The feedback for the OBOT Supplement is as follows:

• This entire section appears to continuously reference the “OBOT” rather than the “OBAT” which is an overall change in the ARTS manual.
• On page 16 it reads “…Preferred OBOTs and OTPs are required to develop an Individual Service Plan (ISP) within 24 hours from intake…” Does the comprehensive ISP that is built in the coexistent counseling program, with the input of the OBOT staff, sufficiently meet this requirement?
• We are seeking clarification regarding the stated on page 17, “The CSACs and CSAC-Supervisees may not practice autonomously…” Please operationally define “practice autonomously” as the guidance regarding supervision from the Board of Counseling is not sufficient.
• Page 24 references avoiding arbitrary tapering. We feel this is an important addition to the manual and we fully support it.
• On page 25 it reads, “Provide home inductions for buprenorphine products when clinically indicated.” How would billing differ between a home induction versus a face-to-face induction?
• On page 26 it reads “Providers delivering services using telemedicine shall use the modifiers GT (interactive audio and video telecommunications system) or GQ (asynchronous telecommunications system). We ask that the following language be added at the end “to the extent that their systems are equipped to accept the modifiers,” as some MCO systems are not able to accept modifiers. Or will the MCO claim acceptance systems be ready for the GT modifiers?