Office of National Drug Control Policy

ONDCP Excel Twentieth Row

Action Item Number: 
Action Item Name: 
Increase Adoption and Reimbursement of SBIRT Codes
Action Item Description: 

In 2007, the Centers for Medicare & Medicaid Services approved reimbursement codes and encouraged state-level funding for physicians and other health care workers to be reimbursed for performing SBIRT.

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However, only 17 states initiated the Medicaid codes to enable billing and even in these states, providers did not perform the expected number of SBIRT interventions. This underutilization is likely due to lack of knowledge about SBIRT and limits on its reimbursement. SAMHSA will collaborate with the National Association of State Medicaid Directors, the National Governors Association, and the National Association of State Alcohol/Drug Abuse Directors to raise awareness of these codes at the state level, and to provide technical assistance to train health care providers on how to bill under these codes.

Lead Agency: