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Transmittal 23-51 - SUD Residential MCP Authorizations November 1 2023


Friday, September 29, 2023

This guidance provides direction to SUD residential treatment providers to assess beneficiaries (aged 21-64) for IMD stays, obtain an authorization from the appropriate payer, and bill the appropriate health plan utilizing the “In Lieu of” benefit under the Managed Care plans or Fee for Service (FFS) when the “In Lieu of” benefit is exceeded, effective November 1, 2023.