Who is affected by this change?

This affects SC Medicaid - SCDHHS Psychiatry, Pain Management providers in SC on Medicaid plans.

When does this change take effect?

This change is effective Oct 1, 2025.

Which billing codes are affected?

The following codes are affected: G2067, G2068.

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MedicaidReimbursementMedium impact

Update to Opioid Treatment Program Service Rates

SC Medicaid - SCDHHS·SC · Psychiatry, Pain Management·Provider Communication

Effective date

Oct 1, 2025

We identified it

Jun 18, 2026

Days to comply

—

Summary

South Carolina Medicaid is significantly increasing reimbursement rates for opioid treatment programs effective October 1, 2025. The weekly bundle rates for methadone treatment (G2067) will increase from $102.04 to $193.60, and buprenorphine treatment (G2068) will increase from $133.76 to $213.03.

Action Required

Action needed

By October 1, 2025: Billing team must update fee schedules in billing system to reflect new South Carolina Medicaid rates for opioid treatment programs. Update G2067 from $102.04 to $193.60 and G2068 from $133.76 to $213.03. Monitor SCDHHS website for updated fee schedule publication.

Affected Billing Codes

G2067

G2068

Related policy hubs

SC Medicaid - SCDHHS policies SC policy changes Psychiatry Pain Management Code G2067 Code G2068