Virginia Regulatory Town Hall
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Department of Medical Assistance Services
 
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Board of Medical Assistance Services
 
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9/19/17  9:22 am
Commenter: Gloria Yocum, Sellati & Co., Inc

OTS supplemental
 
  1. On pg 2 Substance Use Care Coordianation (G9012).  The first line indicates it is only for OBOT, is it available for OTS as well.  Should be clarified in this section.
  2. The medical necessity criteria allows for only moderate to severe diagnosis, however especially with the use of buprenorphine, we are finding individuals that meet the criteria for mild.  There should be some reimbursement for mild Substance Use Disorder.
CommentID: 62811