Centers for Medicare & Medicaid Services Opioid Treatment Programs 2021

Opioid Treatment Programs: New for 2021

The calendar year 2021 Physician Fee Schedule final rule includes information for Medicare-enrolled Opioid Treatment Programs (OTPs):

• New covered services include FDA-approved opioid antagonist medications, specifically naloxone, for emergency treatment of opioid overdose, as well as overdose education provided in conjunction with opioid antagonist medication
• New codes for nasal and injectable naloxone
• Medicare Part B coverage of hospital outpatient or free-standing institutional OTP services; these providers will submit claims using the institutional claim form (837i electronically or CMS-1450 paper claim)

We updated the OTP webpages and the Enrollment (PDF) and Billing & Payment (PDF) fact sheets with this and other new information.