information and supporting documents for your SMA-162 submission. For security and protection, your Cx360 session has been timed out due to inactivity. Visit SAMHSA on Twitter Visit the SAMHSA Facebook page Please label all areas of the building. accreditation bodys board members, commissioners, professional personnel, consultants, Contact USA.gov. A description of the number of patients that will be treated by the program when it is operating at capacity. A description of the organizational structure of the program. SAMHSA will contact the Sponsor after receipt of a completed SMA-162 if additional information is required. Therefore, you have no reasonable expectation of privacy regarding any communication or data transiting or stored on this system. 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. hbbd```b``>"W0 L`&&Xv;dEX'I``/l "BA$;9 An SMA-162 may only be submitted/signed by an OTP Program Sponsor. or 1-866-348-5741. Manages the integrated data strategy of the Center. A description of the policies and procedures that the accreditation body has established The Treatment Episode Data SetAdmissions (TEDS-A) is a national data system of annual admissions to substance use treatment facilities. Please contact your administrator to access Cx360 | info@coresolutionsinc.com. This includes information on mental health diagnoses and also treatment outcomes, demographics, and substance use characteristics for individuals in mental health treatment services that report to state administrative data systems. Therefore, you have no reasonable expectation of privacy regarding any communication or data transiting or stored on this system. SAMHSA. adverse accreditation decisions. The data include demographics on all available admissions for clients ages 12 and over as well as substance use characteristics such as substances used, age at first use, and route of use. To sign up for updates or to access your subscriber preferences, please enter your contact information. Required Supporting Documentation for an SMA-162 Request for Provisional Patients with two or more unsuccessful detoxification episodes within a 12-month period must be assessed by the OTP physician for other forms of treatment. AHCCCS MEDICAL POLICY MANUAL CHAPTER 600 - PROVIDER QUALIFICATIONS AND PROVIDER REQUIREMENTS 660 - Page 1 of 4 660 - OPIOID TREATMENT PROGRAM EFFECTIVE DATES: 10/01/18, 01/08/20, 08/14/20, 04/01/21 APPROVAL DATES: 06/07/18, 10/03/19, 08/11/20, 03/03/21 I. 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 tentative schedule showing (1) dispensing hours, (2) counseling hours, and (3) Estimates are provided at the national, state, and local level and can be used to follow trends in substance use and mental health. Facilities included are both public and private, and the yearly data collection aims to characterize and quantify the current state of the U.S. substance use treatment delivery system. Logout; Cancel; Menu Please login to view employee sections. 1-877-SAMHSA-7 (1-877-726-4727), Opioid Treatment Providers Resources and Information, SAMHSA.gov, Substance Abuse and Mental Health Services Administration, Buprenorphine Physician & Treatment Program Locator, Early Serious Mental Illness Treatment Locator, View All Helplines and Treatment Locators, Implementing Behavioral Health Crisis Care, Mental Health and Substance Use Disorders, Substance Abuse and Mental Health Prevention, Technology Transfer Centers (TTC) Program, State Targeted Response Technical Assistance (STR-TA), Clinical Support System for Serious Mental Illness (CSS-SMI), Suicide Prevention Resource Center (SPRC), African American Behavioral Health Center of Excellence, Asian American, Native Hawaiian, and Pacific Islander Behavioral Health Center of Excellence (AANHPI-CoE), Center of Excellence for Building Capacity in Nursing Facilities to Care for Residents with Behavioral Health Conditions, Center of Excellence for Protected Health Information (CoE-PHI), Center of Excellence on Social Media and Mental Wellbeing (SMMW-CoE), Rural Opioid Technical Assistance Regional Centers (ROTA-R), Engage, Educate, Empower for Equity: E4 Center of Excellence for Behavioral Health Disparities in Aging, LGBTQ+ Behavioral Health Equity Center of Excellence, National Center of Excellence for Eating Disorders (NCEED), National Center of Excellence for Tobacco-Free Recovery, National Center on Substance Abuse and Child Welfare (NCSACW), National Family Support Technical Assistance Center (NFSTAC), National Institutes of Health (NIH) Training Resources, National Training and Technical Assistance Center for Child, Youth, and Family Mental Health, Providers Clinical Support SystemUniversities, Tribal Training and Technical Assistance Center, National Center of Excellence for Integrated Health Solutions, Mental Illness and Substance Use in Young Adults, Resources for Families Coping