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SC Medicaid - SCDHHSMedicaid · Reimbursement · Provider Communication · SC · Psychiatry, Pain ManagementMedium impact

Update to Opioid Treatment Program Service Rates

Act
by Oct 1, 2025
Effective date
Oct 1, 2025
Identified
Jun 18, 2026

Summary

South Carolina Medicaid is significantly increasing reimbursement rates for opioid treatment programs effective October 1, 2025. The weekly bundle rates for methadone treatment (G2067) will increase from $102.04 to $193.60, and buprenorphine treatment (G2068) will increase from $133.76 to $213.03.

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What to do

by Oct 1, 2025 · 3 steps
01Billing team must update fee schedules in billing system to reflect new South Carolina Medicaid rates for opioid treatment programs.
02Update G2067 from $102.04 to $193.60 and G2068 from $133.76 to $213.03.
03Monitor SCDHHS website for updated fee schedule publication.

Codes mentioned

G2067G2068

Original notice

Update to Opioid Treatment Program Service Rates
scdhhs.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

SC Medicaid - SCDHHS policiesSC policy changesPsychiatryPain ManagementCode G2067Code G2068

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