Fee Schedule billing requirements.

Provides information on services covered by the Medicare Physician Fee Schedule.