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All Clinical Guidance and Resources
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30 results found available within Coverage and Reimbursement Clear All
Opioid Treatment Programs, Reimbursement, Coverage and Reimbursement
Billing Guidance for Opioid Treatment Programs Amid COVID-19

Billing guidance and updated rate codes for OTPs to ensure adequate reimbursement of services delivered after 3/16/20 and for the duration of the COVID-19 pandemic. Revised April 26...

  • Download about Billing Guidance for Opioid Treatment Programs Amid COVID-19
Reimbursement, Health Alerts, Coverage and Reimbursement
State of Emergency Medicaid Pharmacy Guidance

NYS Department of Health has issued additional Medicaid pharmacy guidance regarding the declared Disaster Emergency in the State of New York over COVID-19.

  • Download about State of Emergency Medicaid Pharmacy Guidance
Opioid Use Disorder, State and Local, Coverage and Reimbursement
SUD Drug Treatment Coverage

New York State Department of Health guidance on Medicaid Manage Care and Fee-for-Services coverage of buprenorphine and its various formulations.

  • Download about SUD Drug Treatment Coverage
State and Local, Coverage and Reimbursement, Guidance
Services for Family and Significant Others

FAQs on delivering and billing services for family members and significant others in OASAS-certified settings.

  • Download about Services for Family and Significant Others
Coverage and Reimbursement, Guidance
Insurance Coverage and Implementation Guidance

This guide outlines changes to insurance coverage and utilization review processes pursuant to Chapter 57 of the Laws of 2019 (effective 1/1/20) and sets expectations...

  • Download about Insurance Coverage and Implementation Guidance
Coverage and Reimbursement
Billing for Medication Management

An OASAS and Office of Mental Health memo on billing medication management for co-occurring disorders.

  • Download about Billing for Medication Management
Coverage and Reimbursement
Routine Medical Services in Part 820 Programs

Billing guidance for medical and clinical services at Part 820 Residential programs.

  • Download about Routine Medical Services in Part 820 Programs
Coverage and Reimbursement, State and Local
Clinical Standards - Outpatient

Standards of care for certified Part 822 outpatient providers.

  • Download about Clinical Standards - Outpatient
Coverage and Reimbursement
Ordering, Prescribing, Referring, Attending Requirements

Medicaid fee for service (FFS) requirements and instructions for OASAS-certified programs.

  • Download about Ordering, Prescribing, Referring, Attending Requirements
Medication-Assisted Treatment, Coverage and Reimbursement
Pre-admission Services Guidance

Guidance on how to utilize peer services, medication-assisted treatment, brief Intervention and what is allowable in terms of reimbursement.

  • Download about Pre-admission Services Guidance

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