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Thus, we are persuaded by commenters that multiple SDOH risk assessments may be needed to address unmet HRSNs that impact OUD treatment outcomes when a patient is being treated at an OTP, so these types of assessments should not be limited to only intake activities that are payable under the Medicare OTP benefit for new patients

There are multiple contributing factors influencing this trend, including aggressive prescribing of opioids in the past decade, the emergence of synthetic opioids such as fentanyl, and the increasing adulteration of street drugs with other substances such as xylazine (70)(71)

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Prior bisphosphonate history may be part of the PA documentation review