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Physicals for MMTP clients: Can MMTPs bill separately for the annual physicals provided to methadone patients? Are these services included in the weekly Medicaid rate or can MMTPs bill separately for this service?

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Physicals for MMTP clients: Can MMTPs bill separately for the annual physicals provided to methadone patients? Are these services included in the weekly Medicaid rate or can MMTPs bill separately for this service?

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• Physicals for Medicaid Managed Care (MAMC) or Family Health Plus (FHPlus) Enrollees being admitted into a Chemical Dependence Residential Facility: A plan enrollee is being admitted to our Chemical Dependence Residential Facility. However, our facility does not have the appropriate staff to conduct the physical exam required by Title 14 NYCRR Part 819.4. Is the enrollee’s health plan obligated to pay for the physical exam? • Medicaid Reimbursement for Out of State Placements: I am an OASAS certified outpatient chemical dependence provider. One of my clients needs a specialized inpatient program and there is a good one in Pennsylvania that has a bed available. Will Medicaid pay?

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