Effective Sept. 1, Ohio Medicaid Covers SBIRT Services

Ohio Department of MedicaidAs of Sept. 1, physicians, APNs and physician assistants will be able to bill the Ohio Department of Medicaid for screening, brief intervention, and referral to treatment (SBIRT) services. Additionally, primary care clinics (including federally-qualified health centers and rural health clinics) can also provide these services. Providers should refer to the appendix of the most recent Ohio Administrative Code 5101:3-1-60 for information related to billing these services.

What is SBIRT?
SBIRT stands for screening, brief intervention, and referral to treatment.

  • Screening—a health care professional assesses a patient for risky substance use behaviors using standardized screening tools.
  • Brief Intervention—a health care professional engages a patient showing risky substance use behaviors in a short conversation, providing feedback and advice.
  • Referral to Treatment—a health care professional provides a referral to therapy or additional treatment to patients whose screening indicates a need for additional services.

Beyond connecting individuals with substance dependence to treatment options, using SBIRT as an early intervention can reduce risky alcohol and drug use before it leads to more severe consequences or dependence.

For more information about SBIRT, visit the SAMHSA-HRSA Center for Integrated Health Solutions website.

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