Recognizing the huge problems caused by opioid addiction in the United States, Medicare is adding a new outpatient opioid treatment benefit, paying for methadone and related treatment in certain facilities.
Under a new rule taking effect in January 2020, Medicare covers payment to opioid treatment programs (OTPs), also known as methadone clinics, as part of Medicare Part B. OTPs are the only locations where people addicted to opioids can receive methadone as part of their treatment.
Under the new OTP benefit, Medicare covers:
- U.S. Food and Drug Administration (FDA)-approved opioid treatment medications (such as methadone)
- Dispensing and administration of the treatment medications (if applicable)
- Substance use counseling
- Individual and group therapy
- Toxicology testing
- Intake activities
- Periodic assessments
For beneficiaries who are eligible for both Medicare and Medicaid, Medicaid paid for methadone treatment. Now, once the OTP is enrolled in Medicare, Medicare covers as the primary payer for these beneficiaries. Medicaid should continue to cover the service during the transition. Medicare Advantage plans should also allow coverage of OTPs that are not in their network while they assist beneficiaries in transitioning to an in-network OTP.
For a fact sheet from Justice in Aging, click here.
Contact R. F. Meyer & Associates for answers to your Medicare questions. We can help with any Elder Law, Estate Planning or Probate law issue, Call us at 614-407-7900, drop an email to [email protected], or just fill out the contact form at ElderLaw.US/Contact.