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Medicaid Claims for Opioid Treatment Program Services

Medicaid is a significant source of coverage and funding for behavioral health treatment services, including treatment of substance abuse. Some Medicaid State agencies provide payment for Opioid Treatment Program (OTP) services. Services can be provided at freestanding and hospital-based OTPs. We will determine whether selected State agencies complied with certain Federal and State requirements when claiming Medicaid reimbursement for OTP services.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Completed (partial) Centers for Medicare & Medicaid Services Medicaid Claims for Opioid Treatment Program Services Office of Audit Services A-02-17-01021;
A-06-20-08000;
A-07-20-04118;
W-00-17-31523;
W-00-20-31523;
A-09-20-02009;
A-01-20-00006;
A-09-21-02001		 2025