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Opioid Agonist Therapy (OAT) Clinic Fees

​​​​​​​​​​​​​​Effective February 1st, 2019 private clinics are eligible to receive reimbursement for the clinic fees associated with providing Opioid Agonist Therapy (OAT) to people in BC with First Nations status. The process is outlined below.

If you are a service provider:

1. Complete the OAT Clinic Subsidy Application form​ with your client. Ensure to obtain your client's signature for the services you will administer.

2. Scan and email the completed application form and your invoice for services to oatclinicfees@fnha.ca or fax to 604-666-3867.

3. FNHA will confirm the applicant's First Nations status and provide monthly subsidization for OAT services on an individual client basis.


​If you are a First Nations individual living in BC:

1. Book an appointment with an OAT clinic. A list of clinics can be found her​e

2. Your service provider will complete a subsidy application form with you.

3. Your service provider will submit the required documentation to FNHA and you will be considered for OAT subsidization once your First Nations status is confirmed.

 

Frequently Asked Questions (FAQ)


What is Opioid Agonist Therapy (OAT)?

Opioid Agonist Therapy (OAT) is an effective treatment for dependency on different types of opioids such as heroin, oxycodone, and fentanyl. The therapy involves taking the medications Methadone or Suboxone. These medications prevent the effects of withdrawal and reduce cravings for opioids.

How can I access OAT?

OAT services are prescribed by a doctor and can be accessed through residential or outpatient treatment programs.

Who pays for OAT services?

When you access OAT services through a public service provider, the cost of the treatment is covered by the Medical Services Plan (MSP). OAT services that are provided through private clinics may charge a monthly fee for their programs and these fees are not covered by MSP. FNHA will cover the monthly fees charged by private clinics beginning February 1, 2019.

What is the maximum amount a clinic can bill FNHA for OAT services?

Clinics can invoice FNHA up to a maximum of $70/month per client for OAT clinic fees.

How long will FNHA reimburse private clinics for OAT clinic fees? Is there an end date for this initiative?

Reimbursement of OAT clinic fees will be provided until March 31st, 2020.

How long is the turnaround time before a service provider's (i.e. clinic) invoice is paid?

Invoices will be processed from Monday to Friday during business hours. FNHA will review the invoice claim and respond to the requesting service provider within 1-2 business days. It may take up to two weeks for payment to be made for approved invoices.

What happens if a clinic does not want to deal with invoicing FNHA and asks clients to pay direct?

If this happens, please let FNHA know immediately by contacting oatclinicfees@fnha.ca or by phone 604-693-6641. You can also visit a different OAT service provider. A list of providers can be found here.

Where can I find out about other people's experiences with OAT?

Read about other people's experiences here:

• Suboxone Stories Part 1: Two clients share their early journeys with Opioid Agonist Therapy

• Suboxone Stories Part 2: Two clients open up about the emotional challenges of Opioid Agonist Therapy

• ​Health Leaders discuss providing Opioid Agonist Therapy

Resources

​​Information about OAT: https://www.camh.ca/-/media/files/oat-info-for-clients.pdf

​A list of OAT clinics accepting new patients: http://www.bcc​su.ca/wp-content/uploads/2018/12/OAT-Clinics-Accepting-New-Patients.pdf​​

Subsidy Application for Opioid Ago​​nist​ Therapy ​​​​Clinic Fees​: http://www.fnha.c​a/Docum​ents/FNHA​-Subsidy-Application-For-Opioid-Agonist-Therapy-Clinic-Fees.pdf​​​​​​​

Frequently Asked Questions: http://www.fnha.ca/Documents/FNHA-Opioid-Agonist-Therapy-FAQs.pdf

 Contact

If you have any questions about this initiative, please call or email Rishi Chatterjee, Project Manager at 

rishi.chatterjee@fnha.ca

604-693-6641

 

 

 

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