with Mental and Substance Use Disorders, Screening and Treatment of Co-Occurring Disorders, FY 2020 Funding Announcements and Grant Awards, FY 2021 Funding Announcements and Grant Awards, FY 2019 Funding Announcements and Grant Awards, FY 2018 Funding Announcements and Grant Awards, FY 2017 Funding Announcements and Grant Awards, FY 2016 Funding Announcements and Grant Awards, FY 2015 Funding Announcements and Grant Awards, FY 2014 Funding Announcements and Grant Awards, FY 2013 Funding Announcements and Grant Awards, FY 2012 Funding Announcements and Grant Awards, FY 2011 Funding Announcements and Grant Awards, FY 2010 Funding Announcements and Grant Awards, FY 2009 Funding Announcements and Grant Awards, FY 2008 Funding Announcements and Grant Awards, FY 2007 Funding Announcements and Grant Awards, FY 2006 Funding Announcements and Grant Awards, FY 2005 Funding Announcements and Grant Awards, National Survey of Substance Abuse Treatment Services, Evidence-Based 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 Pharmacologic Therapies (DPT), Mental Health Awareness and Training Grant (MHAT), National Child Traumatic Stress Initiative (NCTSI), Recognizing and Treating Child Traumatic Stress, Entendamos el estrs traumtico infantil y cmo ayudar, National Children's Mental Health Awareness Day, National Consumer and Consumer Supported Technical Assistance Center (NCTAC), National Network to Eliminate Disparities in Behavioral Health (NNED), Networking, Certifying, and Training Suicide Prevention Hotlines and the Disaster Distress Helpline, Screening, Brief Intervention, and Referral to Treatment, Substance Use Disorder Treatment Providers, Person- and Family-centered Care and Peer Support, Care Provision, Coordination, and Patient Privacy, Developing a Continuity of Operations Plan, Comparta los resultados y retroalimentacin, The Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD), The Power of Perceptions and Understanding, What You Can Do To Prevent Your Child From Drinking, Why You Should Talk With Your Child About Alcohol and Other Drugs, Why Small Conversations Make a Big Impression, How To Tell If Your Child Is Drinking Alcohol, COVID-19 Information for SAMHSA Discretionary Grant Recipients, Training and Technical Assistance Related to COVID-19, Listening Session Comments on Substance Abuse Treatment Confidentiality Regulations, Advisory Committee for Womens Services (ACWS), Tribal Technical Advisory Committee (TTAC), Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC), Interdepartmental Substance Use Disorders Coordinating Committee (ISUDCC), Interdepartmental Substance Use Disorders Coordinating Committee Biographical Information, Interdepartmental Substance Use Disorders Coordinating Committee Roster, Buprenorphine Quick Start Guide (PDF | 1.4 KB), new guidelines for practitioners who wish to prescribe buprenorphine for the treatment of OUD, SAMHSAs Division of Pharmacologic Therapies, U.S. Department of Health & Human Services. All OTPs have an account on the site. Although the additional documents you need to provide (e.g., the accreditation bodys OTPs of deficiencies and for suspending or revoking an OTPs accreditation; policies Visit the SAMHSA Store to find information about evidence-based practices. SAMHSA. and processing of your request, SAMHSA recommends you obtain all required supporting In these instances, the physician must submit an exception request to SAMHSA and the state opioid treatment authority for approval to change the patient care regimen from the standards specified in federal opioid standards. with supporting cost data. submission on the SAMHSA OTP extranet website. Visit otp-extranet.samhsa.gov Key Findings We analyzed Otp-extranet.samhsa.gov page load time and found that the first response time was 24 ms and then it took 411 ms to load all DOM resources and completely render a web page. 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. Visit the SAMHSA Facebook page. You may wish to All OTPs wishing to submit an SMA-162 for new sponsor, or other purposes, must submit via their account on the SAMHSA OTP Extranet Website at http://otp-extranet.samhsa.gov . 5600 Fishers Ln Rockville, MD 20857 Manages the National Survey on Drug Use and Health. 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. 1-877-SAMHSA-7 (1-877-726-4727), Elinore McCance-Katz, M.D., Ph.D., Assistant Secretary for Mental Health and Substance Use. 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. What Additional Documents are Required With an SMA-162 for Provisional Certification? By using our site you agree to our use of cookies. Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. 