News
Opioid Treatment Programs
Date: 10/28/24
Prior Authorization Update (Effective 12/15/2024)
Ambetter from Absolute Total Care is committed to delivering cost effective care to our members. This effort requires us to ensure that our members receive only treatment that is medically necessary according to current standards of practice. As a condition of payment, Ambetter from Absolute Total Care requires prior authorization for many services.
Effective December 15, 2024, prior authorization will be required for these Opioid Treatment Programs (OTPs) codes:
- G0137
- G1028
- G2067
- G2068
- G2069
- G2070
- G2073
- G2074
- G2076
- G2077
- G2215
- G2216
Please verify member eligibility and benefits prior to rendering services. Payment, regardless of authorization, is contingent on the member’s eligibility at the time service is rendered.
If you have questions about this information, call Provider Services at 1-833-270-5443 or contact your dedicated Provider Relations Specialist.
Thank you for continuing to provide our members with high quality and compassionate care.