Medicare

CoverageBuprenorphine treatment costs are typically not covered by Medicare unless the treatment is provided in an inpatient or outpatient treatment center. It may also be covered in some instances, such as during detoxification or early stage stabilization. However, the Medicare benefit does not usually cover typical office-based buprenorphine induction or maintenance treatment visits.

Related Resources: 
Description: 
This website offers comprehensive guidelines for treating patients who have substance use disorders.
Source: 
American Psychiatric Association (APA), 2006
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Physician stage in practice: 
Description: 
Displays the appropriate CPT and HCPCS billing codes for the different phases of buprenorphine treatment.
Source: 
The National Alliance of Advocates for Buprenorphine Treatment (NAABT)
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Description: 
This is a database that allows users to search Medicare Prescription Coverage and Medicare Advantage Prescription Drug Plans by State.
Source: 
Department of Health and Human Services
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Description: 
This database allows physicians to search for local Medicare policies and relevant articles.
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US Department of Health and Human Services
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Description: 
This is the web format of a special addiction program by HBO. The material covers issues such as who pays for addiction treatment, and drug treatment for adolescents.
Source: 
Home Box Office, Inc., 2007
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Description: 
This is a database that allows users to search Medicare Prescription Coverage and Medicare Advantage Prescription Drug Plans by State.
Source: 
Department of Health and Human Services
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Description: 
This database allows physicians to search for local Medicare policies and relevant articles.
Source: 
US Department of Health and Human Services
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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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Physician stage in practice: 
Description: 
Displays the appropriate CPT and HCPCS billing codes for the different phases of buprenorphine treatment.
Source: 
The National Alliance of Advocates for Buprenorphine Treatment (NAABT)
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Description: 
This study examines decision-making in the buprenorphine treatment distribution and payment systems. The study is based on interviews with health care leaders involved in the distribution and adoption of buprenorphine.
Source: 
The Center for Substance Abuse Treatment (CSAT)
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Resource Type: 
Description: 
List of contact information and websites for all of the state health departments.
Source: 
Centers for Disease Control and Prevention
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