COEs are health centers/clinics that provide support and resources for people seeking Opioid Use Disorder (OUD) services and treatment.
Services include:
When our members visit a COE, they should bring their Health Partners Plans Medicaid member ID card. They can schedule an appointment or walk in but are encouraged to check the hours and days of operation before visiting a center. They will receive treatment at no cost to them. The COE will send claims directly to us for payment.
Although your patient can visit a COE without talking to you, your involvement helps increase the success of his or her recovery from opioid addiction.
DHS issued a “Specialty Designation” MA bulletin on that details a process for how providers interested in receiving a Center of Excellence designation can apply.
MCOs will only pay the G9012 procedure code for COE care management services to providers who are enrolled in the PROMISE system with the Opioid COE specialty designation.
The bulletin is available on the DHS website.
If a medication is expired or no longer needed, it’s important to protect the safety of others by disposing of it properly.
Members can visit the PA Department of Drug and Alchohol Programs' Prescription Drug Take-Back page and enter their ZIP code or county to find a local prescription drop-off location.
For assistance, members can call us at 1-888-477-9800. They can also call the Federal Substance Abuse and Mental Health Service Hotline at 1-800-662-4357 or visit the Commonwealth of Pennsylvania’s Treating Opioid and Heroin Addiction web page for more information.
If you have any questions, you can contact the Provider Services Helpline at 1-888-991-9023, Monday–Friday, 9 a.m. to 5:30 p.m.
Additional tools and resources like the Prescription Drug Monitoring Program (PDMP) are available to help you manage your patients. Visit the Department of Health web page to learn more.