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  1. SUD Medication management provided by Physicians, Nurse Practitioners, and Physician Assistants may be reimbursed using E&M codes. For most providers and most participants, twelve times a year will be sufficient.

  2. Provider Type 50s that employ DATA 2000 WAIVED PRACITIONERS may be reimbursed for Medication Assisted Treatment for SUD using E&M codes. 2

  3. A fee schedule is a complete listing of service codes and fees used to pay services within the PBHS system. Optum Maryland has provided a listing of Mental Health, Substance Use Disorder and other specific levels of care by fee schedules for Providers to use.

  4. Services for participants who require a minimum of 9 hrs of service per week for an adult and 6 hrs per week for adolescents. Providers may bill once per day and sessions shall be a minimum of 2 hours per day. Services for participants who require 20 weekly hours of structured outpatient treatment.

  5. Learn how Optum Behavioral Health helps individuals struggling with substance use disorders achieve stabilization, build resiliency and sustain recovery.

  6. Title: PBHS FY2022 Fee Schedule Effective 01012022 rev. 2.25.2022 - SUD Rates.pdf Author: rkrag Created Date: 2/25/2022 1:13:59 PM

  7. 1 Ιουλ 2018 · COMMUNITY-BASED SUBSTANCE USE DISORDER FEE SCHEDULE (eff July 1, 2018) Provider Type 32: Opioid Treatment Program Methadone Services Note: The Program will pay a provider's normal and customary rate charged to non-Medicaid recipients, or the Medicaid established reimbursable rate, whichever is lower. 1

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