Substance Use Disorder (SUD)

PENNSYLVANIA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS (DDAP)

• Provider Resources
• Licensing Guidance
• SUD Regulations / PA Code 
  • PART V. Department of Drug and Alcohol Programs
    • Chapter 701. General Provisions
    • Chapter 704. Staffing Requirements for Drug and Alcohol Treatment Activities
    • Chapter 705. Physical Plant Standards  
    • Chapter 709. Standards for Licensure of Freestanding Treatment Facilities  
    • Chapter 710. Drug and Alcohol Services  
    • Chapter 711. Standards for Certification of Treatment Activities Which are a Part of a Health Care Facility
    • Chapter 715. Standards for Approval of Narcotic Treatment Program  
    • Chapter 717. Standards for Drug and Alcohol Recovery House Licensure  
• Heather’s Law (Contacting Emergency Contact at time of Discharge)

ASAM ALIGNMENT RESOURCES

• ASAM Training Requirements for Clinicians (2020)
• ASAM Training Requirement – Additional Option (2022)
• DDAP Guidance – ASAM Alignment

CARELON OF PENNSYLVANIA PROVIDER ALERTS

• PA 10.21.11 Medical Evaluation of Psychiatric and Substance Use Disorder Patients
• PA 5.21.7 Carelon Expectations for Safe Discharge from Residential Care Settings
• PA 4.21.2 Carelon Expectations for ASAM Service Alignment

PROVIDERCONNECT

• How to Process a Discharge Review via ProviderConnect
• How-to Guide for Entering ASAM 1.0
• How-to Guide for Entering ASAM 1.0 – Greater than 72 Units Only
• How-to Guide for Entering ASAM 2.1
• How-to Guide for Entering ASAM 2.5
• How-to Guide for Requesting ASAM 3.1 Adult
• How-to Guide for Requesting Adolescent ASAM 3.5
• How to Request ASAM 3.5 Residential via ProviderConnect
• How to Request ASAM 3.5-3.7 Residential with RTFA License via ProviderConnect
• How to Request ASAM 3.7 Enhanced Residential via ProviderConnect
• How-to Guide for Requesting ASAM 3.7 WM
• How-to Guide for Requesting ASAM 4 WM
• How-to Guide for Requesting ASAM 4 Inpatient

AUTHORIZATION FORMS

• Authorization Request Form for ASAM 1.0
• Authorization Request Form for ASAM 2.1
• Authorization Request Form for ASAM 2.5
• HLOC Substance Use Authorization Request Form – Pre-Cert
• HLOC Substance Use Authorization Request Form – Continued Stay 
• Methadone Maintenance Precert
• Methadone Maintenance Continued Stay Review
• Methadone Maintenance Discharge

MEDICAL NECESSITY CRITERIA

• ASAM Crosswalk
• ASAM Level 1: Outpatient (OP) Services
• ASAM Level 2.1: Intensive Outpatient (IOP) Services
• ASAM Level 2.5: Partial Hospitalization (PHP) Services
• ASAM Level 3.1: Clinically-Managed Low Intensity Residential Services, i.e., Halfway House (HWH)
• ASAM Level 3.5: Clinically Managed High Intensity Residential Services
• ASAM Level 3.7:
  • Medically Monitored Inpatient Withdrawal Management – 3.7 WM
  • Medically Monitored Intensive Inpatient Services
• ASAM Level 4:
  • Medically Managed Intensive Inpatient Withdrawal Management – 4 WM
  • Medically Managed Intensive Inpatient Services – 4.0
• ASAM 10.101:  Drug and Alcohol Intensive Case Management (Formerly, Targeted Case Management) For Adults
• ASAM 10.102:  Drug and Alcohol Assessment / Level of Care determination
• ASAM 12.101: Drug and Alcohol Intensive Case Management (Formerly, Targeted Case Management) For Children/Adolescents

PA CENTERS OF EXCELLENCE (COE)

• Key Resources
• COE Goals and Benchmarks

ANTI-STIGMA MATERIALS

• Life Unites Us – Stories to End Stigma
• Shatterproof Speaker Series

TRAINING

• Life Unites Us Ongoing Training Series 
• DDAP Monthly ASAM Technical Assistance Series
• DDAP Training Opportunities