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November 2020
Update: CMS opioid treatment programIn the February Record, we ran an article about a Centers for Medicare & Medicaid Services program that encourages providers to offer comprehensive opioid treatment. We want to let you know that the program now applies to services for our commercial members (both Blue Cross Blue Shield of Michigan and Blue Care Network), in addition to our Medicare Advantage members (Medicare Plus Blue℠ and BCN Advantage℠). As of Jan. 1, 2020, Blue Cross and BCN have been allowing bundled rates to reimburse providers who offer certified opioid treatment programs, or OTPs, according to CMS guidelines. Bundled payment codes that include both drug and non-drug components are available, and we only pay for non-drug components through bundled payments. For bundled opioid treatment services in non-OPT programs, the following codes are payable: G2086, G2087 and G2088. See the February Record article for more details about the CMS opioid treatment program. |
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