Medicare AdvantageCoverageMedium impact
Opioid treatment program services for all Medicare members
Blue Cross Blue Shield of Rhode Island·RI · Psychiatry, Pain Management, Internal Medicine +1 more·Behavioral Health
Effective date
Jan 1, 2020
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island now covers opioid treatment program (OTP) services for all Medicare members, including FDA-approved medications, counseling, therapy, and toxicology testing. Providers must be CMS-certified as an OTP and complete contracting paperwork to bill for these services.
Action Required
Immediately: If your practice provides opioid treatment services and wants to serve BCBSRI Medicare members, ensure CMS OTP certification is obtained. Complete practitioner change form indicating you are adding OTP services for Medicare to your contract. Contact Provider Relations at 1-844-707-5627 or ProviderRelations@bcbsri.org for questions about the contracting process.