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SAMHSA will contact the responsible official after receipt of a completed SMA-163. 5600 Fishers Ln Rockville, MD 20857 The following sections detail the additional documents that are required with the Form SMA-162 for renewal of certification, or other purposes, must The Center for Behavioral Health Statistics and Quality (CBHSQ) is the leading source of behavioral health data in the United States. 5600 Fishers Lane, Rockville, MD 20857 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. The take-home schedule defined in 42 CFR 8.12(i)(3) represents a minimum standard. Please click here to log back into Cx360.here to log back into Cx360. will not be complete until the responsible official electronically signs the form. 842 0 obj <> endobj for an account on the SAMHSA OTP Extranet Web site to submit Federal patient exception body. Note: Therefore, you have no reasonable expectation of privacy regarding any communication or data transiting or stored on this system. Learn how the Center for Behavioral Health Statistics and Quality works across SAMHSA and the U.S. Department of Health & Human Services to plan, implement, and monitor program evaluations. For security and protection, your Cx360 session has been timed out due to inactivity. Solr Header Search. Visit SAMHSA on Instagram 1-877-SAMHSA-7 (1-877-726-4727), Elinore McCance-Katz, M.D., Ph.D., Assistant Secretary for Mental Health and Substance Use, 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, To apply to SAMHSA for approval to serve as an accreditation body, To apply for renewal of SAMHSA approval as an accreditation body (required every The Treatment Episode Data SetDischarges (TEDS-D) reports information on annual discharges from substance use treatment facilities. 5600 Fishers Lane, Rockville, MD 20857 Forgot User ID? You have logged off the system. When possible confirm source of information (i.e. Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. purposes: An SMA-163 may only be submitted/signed by a responsible official from the accreditation We look forward to sharing more real-time information on CBHSQ, upcoming conference presentations, and publications. We have the following resources to help you find the data you need: Visit the SAMHSA Facebook page Through rounds of listening sessions and testing, We Heard You. SAMHSA. If you are having difficulty submitting changes or have questions, contact the CSAT Buprenorphine Information Center at 866-BUP-CSAT (866-287-2728), or by e-mail at infobuprenorphine@samhsa.hhs.gov. Division of Pharmacologic Therapies, SAMHSA/CSAT OTP Extranet wish to A copy of the Medical Director's Curriculum Vitae. This survey is a companion to the National Survey of Substance Abuse Treatment Services (N-SSATS). Mental Health Client-Level Data (MH-CLD) and the Mental Health Treatment Episode Data Set (MH-TEDS) provide data from state mental health agencies. The standards within CFR 8 include a schedule of maximum, allowable unsupervised use (take-home medications) and standards for the provision of detoxification treatment. 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. PMP AWAE New Mexico PMP nm.pmp@rld.nm.gov. and supporting documents, for Provisional (initial) Certification of a new Opioid Contact USA.gov. The responsible official will need to login to the SAMHSA OTP Extranet Website in order to complete the submission process. 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). DPT@SAMHSA.HHS.Gov. This system is provided for Government-authorized use only. endstream endobj 843 0 obj <. Find contact information for State Opioid Treatment Authorities. procedures for initiating and performing onsite accreditation surveys of OTPs, procedures Certification of a New OTP: A copy of the application to the accreditation body to which your program has applied, including the date on which your program applied for accreditation, the dates of any accreditation surveys that have taken place or are expected to take place, and the expected schedule for completing the accreditation process. Behavioral Health Treatment Services Locators, Buprenorphine Physician & Treatment Program Locator, Early Serious Mental Illness Treatment Locator, View All Helplines and Treatment Locators, Lnea de Ayuda para los Afectados por Catstrofes, Technology Transfer Centers (TTC) Program, State Targeted Response Technical Assistance (STR-TA), Providers' Clinical Support System (PCSS), Clinical Support System for Serious Mental Illness (CSS-SMI), Suicide Prevention Resource Center (SPRC), African American Behavioral Health Center of Excellence, Center of Excellence for Protected Health Information (CoE-PHI), Engage, Educate, Empower for Equity: E4 Center of Excellence for Behavioral Health Disparities in Aging, LGBTQ+ Behavioral Health Equity Center of Excellence, Mental Health Awareness and Training Grant (MHAT), 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, 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 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, Asian American, Native Hawaiian, and Pacific Islander, Disaster Preparedness, Response, and Recovery, Faith-Based Coalitions & Collaborative Partnerships, Training and Technical Assistance for FBCI, Partnerships and Capacity Building Training Schedule, First Responder Mental Health Awareness Training, Historically Black Colleges and Universities Center of Excellence in Behavioral Health, Behavioral Health and Homelessness Resources, Mental and Substance Use Disorders and Homelessness Resources, Interdepartmental Serious Mental Illness Coordinating Committee, National Child Traumatic Stress Initiative, Recognizing and Treating Child Traumatic Stress, Entendamos el estrs traumtico infantil y cmo ayudar, 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, The Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD), The Power of Perceptions and Understanding, 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, Organizational and Individual Stress Management, Disaster Response Templates: Printed Materials, Disaster Response Templates: Messaging through Other Media, DTAC: Feedback Survey for Helping Children and Youth Cope, Feedback Survey for Disaster Anniversaries Podcast, Transforming Lives Through Supported Employment Program, Adult Mental Health Treatment Court Locator, Juvenile Mental Health Treatment Court Locator, Locate Mental Health Treatment Courts for Adults, Locate Mental Health Treatments Courts for Juveniles, Trauma Training for Criminal Justice Professionals, Interagency Task Force on Military and Veterans Mental Health, Focused Training and Technical Assistance, Intensive Training and Technical Assistance, Wellness Planning and Capacity Building Webinars, Qualitative and Quantitative Assessment Methods, Considerations for Safety- and Security-sensitive Industries, Comparta los resultados y retroalimentacin, 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, 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, People with Substance Use or Mental Health Issues, Drug Abuse Warning Network (DAWN): Non-Fatal Overdoses Short Report, 2021 NSDUH State Estimates of Substance Use and Mental Disorders, 2021 NSDUH: Model-Based Estimated Prevalence for States, 2021 NSDUH: Model-Based Estimated Totals for States (in Thousands), 2021 NSDUH: National Maps of Prevalence Estimates, by State. Switch to Chrome, Edge, Firefox or Safari. Applicants may register for an extranet account at the SAMHSA OTP Extranet Request website. You may wish to print these instructions for use as a checklist in obtaining . Contact SAMHSA's regional OTP Compliance Officers to determine if an OTP is qualified to provide treatment for substance use disorders. 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. information and supporting documents for your SMA-162 submission. A description of the number of patients that will be treated by the program when it is operating at capacity. hbbd```b``>"W0 L`&&Xv;dEX'I``/l "BA$;9 A copy of the Medical Director's State license. Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn The responsible officials name and contact information, including telephone Leads national data collection, statistical analysis, and dissemination. 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 . accreditation bodys board members, commissioners, professional personnel, consultants, SMA-163, a confirmation e-mail will be sent to the responsible official. A description of accreditation elements and a detailed discussion showing how the Please note, we are aware that the SAMHSA extranet . The National Mental Health Services Survey (N-MHSS) collects statistics on the services and characteristics of mental health treatment facilities across the U.S. Division of Pharmacologic Therapies. 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. 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