Medicare Claims Processing Manual (Pub. 100-04), Ch. 39 § 50
Institutional Opioid Treatment Program (OTP) Services – A/B MAC (A)
50 – Institutional Opioid Treatment Program (OTP) Services – A/B MAC (A)
(Rev. 10521; Issued: 12-16-20; Effective: 01-01-21; Implementation: 01-04-21)
Medicare Part B coverage is available for outpatient Opioid Treatment Program services provided by hospitals,
CAHs, and Free-Standing Opioid Treatment Program facilities.