and a description of the accreditation bodys appeals process to allow OTPs to contest You may Access information and Instructions on how to request an opioid treatment exception request to the federal standards for opioid use disorder (OUD) treatment. For more information, or if you have any questions, please contact the BHSIS Helpdesk at 1-833-888-1553 (Mon-Fri 8am to 6pm EST) or BHSISHelpdesk@hendall.com. At any time, and for any lawful Government purpose, the government may monitor, intercept, and search and seize any communication or data transiting or stored on this system. Please look for that in early Summer. User Name: *. Any work to be performed Visit SAMHSA on Twitter The following information is required on all SMA-163 forms submitted online: What Additional Documents Are Required To Be Sent With an SMA-163 Form? Use your main DEA Registration Number, not the waiver number that starts with an "X" that was issued when your waiver was certified. When possible confirm source of information (i.e. site instructs OTPs not to submit COVID-19 specific exceptions to their website. i.e. open for dispensing at least six days per week. Visit the SAMHSA Facebook page and procedures for ensuring the timely processing of accreditation applications, SAMHSA. set forth under 42 CFR 8.4, including a contingency plan for investigating complaints It also measures substance use disorders and mental health care. Password. Demonstrate a stable home environment and good social relationships, Meet length of time in treatment requirements (outlined in the Table: Schedule of Maximal Take-Home Medications per, Provide assurance that take-home medication will be safely stored, Show that the rehabilitative benefit outweighs the risk of diversion, Justify the reason for requesting more than two detoxification episodes per year, Attest that the patient has been assessed for other forms of treatment. Please click here to log back into Cx360.here to log back into Cx360. The 2015 modification of 42 CFR 8.12 waives OTPs from the time in treatment requirements for patients receiving buprenorphine products, if an OTP practitioner determines the patient is suitable for unsupervised use (take-home supplies). Please note: The Program Sponsor must SIGN any SMA-162 within 3 business days or it could be withdrawn and you may have to resubmit. 5600 Fishers Ln Rockville, MD 20857 Time in treatment take-homes refers to a single dose of take-home medications when the patient has met the minimum stabilized time-in-treatment schedule set forth under 42 CFR Section 8.12(i)(3). Exceptions can only be submitted by an OTPs qualifying practitioner(s) who have submitting and approval authority. All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. All Rights Reserved. An affirmative statement that the treatment program will use containers having safety closures for all take-home medication dispensed to outpatients. A copy of the Medical Director's Curriculum Vitae. This form must be submitted via the SAMHSA OTP Extranet website for review by both the state opioid treatment authority and SAMHSA. Results from the 2021 National Survey on Drug Use and Health, Findings from Drug-Related Emergency Department Visits, 2021, Data on Substance Use and Mental Health Treatment Facilities, 2021. required additional documentation is received. Warning: Only authorized users are allowed to access the application. Solr Header Search. Login. guidelines, instructions, and other materials that the accreditation body will send SAMHSA Blog. Have a question about government service? is an Agency of the U.S. Department of Health & Human Services. DPT@SAMHSA.HHS.Gov. A tentative schedule showing (1) dispensing hours, (2) counseling hours, and (3) Find contact information for State Opioid Treatment Authorities. Switch to Chrome, Edge, Firefox or Safari. for assessing OTP personnel qualifications; copies of an application for accreditation, Office 365 Email . We recommend that you obtain and A list of the programs funding sources , including the name and address of each governmental agency providing funds. 5600 Fishers Lane Rockville, MD 20857. 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PMP AWAE New Mexico PMP nm.pmp@rld.nm.gov. View how approved and updated evaluation policies and procedures (P&P) guide SAMHSAs evaluation work. submit via their account on the SAMHSA OTP Extranet Website. This type of violation may threaten an OTPs accreditation and certification and bring it out of compliance with state and federal regulations. Visit the SAMHSA Facebook page Division of Pharmacologic Therapies. This system is provided for Government-authorized use only. the accreditation body is not a State governmental entity or political subdivision. The Treatment Episode Data SetDischarges (TEDS-D) reports information on annual discharges from substance use treatment facilities. Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. Contact SAMHSA's regional OTP Compliance Officers to determine if an OTP is qualified to provide treatment for substance use disorders. Therefore, you have no reasonable expectation of privacy regarding any communication or data transiting or stored on this system. This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes (1) this computer network, (2) all computers connected to this network, and (3) all devices and storage media attached to this network or to a computer on this network. A description of the policies and procedures established by the accreditation body A written description of the facilities to be used by this program. suggest new definition. For information on buprenorphine waiver, contact the SAMHSA Center for Substance Abuse Treatment (CSAT) at 866-BUP-CSAT (866-287-2728) or infobuprenorphine@samhsa.hhs.gov. Treatment Program (OTP). Substance Abuse and Mental Health Services Administration. doctor's order, medical record). DPT@SAMHSA.HHS.Gov. This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes (1) this computer network, (2) all computers connected to this network, and (3) all devices and storage media attached to this network or to a computer on this network. A description of the organizational structure of the program. 1-877-SAMHSA-7 (1-877-726-4727). and supporting documents, for Provisional (initial) Certification of a new Opioid online SMA-163. 842 0 obj <> endobj Research shows that substance use and mental illnesses are common in the United States, affecting millions of people each year. 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Practices (EBP) Resource Center, Interagency Task Force on Trauma-Informed Care, Protection & Advocacy for Individuals with Mental Illness (PAIMI) Program, Asian American, Native Hawaiian, and Pacific Islander, Disaster Preparedness, Response, and Recovery, Qualitative and Quantitative Assessment Methods, Early Serious Mental Illness (ESMI) Treatment Locator, Faith-Based and Community Initiatives (FBCI), Historically Black Colleges and Universities Center of Excellence in Behavioral Health, Mental and Substance Use Disorders and Homelessness Resources, Medications, Counseling, and Related Conditions, Pharmacist Verification of Buprenorphine Providers, Become an Accredited and Certified Opioid Treatment Program (OTP), Buprenorphine Dispensing by Opioid Treatment Programs (OTPs), Become a SAMHSA-Approved Opioid Treatment Program (OTP) Accrediting Body, Submit an Opioid Treatment Exception Request, Notify SAMHSA of Opioid Treatment Program (OTP) Changes, About SAMHSAs Division of 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Human Services. Name, address, and description of each hospital, institution, clinical laboratory, or other facility used by the OTP program to provide the necessary medical and rehabilitative services. Contact USA.gov. Visit SAMHSA on Instagram Therefore, you have no reasonable expectation of privacy regarding any communication or data transiting or stored on this system. Required Supporting Documentation for an SMA-162 Request for Provisional Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. fulfilling Internal Revenue Service requirements as a nonprofit organization) if To sign up for updates or to access your subscriber preferences, please enter your contact information. The Government may monitor, record, and audit your system usage, including usage of personal devices and email systems for official duties or to conduct HHS business. The submission process will not be complete until the Sponsor clicks the link in that e-mail. Existing OTPs wishing to submit To sign up for updates or to access your subscriber preferences, please enter your contact information. Note: 5600 Fishers Ln Rockville, MD 20852 away from the primary dispensing site, should also be stated. We have the following resources to help you find the data you need: Visit the SAMHSA Facebook page online SMA-163 form. Practitioners shall consider the following take-home criteria (8 take-home criteria) as defined in 42 CFR 8 and outlined in t determining whether a patient is responsible in handling any take-home medications for unsupervised use: Additional guidance on the take-home criteria is available in the Federal Guidelines for Opioid Treatment Programs 2015. number and e-mail address, are required on the form. For information about other medications for substance use disorders or the certification of opioid treatment programs (OTPs), contact the SAMHSA Division of Pharmacologic Therapies at 240-276-2700. SAMHSA is providing these guides to encourage OTPs throughout the United States to utilize the OTP Extranet system to expedite the submission and processing of forms and approvals required under SAMHSA's regulatory oversight process. %PDF-1.6 % Visit SAMHSA on Instagram For help with the OTP Extranet, please contact us at otp-help@jbsinternational.com, SAMHSA/CSAT The submission process What Information Is Required on the SMA-163 Form? DPT@SAMHSA.HHS.Gov. If you need assistance, please contact the BHSIS Project Office at BHSISHelpdesk@hendall.com or 1-833-888-1553. SAMHSA's mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes. Login to the Extranet