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Showing results for "requirements".

1. Payment and Reimbursement | The Academy
   integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/payment-and-reimbursement
   January 01, 2025 - Stay informed about current requirements and how they may impact your practice. … Do any of the payers your patients are enrolled with have requirements or rules for continuation in … Requirements for primary care providers prescribing medications for OUD can vary by state and insurer … Establish internal processes and protocols to check prior authorization requirements before providing … Thematic Analysis of State Medicaid Buprenorphine Prior Authorization Requirements.

2. General Operations | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/general-operations
   August 01, 2024 - The practice should be aware of requirements and examine policies, processes, and procedures to ensure … It is nearly always possible to balance these apparently conflicting requirements if appropriate patient … However, in the face of the opioid epidemic, some States are relaxing requirements for the prescription … Comply With Other Regulatory Requirements Practices and organizations offering MAT services must … DEA Requirements for DATA Waived Physicians. Washington, DC: U.S. Department of Justice; n.d.

3. General Operations | The Academy
   integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/general-operations
   January 01, 2024 - It is usually possible to balance these apparently conflicting requirements if appropriate patient consent … Comply With Other Regulatory Requirements Practices and organizations providing medications for … Understand Insurance Requirements : They may have a large effect on treatment options and the treatment … For example, determine whether the patient's insurance plan imposes any of the following requirements … State Medicaid agencies may have specific requirements for testing frequency.

4. Payment and Reimbursement | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/payment-and-reimbursement
   January 01, 2018 - Consider the following questions: Do any of the payers your patients are enrolled with have requirements … 2 Do your State’s Medicaid program or commercial payers have additional requirements for MAT services … Practices assess the financial landscape by identifying the relevant policies, processes, and requirements … Public and private health plans may have different requirements about who is eligible to provide billable … Don’t forget to develop organized workflows for billing and to respond to utilization management requirements

5. Avoiding Common Pitfalls | The Academy
   integrationacademy.ahrq.gov/products/playbooks/moud-playbook/avoiding-common-pitfalls
   August 01, 2025 - Engaging Patients in Treatment for OUD Don't delay treatment due to requirements to complete paperwork … Don't forget to develop an understanding of DEA requirements and establish procedures to ensure you comply … APMs that reflect clinical requirements can sometimes be negotiated to better support the provision of … the medical record that will support clinical decisions made and help address utilization management requirements … Don't forget to develop organized workflows for billing and to respond to utilization management requirements

6. Pharmacotherapy | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy
   January 01, 2018 - induction, stabilization, maintenance, medication management, diversion, and compliance with regulatory requirements … management that are consistent with evidence-based practices and compliant with all legal and regulatory requirements … Adhere to any other program participation requirements or policies. Induction. … Providers should review their State’s Medicaid guidelines for specific requirements regarding frequency … State laws or payer requirements may mandate certain frequencies of urine drug screens of which providers

7. What Not To Do | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/what-not-do
   June 01, 2022 - Engaging Patients in Opioid Use Disorder Treatment Don’t delay treatment due to requirements to complete … Don’t forget to develop an understanding of DEA requirements and establish procedures to ensure you comply … APMs that reflect clinical requirements can sometimes be negotiated to better support MAT. … the medical record that will support clinical decisions made and help address utilization management requirements … Don’t forget to develop organized workflows for billing and to respond to utilization management requirements

8. Pharmacotherapy Training | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy-training
   January 01, 2020 - To meet the training or certification requirements, physicians can either (1) hold a board certification … States may have additional requirements or regulations related to who may prescribe medications to treat … Providers should review any State-specific regulations and work to comply with these requirements.

9. Fiscal Support for Behavioral Health Services | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/secure-financial-support-behavioral-health-services
   September 01, 2025 - Each code has specific documentation and service delivery requirements for accurate reimbursement. … These grants often have specific eligibility criteria and application requirements that must be carefully … cost reporting, quality measurement, and potentially for supplemental payments or specific program requirements … state Medicaid agencies to understand the specific payment methodologies, covered services, billing requirements … Ensure patient records accurately reflect the services provided and meet the detailed requirements for

10. Collect and Use Data for Quality Improvement | The Academy
    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/collect-and-use-data-quality-improvement
    September 01, 2025 - received by patients, participates in a registry, and/or meets Physician Quality Reporting System (PQRS) requirements … It is important to gain knowledge of HIPAA requirements and ensure that data are stored and used according … to the requirements.

11. Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices-- R18 Grants (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-07/Grant_Summary_CO.pdf
    January 01, 2020 - web-based MAT registry and tracking system, and practice coaching to support the clinical and regulatory requirements

12. Challenging Patient Behaviors and Concerns | The Academy
    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/challenging-patient-behaviors-and-concerns
    January 01, 2021 - support patients with the need to ensure the safety of staff and other patients, and to comply with legal requirements … Be aware of any local and state legal and reporting requirements related to diversion. … Note that some payers have specific drug screening requirements.

13. NIMHD Health Disparities Research Institute, Applications Open | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/nimhd-health-disparities-research-institute-applications-open
    February 28, 2024 - For more information on how to prepare an HDRI application, as well as eligibility requirements and selection

14. Referrals and Care Coordination | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/referrals-and-care-coordination
    December 01, 2023 - , as discussed later in  Patient-Centered Care , should detail specific needs and care coordination requirements … These should address any requirements for provider followup after referral and information sharing .

15. IBH Lexicon Development & Method 2013-2023 | The Academy
    integrationacademy.ahrq.gov/products/ibh-lexicon/method-development
    March 01, 2024 - Creating a Consensus Functional Definition Requirements for a method to reach a definition … Methods for reaching the Lexicon definition Methods for defining complex subject matters that meet the requirements

16. NAM Action Collaborative on Combatting Substance Use and Opioid Crises | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/nam-action-collaborative-combatting-substance-use-and-opioid-crises
    June 10, 2024 - Additionally, through implementation of the Core Competency Framework in a manner that ties it to existing requirements

17. Oklahoma | The Academy
    integrationacademy.ahrq.gov/about/initiatives/opioid/grantees/oklahoma
    April 01, 2023 - However, parties who want to implement MAT need to understand State or local policies or requirements … (e.g., exclusionary formularies, supervisory requirements for nurse practitioners or physician assistants

18. Behavioral Health Parity - New Rules for Enforcement | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/behavioral-health-parity-new-rules-enforcement
    October 11, 2024 - set of templates and instructional guides to help state agencies document compliance with MHPAEA requirements

19. Engaging Patient Opioid Use Disorder Treatment | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/engaging-patients-oud-treatment
    June 01, 2022 - Consider workload requirements for providers in the few weeks immediately after the first visit. … What Not To Do Don’t delay treatment due to requirements to complete paperwork that can wait

20. Medication-Assisted Treatment for Opioid Use Disorder Self-Assessment Checklist (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2021-02/self-assessment_508_compliant.pdf
    January 01, 2021 - We have learned about relevant policies, processes, and requirements related to the delivery and reimbursement … We have developed processes or protocols to check prior authorization requirements before providing