On September 9, 2016, the Maryland Department of Health and Mental Hygiene (DHMH) proposed rebundling Medicaid reimbursement for methadone maintenance and outpatient drug counseling. The goal is to allow opioid treatment programs (OTPs) to bill for outpatient counseling separately as clinically necessary. The proposal sets the OTP methadone maintenance reimbursement rate at $63 per week and at $56 per week for buprenorphine maintenance. The bundled rate for buprenorphine is $ 7.00 lower because the cost of the drug is reimbursed separately.

Currently Maryland Medicaid reimburses OTPs for methadone maintenance through a bundled rate of $81.60 per week per person . . .

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Maryland To Re-Bundle Medicaid Reimbursement For Methadone Maintenance & Drug Counseling In March 2017

On September 9, 2016, the Maryland Department of Health and Mental Hygiene (DHMH) proposed rebundling Medicaid reimbursement for methadone maintenance and outpatient drug counseling. The goal is to allow opioid treatment programs (OTPs) to bill for outpatient counseling separately as clinically necessary. The proposal sets the OTP methadone maintenance reimbursement rate at $63 per week and at $56 per week for buprenorphine maintenance. The bundled rate for buprenorphine is $ 7.00 lower because the cost of the drug is reimbursed separately.

Currently Maryland Medicaid reimburses OTPs for methadone maintenance through a bundled rate of $81.60 per week per person . . .

Want To Read More? Log In Or Become A Paid Member
Resource Available For Paid OPEN MINDS Circle Members Only
Not a paid member? Don't miss out! Sign up today and receive unlimited organizational access to all OPEN MINDS strategic advice, market intelligence, and management best practices – over 250,000 resources!
If you are already a paid member, log in to your account to access this resource and more. If you are a free member, you will need to upgrade to a paid membership before accessing this resource.

If you are not yet a paid member, learn more about the OPEN MINDS Circle Market Intelligence Service Membership on our website, reach out to our team at info@openminds.com, or call us at 877-350-6463.