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Bundled Rate Payment Model Pilot for Medication Assisted Recovery

Grants to North Carolina Nonprofits and For-Profits
to Assist Individuals with Substance Abuse Disorder

Agency Type:


Funding Source:

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North Carolina Department of Health and Human Services (DHHS) - Division of Mental Health - Developmental Disabilities and Substance Abuse Services (DMHDDSAS)

Deadline Date:

02/17/20 5:00 PM


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Grants to North Carolina nonprofit and for-profit organizations for programs designed to assist individuals who are living with a substance abuse disorder. Funding is intended to increase the availability of services and treatments specifically geared for adults with a dependence on opioids. The purpose of the program is to provide medication-assisted treatment (MAT), combining the use of behavioral therapy with FDA-approved medications, such as methadone and buprenorphine. It is anticipated that one awardee will be located in an urban area and one will be located in a rural area.

The pilot will provide a bundled rate payment model combined with a performance-based payment for a limited number of uninsured individuals who have been diagnosed with an opioid use disorder and are seeking medication assisted recovery. The primary purpose of this bundled rate payment model is to promote high-quality, medication assisted treatment for uninsured individuals with an opioid use disorder that results in positive clinical outcomes and reduced administrative burden for participating providers.  

Services must be available to any eligible individual residing within the LME-MCOs’ service areas. Eligible individuals are:

  • Adults aged 18 or older who are:
  • Uninsured,
  • Meet diagnostic criteria for an opioid use disorder,
  • Meet ASAM level of care criteria for outpatient opioid treatment,
  • Desire and agree to participate in medication assisted treatment, including compliance with prescribed methadone or buprenorphine formulations (FDA-approved medications for the treatment of opioid use disorder),
  • Agree to provide information requested in the GPRA and NCTOPPS,
  • Not currently receiving MAT services

The proposed bundled rate payment model for OTPs includes a weekly rate for methadone and a weekly rate for buprenorphine formulations. There is no distinction in the rates for phase of treatment; i.e., the reimbursement rate is the same during the induction phase as during maintenance. It is expected that a standard rate across all phases of care will support the patient when needs are intensive, as well as when progress has been achieved and daily appointments are not necessary. 

For additional information about the services included in the bundle and the weekly bundled rates, see:

GrantWatch ID#:

GrantWatch ID#: 187914

Estimated Total Program Funding:


Number of Grants:

Up to two OTPs.

Estimated Size of Grant:

The maximum award for this RFA is $375,000 per site.

Term of Contract:

The anticipated performance period is March 1, 2020 - September 30, 2020.

Additional Eligibility Criteria:

Applicants must be an opioid treatment program (OTP) offering medication assisted treatment in good standing with DMHDDSAS. Eligibility is open to private, for-profit providers, as well as non-profits. Applicants must have a current state-funded contract with one or more LME-MCOs.

All applications must show evidence of collaboration, partnership and joint participation by the LMEMCO in which the OTP is located. The LME-MCO must agree to establishing additional or alternative billing processes to accommodate this bundled payment initiative.

Administrative and indirect costs are not allowable.

Pre-Application Information:

Applications are due February 17, 2020, by 5:00 PM.

Email questions to Eamonn McAteer, by January 27, 2020.

- RFA Posted: 1.06.20
- Questions Due: 1.27.20
- Applications Due: 5:00 pm 2.17.20
- Anticipated Notice of Award: 2.24.20
- Anticipated Performance Period: 3.01.20 - 9.30.20

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Submit complete application, including signature of authorized representative, to Eamonn McAteer, at:

NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2000
Customer Service Center: 1-800-662-7030
Administrative Office: 919-855-4800

URL for Full Text (RFP):

Geographic Focus:

USA: North Carolina

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