The Opioid Epidemic
Opioid addiction affects millions of Americans and their families across all races and income levels. As our members’ trusted health partner, we want to help them get support and recovery services in a compassionate environment.
Centers of Excellence (COEs) and Other Resources
COEs address opioid addiction
COEs are clinics that provide support and resources for people seeking services and treatment.
When our members visit a COE, they should bring their Health Partners Plans 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.
|Note: 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 July 1 that details a process for how providers interested in receiving a Center of Excellence designation can apply.
In addition, a PROMISe application is now to obtain or maintain this designation. This means all COEs must apply, even those currently designated as COEs.
Effective Jan. 1, 2021, MCOs will only pay the G9012 procedure code for COE care management services to providers that are enrolled in the PROMISE system with the Opioid COE specialty designation.
The bulletin is available on the DHS and COE webpage.
Note: The bulletin references Sept. 1, 2020. This is not the due date to register, but the date by which an enrollment decision will be made by Jan. 1, 2021.
If a medication is expired or no longer needed, it’s important to protect the safety of others by disposing of it properly. Visit the Pennsylvania Department of Drug and Alcohol Programs website. Members can enter the 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 also contact your Network Account Manager (NAM) or 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.