; (ii) pay a higher per applicable beneficiary per month care management fee for an applicable beneficiary who receives more intensive treatment services from a participant and for whom those services are appropriate based on clinical guidelines for opioid use disorder care; (iii) pay a higher per applicable beneficiary per month care management fee for the month in which the applicable beneficiary begins treatment with a participant than in subsequent months, to reflect the greater time and costs required for the planning and initiation of treatment, as compared to maintenance of treatment; and (iv) take into account whether a participant’s opioid use disorder care team refers applicable beneficiaries to other suppliers or providers for any opioid use disorder treatment services. (C) No duplicate payment The Secretary shall make payments under this paragraph to only one participant for services furnished to an applicable beneficiary during a calendar month. (2) Incentive payments (A) In general Under the Program, the Secretary shall establish a performance-based incentive payment, which shall be paid (using a methodology established and at a time determined appropriate by the Secretary) to participants based on the performance of participants with respect to criteria, as determined appropriate by the Secretary, in accordance with subparagraph (B). (B) Criteria (i) In general Criteria described in subparagraph (A) may include consideration of the following: (I) Patient engagement and retention in treatment. (II) Evidence-based medication-assisted treatment. (III) Other criteria established by the Secretary. (ii) Required consultation and consideration In determining criteria described in subparagraph (A), the Secretary shall— (I) consult with stakeholders, including clinicians in the primary care community and in the field of addiction medicine