Medicare Claims Processing Manual (Pub. 100-04), Ch. 39 § 30.8

Locality Adjustments

Last amended: 2025Year: 2025Length: 130 wordsOfficial source
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.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 39 § 30.8: Locality Adjustments | Justis AI