HomeLatest NewsCovid-19Opioid Treatment Programs: New Information for 2022

Opioid Treatment Programs: New Information for 2022

​The Calendar Year (CY) 2022 Physician Fee Schedule final rule includes information for Medicare-enrolled Opioid Treatment Programs (OTPs):
  • After the end of the COVID-19 public health emergency (PHE), CMS will allow audio-only interactions (like telephone calls) when audio-video communication isn’t available to the patient or the patient can’t or won’t agree to 2-way audio-video communication
  • CMS established HCPCS code G1028 for a higher dose of naloxone hydrochloride nasal spray in response to the increase in overdoses from illicitly-manufactured fentanyl, which can require a more potent overdose reversal drug

After the PHE ends, CMS expects OTPs to add the following modifiers on claims for HCPCS code G2080:

  • Modifier 95: for counseling and therapy provided using audio-video telecommunications
  • Modifier FQ: for counseling and therapy provided using audio-only telecommunications

Additionally, CMS issued an interim final rule with comment period to keep the methadone payment amount at the CY 2021 rate for the duration of CY 2022. We encourage OTPs to review the rule and submit formal comments by January 3, 2022.

CMS updated the OTP webpages and the Billing & Payment booklet with this and other new information.

Stay Connected

Unified Voice Newsletter

Events This Month

May

30may11:00 am12:00 pmEmployee Accountability: How to Address Problem Behaviors and AttitudesSDAHO Webinar

30may11:00 am12:00 pmExploring an Evidence-based Toolkit and Tailoring Messages to Specific Audiences

30may11:30 am12:30 pmSerious Illness DiscussionMJHS Hospice and Palliative Care Webinar

30may12:00 pm1:00 pmOverview of Proposed IPPS Rule (FY) 2025AHA Webinar

31may9:00 am3:00 pmEmpowerED Leadership ConferenceSDAHEC Conference


By submitting this form, you are consenting to receive marketing emails from: . You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact