For Providers

Reimbursement Rates/Service Definitions 

 

Established reimbursement rates and service definitions are used to determine the amount of voucher reimbursement for services. The amount and type of service must be pre-authorized by the ITC Voucher Coordinator and an electronic voucher issued prior to services being initiated. The voucher amount is based on assessment; the level of care is determined using ASAM criteria. Clients are assigned to Phases I, II, or III, depending on their assessment. The Voucher has a life of 100 days and can be modified or reissued depending on need and review of the treatment plan.


Access to resources and material support is closely tied to the individual’s clinical treatment and/or recovery management plan.  Contingency management is encouraged:  the more active, engaged and involved the individual is in their recovery, and how diligent they are in working with their providers and care coordinator is directly tied to the level of recovery support material they can access.  Limits apply to the amount and type of voucher available.


The Reimbursement Rate Schedule and Service Definitions can be downloaded from this website by clicking on the appropriate link.


Federal regulations require that ATR funds must be used to supplement and not supplant (replace) existing resources. ATR is the payor of last resort, meaning that all other resources (insurance, Medicaid, Medicare, state block grant dollars, etc,) must be used first.  ATR can expand and enhance other payment sources.