Common use of BILLING FORM Clause in Contracts

BILLING FORM. The OTP shall use the Centers for Medicare and Medicaid Services (CMS) 1450 UB-04 billing form and the CMS 1500 Claim Form for outpatient services (or subsequent editions). OTPs shall identify opioid treatment care on the billing form in the remarks block by stating “OTP care.”

Appears in 21 contracts

Samples: Participation Agreement for Opioid Treatment Program (Otp) Services, Participation Agreement for Opioid Treatment Program (Otp) Services, Participation Agreement for Opioid Treatment Program (Otp) Services

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