SPECIAL BULLETIN COVID-19 #258: Extension of Flexibility for Opioid Treatment Program Take-Home Dosing
Program sunset extended from June 30, 2022 to July 15, 2022

Program sunset extended from June 30, 2022 to July 15, 2022

July 19, 2022. This bulletin was updated in SPECIAL BULLETIN COVID-19 #262, extending the flexibility sunset to Aug. 15, 2022.

The temporary COVID-19 Opioid Treatment Program (OTP) take-home flexibility was scheduled to sunset on June 30, 2022. NC Medicaid has extended the flexibility and will allow for the following provision and billing for take-home doses provided by OTP providers until July 15, 2022:

  • Stable patients in an OTP may receive 28 days of take-home doses of the patient’s medication for opioid use disorder.
  • Up to 14 days of take-home medication for those patients who are less stable but who the OTP believes can safely handle this level of take-home medication.

It remains within the OTP provider’s discretion to determine the number of take-home doses within each category of “stable” or “less stable.”  The provider is still responsible for determining the number of take-home doses that an individual can safely manage. Decision-making and discussions must be documented in the individual’s medical record consistent with 42 C.F.R. § 8.12(i)(3).

Further guidance will be forthcoming regarding the possibility of extending this exemption.


NC Medicaid Contact Center: 888-245-0179

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