VNS Health EasyCare: Opioid Treatment Program Services (OTP)

Treatment for opioid use disorder (OUD). Tolerance and dependence are physical, addiction is psychological, and both need support to overcome.

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Cost
$0
Prior Authorization Required
No
Provider Referral or Order Required
Yes

How To Receive

Details on how to apply

  1. Obtain a network provider referral for opioid treatment.

  2. Schedule an intake assessment appointment with a network facility agreed upon.

    • For behavior- and mental health-related information, call the health plan provider partner, Carelon Behavioral Health at (888) 204-5581.

    • -OR- Search network: Click on the Behavioral and Mental Health tab on the page, then click on an appropriate inpatient or outpatient service (as ordered by the provider).

  3. Develop a care plan and schedule visits for counseling, therapy, medications, and/or activities.

  4. Attend all visits and complete the program, as designed.

Availability
Ongoing, till goals are met
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Opioid use disorder (OUD) comprises:

OUD can occur in older adults, especially those who use opioids for chronic pain control.

OUD treatment includes the following services:

OUD programs are conducted at both inpatient and outpatient hospital-based and sometimes university-based treatment sites and rehabilitation centers, and may be delivered in conjunction with drug therapy at independent MAT clinics (once commonly referred to as “methadone clinics” or “drug depots”).  In more rural settings, outpatient counseling may be delivered in more community-based settings such as activity centers, churches, and legion-type facilities (VFW, Elk’s Club, etc.).

Not all OUD programs are medication-assisted.  There are also programs (commonly called “detox”)  that rely on abstinence-based treatment wherein there is no medication transition, though these are typically inpatient programs lasting from 21-28 days or residential programs lasting more than 30 days.  However, there are inpatient and residential programs that are also MAT.  Be sure to ask about the facility’s approach (abstinence or MAT) before intake and admission.

Outpatient programs, which are generally MAT, may vary in intensity and duration, but typically last anywhere between 3 months and a year.

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