SUD Chronic Care Enrollment & APCM Checklist
Streamline SUD chronic care enrollment. Optimize APCM revenue, MAT monitoring, and 42 CFR Part 2 compliance for addiction medicine and MAT providers.
Enrolling patients in Chronic Care Management for Substance Use Disorders (SUD) requires a specialized approach that balances clinical oversight with strict 42 CFR Part 2 confidentiality. This checklist ensures your MAT or SUD program captures new APCM revenue while improving long-term recovery outcomes through structured monitoring.
Work through each item below to audit your practice. Check off completed items to track where you stand.
Regulatory Compliance & 42 CFR Part 2
Ensuring strict adherence to federal confidentiality regulations for SUD records during the enrollment process.
Clinical Assessment & MAT Stabilization
Establishing the clinical baseline for Opioid or Alcohol Use Disorder management.
APCM & BHI Revenue Integration
Setting up the billing infrastructure for 2026 BHI add-on codes and APCM revenue.
Automated Monitoring & Engagement
Utilizing AI and phone automation to maintain high retention rates in SUD programs.
Frequently Asked Questions
These codes allow SUD providers to bill for the additional clinical intensity required to manage substance use disorders alongside traditional chronic care, significantly increasing monthly per-patient revenue.
Yes, as long as the AI platform is HIPAA-compliant and the patient has signed a specific 42 CFR Part 2 consent form that includes the use of third-party technology for care coordination.
Most APCM and CCM codes require at least 20 minutes of non-face-to-face care coordination per calendar month, which can include phone calls, care planning, and pharmacy coordination.
Typically, you must choose the most appropriate code set to avoid duplicate billing, though certain BHI add-ons can be billed alongside CCM if specific requirements are met.
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