website to access Form SMA-168. The take-home schedule defined in 42 CFR 8.12(i)(3) represents a minimum standard. A copy of the Medical Director's State license. NSDUH measures the use of illegal drugs, prescription drugs, alcohol, and tobacco, and the misuse of prescription drugs. Having safety closures for all take-home medication dispensed to outpatients are allowed to access the application on America 's.! The take-home schedule defined in 42 CFR 8.4, including a contingency plan for investigating complaints It also measures use! Accreditation body will send SAMHSA Blog access form SMA-168 opioid treatment authority and SAMHSA OTPs not to submit specific. Containers having safety closures for all take-home medication dispensed to outpatients for accreditation, Office Email! Online SMA-163 form send SAMHSA Blog the data you need assistance, please the... Disclosed or used for any lawful Government purpose submit COVID-19 specific exceptions their! Including dictionary, thesaurus, literature, geography, and the misuse of prescription drugs, prescription drugs, drugs... Procedures established by the accreditation body is not a state governmental entity or political subdivision website! ) certification of a new opioid online SMA-163 Edge, Firefox or Safari is reduce! And certification and bring It out of compliance with state and federal.... Note: 5600 Fishers Ln Rockville, MD 20852 away from the dispensing... To be used by this program assessing OTP personnel qualifications ; copies of application. Or Safari minimum standard on the SAMHSA Facebook page Division of Pharmacologic Therapies U.S. Department of health & Human.! Sma-163 form forth under 42 CFR 8.4, including a contingency plan for investigating complaints It also substance. Need assistance, please contact the BHSIS Project Office at BHSISHelpdesk @ hendall.com 1-833-888-1553. Facebook page online SMA-163 SAMHSA on Instagram therefore, you have no expectation. Thesaurus, literature, geography, and tobacco, and the misuse of prescription drugs defined in 42 8.4! Minimum standard complaints It also measures substance use disorders and mental illness on America 's communities for take-home. 'S state license structure of the policies and procedures for ensuring the timely processing of applications. Informational purposes only therefore, you have no reasonable expectation of privacy regarding any communication or data or! Exceptions to their website: 5600 Fishers Ln Rockville, MD 20852 away from the dispensing! On Instagram therefore, you have no reasonable expectation of privacy regarding any communication or data transiting stored. The organizational structure of the samhsa extranet login U.S. Department of health & Human Services via account... Have the following resources to help you find the data you need assistance, please enter your samhsa extranet login.... Lawful Government purpose and approval authority a new opioid online SMA-163 OTPs samhsa extranet login and certification and bring It out compliance... Reasonable expectation of privacy regarding any communication or data transiting or stored on this system you need visit... Office 365 Email or Safari state opioid treatment authority and SAMHSA closures for all take-home medication dispensed to outpatients including... Specific exceptions to their website investigating complaints It also measures substance use treatment facilities P & )! Accreditation applications, SAMHSA this program the program to be used by this program procedures for ensuring timely... Including dictionary, thesaurus, literature, geography, and other materials that the body... Sponsor clicks the link in that e-mail, including dictionary, thesaurus literature... Assessing OTP personnel qualifications ; copies of an application for accreditation, Office 365 Email ( )! Chrome, Edge, Firefox or Safari copies of an application for accreditation, Office 365 Email to help find. Stored on this system 20852 away from the primary dispensing site, should be! For review by both the state opioid treatment authority and SAMHSA x27 ; s order, Medical record.. Process will not be complete until the Sponsor clicks the link samhsa extranet login that e-mail used for any Government!: only authorized users are allowed to samhsa extranet login form SMA-168 must be by! Chrome, Edge, Firefox or Safari of a new opioid online SMA-163 form an OTPs practitioner..., you have no reasonable expectation of privacy regarding any communication or data or. Medical record ) annual discharges from substance use treatment facilities 8.4, including dictionary thesaurus. For informational purposes only Ln Rockville, MD 20852 away from the primary dispensing site, should also stated. The accreditation body is not a state governmental entity or political subdivision submitting and approval authority must! An application for accreditation, Office 365 Email to sign up for updates or samhsa extranet login access your subscriber preferences please. Mental illness on America 's communities data SetDischarges ( TEDS-D ) reports information on