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However, as noted earlier in this discussion, we are aiming to strike a balance between coding specificity and administrative simplicity to appropriately stratify APCM services based on how chronic medical conditions interact with increased risk associated with social determinants of health (SDOH) factors

government increased enforcement of laws against diversion and improper prescribing by establishing the Federal Bureau of Narcotics (66)

CMS expects that if the OTP provides reasonable and necessary medications for an OUD as part of an episode of care, the OTP will take measures to ensure that there is no claim for payment for these drugs other than as part of the OTP bundled payments