Medicare Claims Processing Manual (Pub. 100-04), Ch. 39 § 30.8
Locality Adjustments
30.8 - Locality Adjustments
(Rev. 13147; Issued: 03-28-25; Effective: 01-01-25; Implementation: 03-25-25)
The payment amounts for the non-drug component of the bundled payment for an episode of care, and the
adjustments for counseling or therapy, intake activities, periodic assessments, take-home supplies of
naloxone, take-home supplies of nalmefene, intensive outpatient program services, coordinated care and/or
referral services, patient navigational services, and peer recovery support services (HCPCS codes G2067-
G2069, G2073-G2077, G2080, G2215, G2216, G1028, G0137, and G0532- G0536) will be geographically
adjusted using the Geographic Adjustment Factor (GAF). Additionally, for purposes of the GAF, OUD
treatment services that are furnished via an OTP mobile unit will be treated as if they were furnished at the
physical location of the OTP registered with the Drug Enforcement Administration (DEA) and certified by
SAMHSA.