South Carolina Department of Health and Human Services
09/11/2025 | Press release | Distributed by Public on 09/11/2025 14:23
Update to Opioid Treatment Program Service Rates
The South Carolina Department of Health and Human Services (SCDHHS) is increasing the reimbursement rate for opioid treatment programs (OTP). Effective for dates of service on or after Oct. 1, 2025, SCDHHS will update the reimbursement rate for State Plan-covered OTP services.
OTPs provide medication-assisted treatment (MAT) for people diagnosed with an opioid use disorder. These services must be provided in a Drug Enforcement Administration-approved, and Substance Abuse and Mental Health Services Administration-accredited clinic-based setting.
SCDHHS will update the Opioid Treatment Programs Fee Schedule by Oct. 1, 2025, to reflect the following rate increases:
| Procedure Code | Description | Current Rate | Rate Effective Oct. 1, 2025 |
|---|---|---|---|
| G2067 | MAT-Methadone, weekly bundle | $102.04 | $193.60 |
| G2068 | MAT-Buprenorphine, weekly bundle, oral | $133.76 | $213.03 |
South Carolina's Medicaid managed care organizations (MCOs) are responsible for the authorizations, coverage and reimbursement related to the services described in this bulletin for members enrolled in an MCO.
Providers should direct questions related to this bulletin to the Provider Service Center (PSC). PSC representatives can be reached at (888) 289-0709 from 7:30 a.m.-5 p.m. Monday-Thursday and 8:30 a.m.-5 p.m. Friday. Providers can also submit an online inquiry at https://www.scdhhs.gov/providers/contact-provider-representative.
South Carolina Department of Health and Human Services published this content on September 11, 2025, and is solely responsible for the information contained herein. Distributed via Public Technologies (PUBT), unedited and unaltered, on September 11, 2025 at 20:23 UTC. If you believe the information included in the content is inaccurate or outdated and requires editing or removal, please contact us at [email protected]