Payment & Reimbursement
Related to financial sustainability, financing policy, and reimbursement for MAT services.
NIATx Buprenorphine Implementation Toolkit
Provides an overview of how organizations can use NIATx practices and tools to implement or improve a buprenorphine treatment program.
Medication-Assisted Treatment Clinical Pathway and Rate Design Tool
Connected Care Toolkit: Chronic Care Management Resources for Health Care Professionals and Communities
How To Understand Insurance and Billing Issues
Prior Authorization Toolkit
Getting Started With Medication-Assisted Treatment
Provides lessons learned from organizations with established MAT programs, including making the business case for MAT, securing buy-in from staff, overcoming community resistance, paying for MAT, finding prescribers, obtaining licenses and credentials, screening and assessing patients, combining medication and therapy, and sustaining a MAT program.
Documentation & Charge Capture Process: MAT
Provides information on how to best address intake, billing, and coding procedures in community health centers, which are critical aspects in positive patient outcomes
Medicaid Coverage and Financing of Medications To Treat Alcohol and Opioid Use Disorders
Presents information about Medicaid coverage of MAT for opioid and alcohol dependence; covers treatment and cost-effectiveness and includes examples of innovative approaches in Vermont, Massachusetts, and Maryland
Break Through the Prior Authorization Roadblock
Provides an overview of prior authorization and tips to reduce the burden of prior authorizations in physician practices. It also discusses the future of prior authorizations, including remaining challenges and practice workflow adjustments, as well as advocacy regarding prior authorization at the State level.
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