Bill > S4860

This bill establishes coverage for certain residential substance use disorder services under the Medicare program. Specifically, it adds coverage for clinically managed low-intensity residential services, clinically managed high-intensity residential services, and medically managed residential services for individuals who meet specific criteria. The bill also defines the requirements for these residential substance use disorder programs and facilities, and requires the Secretary to develop a prospective payment system for these services, to be implemented starting in fiscal year 2025.