SUD APCM Implementation Checklist | Addiction Medicine

Implement AI-driven workflows to capture and store specific 42 CFR Part 2 consents for APCM data sharing and care coordination.

Ensure SUD records are partitioned from general medical records in the EHR to prevent unauthorized disclosure during billing processes.

Configure all outgoing communications to include the mandatory prohibition on re-disclosure notice required by federal law.

Maintain detailed logs of every instance an SUD patient record is accessed for non-face-to-face chronic care management.

Establish a digital Release of Information process specifically for MAT coordination with external pharmacies and labs.

Use automated check-ins to monitor buprenorphine or naltrexone adherence and identify early signs of non-compliance or diversion.

Screen for housing instability or transportation issues that impact SUD treatment retention during routine APCM outreach calls.

Integrate standardized relapse prevention questions into monthly telephonic outreach scripts to catch triggers early.

Automate calls to pharmacies to verify MAT prescription pickups and flag 'no-shows' for immediate provider intervention.

Deploy PHQ-9 and GAD-7 assessments via AI call handling to monitor co-occurring depression and anxiety symptoms.

Log every minute of non-face-to-face care coordination to meet the 20-minute APCM threshold for G0568-G0570 codes.

Configure billing software to automatically bundle BHI add-on codes with standard MAT E/M visits where clinical criteria are met.

Use AI to verify Medicare Part B eligibility for APCM enrollment and identify patients with chronic SUD diagnoses.

Cross-reference APCM logs with toxicology screening attendance and MAT clinic visits to ensure billing accuracy.

Map state-specific Medicaid and Medicare Advantage rules for chronic care management to avoid high claim denial rates.