Resources

• CMS Opioid Treatment Program webpage
• CMS Roadmap to Address the Opioid Epidemic
• SAMHSA (Substance Abuse and Mental Health Services Administration)
• MLN® Fact Sheet: A Prescribers Guide to Medicare Prescription Drug (Part D) Opioid Policies
• MLN Matters® SE18004: Review of Opioid Use during the Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV)
• CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 39, Opioid Treatment Programs (OTPs)
• CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 25, Completing and Processing the Form CMS-1450 Data Set
• CMS IOM Publication100-04, Medicare Claims Processing Manual, Chapter 26, Completing and Processing the Form CMS-1500 Data Set
• CMS Opioid Prescribing Mapping Tool Improved with Medicaid and Rural Data
• New England Journal of Medicine: No Shortcuts to Safer Opioid Prescribing
• Medicare Prescription Drug Coverage and Your Rights
• CMS Medicare Prescription Drug Appeals & Grievances
• Safer Use of Opioid Pain Medication for Medicare Patients
• Improving Drug Utilization Review Controls in Part D
• 2019 Part C and D Regulation (CMS-4182-F)
• CDC TRAIN offers interactive opioid training modules to support providers in safe prescribing of opioids for chronic pain. The modules offer free continuing education.
• YouTube Video: Opioid Treatment Programs (OTP) Common Billing Errors - Part B

Reviewed 10/16/2023