Inpatient and Residential
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820 Residential Services Rate Codes
Rate codes for Residential Addiction Services (Part 820 providers). Codes and fees are effective July 2016.
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Article 28 Inpatient Rehabilitation Programs
Rate Codes and Fees for inpatient rehabilitation services for Article 28 providers.
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Article 32 Inpatient Rehabilitation Programs
Per diem rates for Article 32 freestanding rehabilitation programs.
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FQHC Inpatient Rehabilitation
Inpatient Rehabilitation rate codes for Federally Qualified Health Centers (FQHC).
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Withdrawal and Stabilization
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Article 28 Medically Managed Detox Rate Codes
Article 28 provider-specific rates and rate codes for medically managed detoxification services.
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Article 28 Inpatient Withdrawals Rates
Article 28 provider specific rates for medically supervised inpatient withdrawal services.
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Article 28 Outpatient Withdrawal Rates
Article 28 provider-specific rates for medically supervised outpatient withdrawal services.
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Article 32 Inpatient Withdrawal Rates
Article 32 provider-specific rates for medically supervised inpatient withdrawal services and freestanding detox rates for state-operated Addiction Treatment Centers (ATCs).
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Article 32 Outpatient Withdrawal Rates
November 10, 2020 notification of reimbursement methodology change from provider specific rate to APG rate.
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FQHC Supervised Inpatient Withdrawal
Medically supervised inpatient withdrawal rate codes for Federally Qualified Health Centers (FQHC).
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Residential Services for Youth
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Rehabilitation Services for Youth (RRSY) Rates and Codes
Rates and billing codes for billing RSSY programs for youth and young adults.
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Addiction Treatment Centers
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Inpatient Rehabilitation ATC Rates
Rate codes for inpatient rehabilitation services in state-operated Addiction Treatment Centers (ATCs).
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Article 32 Inpatient Withdrawal Rates
Article 32 provider-specific rates for medically supervised inpatient withdrawal services and freestanding detox rates for state-operated Addiction Treatment Centers (ATCs).
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Medication Billing
Guidance on billing Sublocade intramuscular injection and oral buprenorphine in ambulatory settings), as well as billing for Vivitrol for outpatient programs.
Please note that changes to Chapters 69 and 71 of the Insurance Laws of 2016 prohibit prior Insurance authorization for medications for treatment of substance use disorder.
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Buprenorphine Billing
Information on billing for buprenorphine in outpatient clinic or rehabilitation settings and in opioid treatment programs (OTPs).
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Billing for Medication Management
An OASAS and Office of Mental Health memo on billing medication management for co-occurring disorders.
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