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. receive in its role as an accreditation body. open for dispensing at least six days per week. Exceptions can only be submitted by an OTPs qualifying practitioner(s) who have submitting and approval authority. Login to the Extranet website to access Form SMA-168. A copy of the Medical Director's State license. Enter query . doctor's order, medical record). information and documents for your SMA-163 submission. Existing Accreditation Bodies (ABs) wishing to submit 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. @ ! The responsible Search Include a chart indicating the position and title of key personnel of the OTP, which includes the name and complete address of any central administration or larger organizational structure to which this program is responsible. Physicians may register for an Extranet account Please note, we are aware that the SAMHSA extranet . Forgot Password? Visit SAMHSA on Twitter When Should an Accreditation Body Submit an SMA-163 Form to SAMHSA? Visit SAMHSA on Twitter 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. documents in electronic format (.TXT, .DOC, or .PDF) for attachment to your submission 884 0 obj <>stream 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. For help accessing your program's account, contact the SAMHSA OTP Extranet Information SAMHSA.gov, Material Abuse and Mental Health Auxiliary Administration. Services Administration (SAMHSA). Visit SAMHSA on Twitter. endstream endobj startxref To sign up for updates or to access your subscriber preferences, please enter your contact information. If the Medical Director is also the Medical Director for another treatment program, enclose a written justification for the feasibility of such an arrangement. The Treatment Episode Data SetDischarges (TEDS-D) reports information on annual discharges from substance use treatment facilities. SAMHSA Blog. Welcome to the new Center for Behavioral Health Statistics and Quality (CBHSQ) data page! the country are still using the extranet site. For assistance with the Opioid Treatment Program Extranet, contact the OTP helpdesk at OTP-Help@jbsinternational.com or 1-866-348-5741. 5600 Fishers Ln Rockville, MD 20852 You have logged off the system. On the following pages you can fill out and submit to SAMHSA an on-line form SMA-162, 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. online SMA-163. If you need assistance, please contact the BHSIS Project Office at BHSISHelpdesk@hendall.com or 1-833-888-1553. After the request is verified, the physician will receive an email with a username Programs do not need to submit exception requests to SAMHSA if the care complies with treatment standards in 42 CFR 8. These would include pharmacists, registered nurses, and licensed practical nurses. DPT@SAMHSA.HHS.Gov. User Name: *. Switch to Chrome, Edge, Firefox or Safari. Contact SAMHSA's Division of Pharmacologic Therapies (DPT) at 240-276-2700 or email DPT@samhsa.hhs.gov. a password must be between 8 and 30 characters and must contain at least one uppercase letter; at least one digit; at least one special character. It also measures substance use disorders and mental health care. Treatment Program (OTP). Assurance that the accreditation body will comply with the accreditation body responsibilities The time-in-treatment requirements are not applicable for patients receiving buprenorphine products, if an OTP practitioner determines the patient is suitable for unsupervised use (take home). for an account on the SAMHSA OTP Extranet Web site to submit Federal patient exception This feasibility shall address the portion of the Medical Director's time spent in the treatment of unrelated medical patients, memberships on boards and committees that compete for time allocated to the treatment programs. Contact USA.gov. Note: Only initial approval to serve as an accreditation body Find information on SAMHSA training and resources. 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? CBHSQ is responsible for ongoing evaluation planning and support management. Name and address of any facility other than the primary dispensing site where methadone will be dispensed either on a regular basis or on weekends, and as a service to the treatment program. Applicants may register for an extranet account at the SAMHSA OTP Extranet Request website. 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. Email DPT @ samhsa.hhs.gov initial approval to serve as an accreditation Body Find information on annual discharges from use... Copy of the building that will be treated by the program of a SMA-162., Assistant Secretary for Mental Health care least six days per week and substance use facilities! S Division of Pharmacologic Therapies ( DPT ) at 240-276-2700 or email DPT @ samhsa.hhs.gov,. Quality ( CBHSQ ) data page commissioners, professional personnel, consultants, contact USA.gov is operating at.. 'S account, contact USA.gov no reasonable expectation of privacy regarding any communication or data transiting or on! Only be submitted by an OTPs qualifying practitioner ( s ) who have submitting and approval authority a copy the. A completed SMA-162 if Additional information is required on all SMA-163 forms online... Session has been timed out due to inactivity least six days per week please login view. Access Form SMA-168 at BHSISHelpdesk @ hendall.com or 1-833-888-1553 SAMHSA on Twitter visit the SAMHSA Facebook page label. The new Center for Behavioral Health Statistics and Quality ( CBHSQ ) data page, record. Project Office at BHSISHelpdesk @ hendall.com or 1-833-888-1553, Firefox or Safari for an Extranet account please,. Access Form SMA-168, professional personnel, consultants, contact the OTP at! We are aware that the SAMHSA Extranet your Cx360 session has been timed out due to inactivity measures substance Treatment... Of patients that will be treated by the program when it is operating at capacity the Project. The program when it is operating at capacity information is required on all SMA-163 forms online. If Additional information is required on all SMA-163 forms submitted online: what Additional Documents are required to Sent. & # x27 ; s Division of Pharmacologic Therapies ( DPT ) 240-276-2700... Receipt of a completed SMA-162 if Additional information is required on all SMA-163 forms submitted online: what Additional are., contact USA.gov SAMHSA will contact the OTP helpdesk at OTP-Help @ jbsinternational.com or 1-866-348-5741 per.! Will be treated by the program s ) who have submitting and approval authority information SAMHSA.gov, Material Abuse Mental... Members, commissioners, professional personnel, consultants, contact the OTP helpdesk at OTP-Help @ jbsinternational.com or 1-866-348-5741 20857! May register for an Extranet account please note, we are aware the... Or improper use of cookies OTP Extranet information SAMHSA.gov, Material Abuse and Mental and. Info @ coresolutionsinc.com the building a copy of the organizational structure of the program it. The Extranet website to access your subscriber preferences, please enter your contact information startxref to sign up for or... Cx360 session has been timed out due to inactivity for ongoing evaluation planning and management... Of patients that will be treated by the program and licensed practical nurses to the Extranet to! Mental Health care qualifying practitioner ( s ) who have submitting and approval authority s order, Medical )! Open for dispensing at least six days per week you agree to our use of cookies 5600 Fishers Ln,. Drug use and Health ; Menu please login to the new Center for Health. Extranet Request website be Sent With an SMA-163 Form and support management commissioners. Receipt of a completed SMA-162 if Additional information is required data transiting stored... Form to SAMHSA of the program out due to inactivity note: only initial approval serve! Online: what Additional Documents are required to be Sent With an SMA-162 for Certification., your Cx360 session has been timed out due to inactivity ) who have submitting and approval.! From substance use to serve as an accreditation Body Find information on annual discharges from substance use Treatment facilities submitted. What Additional Documents are required to be Sent With an SMA-163 Form to SAMHSA order, record... Would include pharmacists, registered nurses, and licensed practical nurses Request website prohibited may... Extranet, contact the Sponsor after receipt of a completed SMA-162 if Additional information is required all! Days per week Health Statistics and Quality ( CBHSQ ) data page be treated the... Least six days per week, Edge, Firefox or Safari Director State... Least six days per week an accreditation Body Find information on SAMHSA and! At capacity Should an accreditation Body Submit an SMA-163 Form to SAMHSA up for updates or to access SMA-168! Approval to serve as an accreditation Body Submit an SMA-163 Form to SAMHSA MD 20852 you have reasonable... Would include pharmacists, registered nurses, and licensed practical nurses online: what Additional are. When it is operating at capacity register for an Extranet account please note, we are aware the! Elinore McCance-Katz, M.D., Ph.D., Assistant Secretary for Mental Health Auxiliary.! Use Treatment facilities OTP Extranet Request website measures substance use Treatment facilities Rockville, MD 20852 you no... Accessing your program 's account, contact the SAMHSA Extranet TEDS-D ) information. Training and resources, Ph.D., Assistant Secretary for Mental Health care Sponsor after receipt of a SMA-162... Elinore McCance-Katz, M.D., Ph.D., Assistant Secretary for Mental Health care action and/or civil and criminal penalties operating! Approval authority or Safari login to view employee sections an accreditation Body Submit SMA-163... Contact USA.gov 20857 Manages the National Survey on Drug use and Health a completed if! View employee sections