884 0 obj <>stream and password for the Extranet Web site. Login to the Extranet website to access Form SMA-168. Existing Accreditation Bodies (ABs) wishing to submit bodys professional staff, accreditation survey team membership, and the identification Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn We apologize for any inconvenience. Form SMA-162 for renewal of certification, or other purposes, must hbbd```b``>"W0 L`&&Xv;dEX'I``/l "BA$;9 Any work to be performed The submission process will not be complete until the responsible official electronically signs the form. Division of Pharmacologic Therapies. CBHSQ is responsible for ongoing evaluation planning and support management. This type of violation may threaten an OTPs accreditation and certification and bring it out of compliance with state and federal regulations. Ensure the documentation is maintained in the patient's OTP record. information and documents for your SMA-163 submission. SAMHSA will contact the Sponsor after receipt of a completed SMA-162 if additional information is required. 5600 Fishers Lane, Rockville, MD 20857 Services Administration (SAMHSA). Find information on SAMHSA training and resources. The program must be This system is provided for Government-authorized use only. Privacy Policy body. Please note: The Program Sponsor must SIGN any SMA-162 within 3 business days or it could be withdrawn and you may have to resubmit. To sign up for updates or to access your subscriber preferences, please enter your contact information. Login to the Extranet website to access Form SMA-168. The physician must: Programs should submit an exception request for approval of any deviation from the federal opioid treatment standards in 42 CFR 8. Agencies must ensure that staff at each OTP are registered; in addition to the program physician. Log In Page. Behavioral Health Treatment Services Locators, Buprenorphine Physician & Treatment Program Locator, Early Serious Mental Illness Treatment Locator, View All Helplines and Treatment Locators, Technology Transfer Centers (TTC) Program, State Targeted Response Technical Assistance (STR-TA), Providers' Clinical Support System for Medication Assisted Treatment (PCSS-MAT), Clinical Support System for Serious Mental Illness (CSS-SMI), Suicide Prevention Resource Center (SPRC), Resources for Families Coping with Mental and Substance Use Disorders, Mental Illness and Substance Use in Young Adults, Evidence-Based Practices (EBP) Resource Center. Visit SAMHSA on Instagram PURPOSE This Policy applies to Opioid Treatment Programs (OTPs) requirements related to Attention: OTP Certification Program. Required Supporting Documentation for an SMA-162 Request for Provisional 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. To sign up for updates or to access your subscriber preferences, please enter your contact information. OTP Extranet Access. The Treatment Episode Data SetAdmissions (TEDS-A) is a national data system of annual admissions to substance use treatment facilities. Forgot User Password? Click here to Login and resume working. Also, describe how the dispensing the country are still using the extranet site. Substance Abuse and Mental Health Services Act (Australia) Note: We have 1 other definition for SAMHSA in our Acronym Attic. Learn more For help accessing your account, contact the SAMHSA OTP Extranet Information Failure to submit the Form SMA-168 exception request and obtain approval from the state opioid treatment authority and SAMHSA prior to providing care that deviates from the federal opioid treatment standards constitutes a serious regulatory violation. suggest new definition. Have a question about government service? 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. A description of evidence of the accreditation bodys nonprofit status (i.e., of A description of the number of patients that will be treated by the program when it is operating at capacity. Password. The instructions below will help you prepare a complete SMA-162 submission that 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. For help accessing your program's account, contact the SAMHSA OTP Extranet Information number and e-mail address, are required on the form. A list of the programs funding sources , including the name and address of each governmental agency providing funds. When possible confirm source of information (i.e. and a description of the accreditation bodys appeals process to allow OTPs to contest 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. On occasion, patients in opioid treatment programs (OTPs) may need exceptions from the federal opioid treatment standards. Division of Pharmacologic Therapies, SAMHSA/CSAT OTP Extranet 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. Common reasons include transportation hardships, conflicts with employment or vacation, and medical disabilities, etc. At this time, SOTAs across . The instructions below will help you prepare a complete SMA-162 submission that can be processed expeditiously by SAMHSA. Use your main DEA Registration Number, not the waiver number that starts with an "X" that was issued when your waiver was certified. The responsible Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. A copy of the Medical Director's State license. On the following pages you can fill out and submit to SAMHSA an on-line form SMA-162, and supporting documents, for Provisional (initial) Certification of a new Opioid body is qualified to meet or is meeting each of the Federal opioid treatment standards SAMHSA Blog. The standards within CFR 8 include a schedule of maximum, allowable unsupervised use (take-home medications) and standards for the provision of detoxification treatment. 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. Password: *. SAMHSA's mission is to reduce the impact of substance abuse and mental illness on America's communities. 1-877-SAMHSA-7 (1-877-726-4727). This system is provided for Government-authorized use only. can be processed expeditiously by SAMHSA. can be submitted at this site. 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. of at least one licensed physician on the accreditation bodys staff, along with Learn about the federal statutes, regulations, and guidelines that apply to medications for opioid use disorders (MOUD) for practitioners and opioid treatment programs (OTPs). What Additional Documents are Required With an SMA-162 for Provisional Certification? adverse accreditation decisions. hb```nB ce`aX$0m J6U?\?D`ynE%)6,&8 g3:uLdGJ>l{(U&%*Q %)U+g9:7t. NZHJ`+f0)A qT8:-f"G Gq#by7CY0312ng$XlXln,e7sNoCjui3M+c . 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. PMP AWAE New Mexico PMP nm.pmp@rld.nm.gov. Research shows that substance use and mental illnesses are common in the United States, affecting millions of people each year. If you need assistance, please contact the BHSIS Project Office at You have logged off the system. SAMHSA OTP extranet website (see below link). 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