Treatment FAQ

what requires a waiver to give outside of a treatment program

by Prof. Reese Paucek Jr. Published 2 years ago Updated 2 years ago
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Can a waiver be considered “federal assistance?

Federal statutes, regulations, and guidelines govern medication-assisted treatment (MAT) for opioid addiction. SAMHSA’s Division of Pharmacologic Therapies (DPT), part of SAMHSA’s Center for Substance Abuse Treatment (CSAT), manages the day-to-day oversight activates required to implement federal regulations surrounding the use medications approved by the Food and …

What is a Medicaid/Medicaid waiver?

Nov 22, 2021 · Learn about circumstances when physicians or other medical personnel can provide buprenorphine without a waiver. Several federal laws and regulations permit physicians and other medical personal to administer medications approved by the Food and Drug Administration (FDA) for the treatment of opioid use disorders (OUD) under special …

Do you have to apply for a waiver for buprenorphine?

or medication needs, and I assume and accept all such risks and responsibility. If I require medical treatment or hospital care, in a country outside the United States or in the United States, during my participation in the Program, the University is not responsible for the cost or quality of such treatment or care.

What are the regulations for Oud treatment under SAMHSA?

Mar 03, 2022 · The waiver meets the regulatory definition for “federal assistance,” (see 42 CFR 2.12(b)), so the issue is whether the care is provided in a setting that meets the definition of a program (42 CFR 2.11): if they work in a standalone substance use disorder (SUD) treatment program that holds itself out as providing, and provides, SUD services; or

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How many patients can you prescribe under 42 CFR 8.655?

Regulation 42 CFR 8.655 states practitioners with a current waiver to prescribe up to 100 patients and who are not otherwise eligible to treat up to 275 patients under 42 CFR 8.610 may request a temporary increase to treat up to 275 patients in order to address emergency situations defined in 42 CFR 8.2 if the practitioner provides the required information and documentation.

What is the 3 day rule for a DEA?

Under the Narcotic Addiction Treatment Act – 1974, all practitioners who use narcotic drugs for treating opiate addiction must obtain a separate registration under 21 U.S.C. Section 823 (g) (1) or a DATA 2000 Waiver under 21 U.S.C. Section 823 (g) (2). However, according to Drug Enforcement Administration (DEA), an exception to the registration requirement, known as the “ three-day rule ” (Title 21, Code of Federal Regulations, Part 1306.07 (b) ).

What is the FDA's OUD?

Several federal laws and regulations permit physicians and other medical personal to administer medications approved by the Food and Drug Administration (FDA) for the treatment of opioid use disorders (OUD) under special circumstances.

What happens after an OTP is certified?

After an OTP receives accreditation, they must apply for renewal/recertification of their SAMHSA certification. SAMHSA's OTP Compliance Officers will review all documentation to confirm the OTP is eligible for certification to provide treatment under 42 CFR 8. Programs seeking provisional certification as an OTP must use ...

What is an OTP program?

Learn how your Opioid Treatment Program (OTP) can become accredited and certified to treat substance use disorders.

What is OTP accreditation?

Accreditation is a peer-review process that evaluates an OTP against SAMHSA’s opioid treatment standards and the accreditation standards of SAMHSA-approved accrediting bodies. The accreditation process includes onsite visits by specialists with experience in opioid treatment medications and related treatment activities. ...

How long does provisional certification last?

Provisional certification is temporary, lasting for only one year. OTPs may also seek provisional certification while it works to gain state and DEA approvals. However, SAMHSA will not grant provisional certification without state and DEA approvals.

What are the criteria for opioid withdrawal?

You can refer specifically to DSM-5 Criteria A and B for opioid withdrawal syndrome: Either of the following: 1) Cessation of (or reduction in) opioid use that has been heavy and prolonged (several weeks or longer), or 2) administration of an opioid antagonist after a period of opioid use.

What is an OTP for methadone?

Opioid treatment program (OTP) for methadone therapy. Methadone can only be dispensed through an OTP that is accredited by a SAMHSA-approved accrediting body and certified by SAMHSA. Factors Influencing Selection of MAT. Multiple factors may influence the selection of a specific type of MAT.

Where is the audio control in a training?

There is also a set of audio controls located at the bottom of the training window. Here you can pause or play the narration, control the volume, and open the text transcript for the narration if needed. Most slides, however, will not be narrated, and this set of controls will be dimmed and disabled. Module Objectives.

Does PDMP reveal other controlled substance prescriptions?

Other History: Has smoked a half-pack of cigarettes daily for 20 years; no history of illicit drug use or alcohol use. New data obtained today: PDMP does not reveal additional controlled substance prescriptions other than the opioid and benzodiazepine prescriptions described above.

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