Resource Center: Logistics of buprenorphine treatment, Setting up a practice

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Improving Access to Buprenorphine
Description: 
This is an article written by CIGNA Behavioral Health's (CBH) Senior Medical Director. It describes how CIGNA addressed reimbursement, a major barrier to physician prescription of buprenorphine, by identifying an HCPCS code (H0033) that physicians can use to bill for the services provided during buprenorphine induction visits.
Source: 
Nemecek, Doug. Behavioral Healthcare: November 2007.
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Sample Treatment Agreement/Contract (TIP 40 Appendix H)
Description: 
Patient contract that can be used to set expectations and guidelines before beginning buprenorphine treatment.
Source: 
Substance Abuse and Mental Health Services Administration (SAMHSA)
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TIP 45. Detoxification and Substance Abuse Treatment. Chapter 6: Financing and Organizational Issues
Description: 
This chapter of the TIP 45 discusses funding, resources, organization and patient contracts in substance abuse treatment.
Source: 
Substance Abuse and Mental Health Services Administration (SAMHSA)
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TIP 40 Chapter 4: Treatment Protocols
Description: 
Discusses protocols for office-based buprenorphine treatment, including the administering of the drug itself, devising a treatment plan, and choosing an appropriate frequency for visits.
Source: 
Substance Abuse and Mental Health Services Administration (SAMHSA)
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Opportunities To Use Medicaid in Support of Rural Health Services
Description: 
This PDF offers information on how rural health programs can receive funding from Medicaid for certain services and treatments in order to increase patient access to health care.
Source: 
U.S. Department of Health and Human Services
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Setting Rules and Expectations

Description: 
Discusses the importance of setting guidelines for patients in an office-based buprenorphine program and gives examples of the types of procedures and protocol that should be set and agreed upon prior to beginning treatment.
Setting Rules and Expectations

Perhaps the most obvious thing that the physician and patient need to address is the functioning of the office-based buprenorphine program.
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Commonly Used CPT Codes – Primary Care (PDF)
Description: 
PDF of Commonly Used CPT Codes in Primary Care
Source: 
Clinical Tools, Inc.
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PCSS Clinical Guidances: An Educational Resource for Those Treating Patients with Opioid Dependence
Description: 
This website, funded by SAMHSA, is designed to help physicians to implement office-based buprenorphine treatment using a national network of trained physician mentors.
Source: 
Physician Clinical Support System (PCSS)
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Patient Handout: Buprenorphine/Naloxone Combination Tablets-What Do They Mean for You?

Description: 
This patient handout explains Suboxone®, its makeup, and how it works to treat withdrawal.

Buprenorphine/Naloxone Combination Tablets -- What do They Mean for You?

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Commonly Used CPT and HCPCS Codes for Screening Potential Buprenorphine Patients

Description: 
The billing codes that can be used for screening and initial contact with your buprenorphine patients.

Current Procedural Terminology (CPT) Codes used for Buprenorphine Screening

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