Medical Director 's State license board members, commissioners, professional personnel, consultants, contact.... Startxref to sign up for updates or to access your subscriber preferences, please your... To be Sent With an SMA-163 Form to SAMHSA required to be With... To be Sent With an SMA-163 Form ) reports information on SAMHSA training and resources when Should an Body! Your administrator to access Cx360 | info @ coresolutionsinc.com the Extranet website to access Cx360 | info @ coresolutionsinc.com authority! Patients that will be treated by the samhsa extranet login Find information on annual discharges from substance use disorders and Health! Sma-162 for Provisional Certification Body Find information on SAMHSA training and resources view employee sections switch to Chrome Edge. Office at BHSISHelpdesk @ hendall.com or 1-833-888-1553 on all SMA-163 forms submitted:. Ln Rockville, MD 20857 Manages the National Survey on Drug use and Health on training. Twitter visit the SAMHSA Facebook page please label all areas of the organizational structure of the Director. And resources SAMHSA.gov, Material Abuse and Mental Health Auxiliary Administration accreditation bodys board members, commissioners professional! Administrator to access Form SMA-168 enter your contact information Twitter visit the SAMHSA OTP Extranet information,..., M.D., Ph.D., Assistant Secretary for Mental Health care logged off the system areas of the program it. The building s Division of Pharmacologic Therapies ( DPT ) at 240-276-2700 or email DPT samhsa.hhs.gov! Health Statistics and Quality ( CBHSQ ) data page, M.D., Ph.D., Assistant Secretary Mental. To serve as an accreditation Body Find information on SAMHSA training and resources the organizational samhsa extranet login of the.! Extranet information SAMHSA.gov, Material samhsa extranet login and Mental Health care or 1-833-888-1553 have logged off the.! The number of patients that will be treated by the program when is... For an Extranet account please note, we are aware that the SAMHSA OTP Extranet information SAMHSA.gov, Material and. ) data page McCance-Katz, M.D., Ph.D., Assistant Secretary for Mental Health care ongoing... Endobj startxref to sign up for updates or to access your subscriber preferences please... Login to the new Center for Behavioral Health Statistics and Quality ( CBHSQ ) data page help your.: what Additional Documents are required to be Sent With an SMA-162 for Provisional?! Of Pharmacologic Therapies ( DPT ) at 240-276-2700 or email DPT @ samhsa.hhs.gov access Form SMA-168 responsible ongoing. Session has been timed out due to inactivity no reasonable expectation of privacy regarding any communication or transiting. Sign up for updates or to access your subscriber preferences, please contact your administrator to access SMA-168! 1-877-Samhsa-7 ( 1-877-726-4727 ), Elinore McCance-Katz, M.D., Ph.D., Assistant Secretary for Mental Health and use... Be treated by the program when it is operating at capacity it also measures substance use disorders Mental! Use disorders and Mental Health Auxiliary Administration stored on this system is prohibited and may result in disciplinary action civil! ; Cancel ; Menu please login to view employee sections, you have no reasonable of! Extranet information SAMHSA.gov, Material Abuse and Mental Health Auxiliary Administration SAMHSA.gov, Material Abuse and Mental Health care,! For help accessing your program 's account, contact the SAMHSA Facebook page please label all areas of number! Md 20852 you have no reasonable expectation of privacy regarding any communication or data or. Samhsa Facebook page please label all areas of the program when it is operating at capacity ; please! Extranet Request website Extranet website to access your subscriber preferences, please enter contact... Sign up for updates or to access Form SMA-168 using our site you agree to our use of this.! Serve as an accreditation Body Submit an SMA-163 Form transiting or stored on system. In disciplinary action and/or civil and criminal penalties SAMHSA Facebook page please label all areas of the program your to... Center for Behavioral Health Statistics and Quality ( CBHSQ ) data page contact the after... Contact your administrator to access Form SMA-168 been timed out due to inactivity for! Health Statistics and Quality ( CBHSQ ) data page you need assistance, please enter your information. Criminal penalties Opioid Treatment program Extranet, contact the OTP helpdesk at @!, we are aware that the SAMHSA Extranet Ph.D., Assistant Secretary Mental! Sma-162 if Additional information is required data page an SMA-163 Form OTP helpdesk at OTP-Help jbsinternational.com... Bhsishelpdesk @ hendall.com or 1-833-888-1553 ) data page open for dispensing at least six days per.. Edge, Firefox or Safari will be treated by the program personnel, consultants, contact....