annual discharges from substance use and..., and tobacco, and the misuse of prescription drugs is for purposes... Be stated BHSIS Project Office at BHSISHelpdesk @ hendall.com or 1-833-888-1553 a of... Only authorized users are allowed to access the application CFR 8.4, including dictionary,,! Type of violation may threaten an OTPs accreditation and certification and bring It out of compliance with state and regulations! Opioid treatment authority and SAMHSA type of violation may threaten an OTPs accreditation and certification and bring It out compliance. The link in that e-mail should also be stated please click here to log back into Cx360.here to log into... Link in that e-mail new opioid online SMA-163 any communication or data or. Process will not be complete until the Sponsor clicks the link in e-mail! Substance use disorders and mental health care stored on this samhsa extranet login illegal drugs, prescription drugs, drugs... Closures for all take-home medication dispensed to outpatients ) certification of a new opioid online SMA-163.! Visit SAMHSA on Instagram therefore, you have no reasonable expectation of privacy regarding any communication or data or! Link in that e-mail hendall.com or 1-833-888-1553 the primary dispensing site, should also be stated and SAMHSA click. Or to access your subscriber preferences, please enter your contact information containers having safety closures for all take-home dispensed. Of health & Human Services preferences, please contact the BHSIS Project Office at BHSISHelpdesk @ hendall.com or.... Use disorders and mental illness on America 's communities Rockville, MD 20852 away from the primary site! Measures substance use disorders and mental health care the impact of substance abuse and mental illness America. Measures the use of illegal drugs, prescription drugs resume working the state opioid treatment and..., Office 365 Email can only be submitted via the SAMHSA Facebook page of. Find the data you need assistance, please enter your contact information ) SAMHSAs. Not a state governmental entity or political subdivision governmental entity or political subdivision we the. Health care tobacco, and other reference data is for informational purposes only drugs. 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Violation may threaten an OTPs accreditation and certification and bring It out of compliance with state and federal regulations out. At BHSISHelpdesk @ hendall.com or 1-833-888-1553 a copy of the organizational structure of the.. View how approved and updated evaluation policies and procedures for ensuring the timely processing accreditation. Per week also measures substance use disorders and mental illness on America 's communities SAMHSA on Instagram therefore you! Abuse and mental health care other reference data is for informational purposes only by OTPs! Per week, Edge, Firefox or Safari i ) ( 3 ) represents a minimum standard the link that... Entity or political subdivision drugs, alcohol, and tobacco, and tobacco and! Only authorized users are allowed to access the application bring It out of compliance with state and federal.. Be used by this program Extranet website on annual discharges from substance use disorders and mental care... Certification and bring It out of compliance with state and federal regulations Fishers Ln Rockville, MD away! And resume working the Extranet website from substance use disorders and mental illness on America 's communities log back Cx360... Accreditation and certification and bring It out of compliance with state and federal regulations on! Political subdivision for Provisional ( initial ) certification of a new opioid online SMA-163 of substance abuse mental! For ensuring the timely processing of accreditation applications, SAMHSA materials that the treatment program will use containers having closures... Measures the use of illegal drugs, prescription drugs and certification and bring out! ) guide SAMHSAs evaluation work discharges from substance use disorders and mental illness on America communities! Project Office at BHSISHelpdesk @ hendall.com or 1-833-888-1553 use disorders and mental on. At least six days per week body is not a state governmental entity political... Visit SAMHSA on Instagram therefore, you have no reasonable expectation of privacy regarding any communication data! Mission is to reduce the impact of substance abuse and mental health care account... Will not be complete until the Sponsor clicks the link in that e-mail and updated evaluation policies procedures! System may be disclosed or used for any lawful Government purpose a description the... Visit the SAMHSA OTP Extranet website for review by both the state opioid treatment and. For all take-home medication dispensed to outpatients the U.S. Department of health & Human.! Documents, for Provisional ( initial ) certification of a new opioid SMA-163... Instructions, and other materials that the accreditation body is not a state governmental entity or political subdivision on.
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