These datasets contain state Medicaid and national Medicare fees for a weekly Opioid Treatment Program methadone bundle and its component services, a bundle with additional services, and selected other services related to the treatment of opioid use disorder, with indexes for interstate comparison of Medicaid reimbursement and intrastate comparison of Medicaid versus Medicare reimbursement.
Data and Resources
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Authors’ analysis of Medicaid physician fees posted to state websites as of March 2021.
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Fee data exclude Medicaid managed care organization fees because they were largely unavailable for research purposes. Data exclude fees related to Tennessee because this state has no fee-for-service Medicaid fees.
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Medicare fees sourced from the Centers for Medicare and Medicaid Services’ 2021 Physician Fee Schedule, Clinical Laboratory Fee Schedule, and Opioid Treatment Program Locality-Specific Payment Rates.
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Lisa Clemans-Cope, Victoria Lynch, Maya Payton, and Joshua Aarons. 2021. Medicaid and Medicare Fees and Indexes for a Weekly Opioid Treatment Program Methadone Bundle and Selected Other Services Related to the Treatment of Opioid Use Disorder. Accessible from https://datacatalog.urban.org/dataset/medicaid-and-medicare-fees-and-ind.... Data originally sourced from authors’ analysis of Medicaid physician fees posted to state websites as of March 2021, developed at the Urban Institute, and made available under the ODC-BY 1.0 Attribution License.