Medicare Part B covers OTP services at freestanding OTP facilities and hospital outpatient departments. As an OTP, you can enroll as a Part A or a Part B provider for this Part B benefit.
OTPs fully-certified by the SAMHSA and accredited by a SAMHSA-approved accrediting body can enroll in the Medicare Program to bill for covered services.
You enroll in the Medicare Program using either:
You’ll submit claims electronically using the 837 Institutional (837I) or the paper claim Form CMS-1450.
You enroll in the Medicare Program using either:
You’ll submit claims electronically using the 837 Professional (837P) or the paper claim Form CMS-1500.
Visit the Medicare Provider Enrollment educational tool to guide you through the process.
