Majority Of Colorado Medicaid Opioid Treatment Services Did Not Meet Federal/State Requirements

About 79% of opioid treatment program (OTP) services for Colorado Medicaid beneficiaries from October 1, 2016, through September 30, 2018, did not meet state or federal requirements. During this period, 20 Colorado OTPs submitted claims to the state’s Medicaid managed care organizations (MCOs) for almost 1.5 million OTP services. The MCOs paid nearly $22.2 million.

These were the findings of the Office of the Inspector General (OIG) for the federal Department of Health and Human Services (HHS). The OIG reviewed a random sample of 100 OTP services provided from October 2016 through September 2018. Within the sample . . .