samhsa extranet login

Existing Accreditation Bodies (ABs) wishing to submit Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. Visit the SAMHSA Facebook page Opioid Treatment Program Extranet, CSAT's 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. A description of the number of patients that will be treated by the program when it is operating at capacity. We look forward to sharing more real-time information on CBHSQ, upcoming conference presentations, and publications. 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. The National Mental Health Services Survey (N-MHSS) collects statistics on the services and characteristics of mental health treatment facilities across the U.S. Some states report only publicly funded admissions, while other states collect privately funded admissions from facilities that receive public funding. Solr Header Search. Required Supporting Documentation for an SMA-162 Request for Provisional What type of data set are you looking for? All OTPs have an account on the site. Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. The following sections detail the additional documents that are required with the The annual survey reports national- and state-level data on both public and private specialty mental health treatment facilities. A detailed labeled floor diagram. Form SMA-162 for renewal of certification, or other purposes, must Welcome to the new Center for Behavioral Health Statistics and Quality (CBHSQ) data page! This form must be submitted via the SAMHSA OTP Extranet website for review by both the state opioid treatment authority and SAMHSA. This system is provided for Government-authorized use only. BHSISHelpdesk@hendall.com or 1-833-888-1553. these instructions for use as a checklist in obtaining and preparing all required SAMHSAs Practices Resource Center contains a collection of scientifically-based resources for a broad range of audiences, including Treatment Improvement Protocols, toolkits, resource guides, clinical practice guidelines, and other science-based resources. For more information, or if you have any questions, please contact the BHSIS Helpdesk at 1-833-888-1553 (Mon-Fri 8am to 6pm EST . The most common reasons for submitting exception requests include: Per 42 CFR 8.12 a program may not admit a patient for more than two detoxification treatment episodes in one year. body. A detailed description of the accreditation bodys decision making process, including: Log In Page. 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. Also, describe how the dispensing accreditation bodys board members, commissioners, professional personnel, consultants, The program must be 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. %PDF-1.6 % can be submitted at this site. The submission process 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. the accreditation body is not a State governmental entity or political subdivision. Therefore, you have no reasonable expectation of privacy regarding any communication or data transiting or stored on this system. prepare all required documents in electronic format (e.g., Word, PDF) for attachment Mental Health Client-Level Data (MH-CLD) and the Mental Health Treatment Episode Data Set (MH-TEDS) provide data from state mental health agencies. 5600 Fishers Ln, Rockville, MD 20857 1-877-SAMHSA-7 (1-877-726-4727) The Treatment Episode Data SetDischarges (TEDS-D) reports information on annual discharges from substance use treatment facilities. and processing of your request, SAMHSA recommends you obtain all required supporting 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. purposes: An SMA-163 may only be submitted/signed by a responsible official from the accreditation 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. We recommend that you obtain and Forgot Password? Office of Program Analysis & Coordination (OPAC). Manages the integrated data strategy of the Center. the country are still using the extranet site. Switch to Chrome, Edge, Firefox or Safari. We apologize for any inconvenience. We apologize for any inconvenience. At this time, SOTAs across . Visit SAMHSA on Twitter DPT@SAMHSA.HHS.Gov. 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. For assistance with the Opioid Treatment Program Extranet, contact the OTP helpdesk at OTP-Help@jbsinternational.com or 1-866-348-5741. Center at OTP-Help@jbsinternational.com, System Notification: Please be advised that you may experience potential performance issues from March 31, 2023 to April 14, 2023 due to ongoing penetration testing. 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. When ready, click View how approved and updated evaluation policies and procedures (P&P) guide SAMHSAs evaluation work. Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn and password for the Extranet Web site. 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. or 1-866-348-5741. A description of the organizational structure of the program. You may wish to is an Agency of the U.S. Department of Health & Human Services. After reading these instructions click 'Continue' at the bottom of the page to begin completing your The Treatment Episode Data SetAdmissions (TEDS-A) is a national data system of annual admissions to substance use treatment facilities. Learn about the federal statutes, regulations, and guidelines that apply to medications for opioid use disorders (MOUD) for practitioners and opioid treatment programs (OTPs). 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. can be processed expeditiously by SAMHSA. SAMHSA's mission is to reduce the impact of substance abuse and mental illness on America's communities. The instructions below will help you prepare a complete SMA-162 submission that can be processed expeditiously by SAMHSA. SAMHSA collects data through multiple sources and surveys and provides access to public-use data files and documentation to support a better understanding of mental illness and substance use disorders in America. 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. The Sponsor will need to click a link supplied in that e-mail withing 3 days to electronically sign the SMA-162 and complete the submission process. Extranet Instructions - CT.GOV-Connecticut's Official State Website SAMHSA Blog. Special characters can be symbols on your keyboard (e.g. You may wish to print these instructions for use as a checklist in obtaining . Note: Only SMA-162s for provisional certification On the following pages you will be able to fill out and submit an SMA-163 form, to avoid conflicts of interest, or the appearance of conflicts of interest, by the The standards within CFR 8 include a schedule of maximum, allowable unsupervised use (take-home medications) and standards for the provision of detoxification treatment. For more information, or if you have any questions, please contact the BHSIS Helpdesk at 1-833-888-1553 (Mon-Fri 8am to 6pm EST) or BHSISHelpdesk@hendall.com. Therefore, you have no reasonable expectation of privacy regarding any communication or data transiting or stored on this system. The OTP medical director decides whether or not an individual patient should receive take-home medication. Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. bodys professional staff, accreditation survey team membership, and the identification The take-home schedule defined in 42 CFR 8.12(i)(3) represents a minimum standard. will not be complete until the responsible official electronically signs the form. Treatment Program (OTP). print Please contact your administrator to access Cx360 | info@coresolutionsinc.com. Provides planning and management of program evaluation across SAMHSA. This system is provided for Government-authorized use only. 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. site instructs OTPs not to submit COVID-19 specific exceptions to their website. The responsible Be on the lookout for more in-depth information on CBHSQ in the coming months. 5600 Fishers Lane Rockville, MD 20857. print these instructions for use as a checklist in obtaining and preparing all required 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. When Should an Accreditation Body Submit an SMA-163 Form to SAMHSA? States and treatment programs may choose a more stringent standard. These would include pharmacists, registered nurses, and licensed practical nurses. Leads national data collection, statistical analysis, and dissemination. at the following Web site: http://otp-extranet.samhsa.gov/request. 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. The Program Sponsor's name and contact information, including telephone number and e-mail address, are required on the form. The Drug Abuse Warning Network (DAWN) is a nationally representative public health surveillance system that monitors drug-related visits to hospital emergency departments (ED). wish to This information should not be considered complete, up to date, and is not intended to be used in place of a visit, consultation, or advice of a legal, medical, or any other professional. Visit SAMHSA on Twitter This form must be submitted via the SAMHSA OTP Extranet website for review by both the state opioid treatment authority and SAMHSA. Visit the SAMHSA Store to find information about evidence-based practices. Therefore, you have no reasonable expectation of privacy regarding any communication or data transiting or stored on this system. Personal use of social media and networking sites on this system is limited as to not interfere with official work duties and is subject to monitoring. That violation may threaten a programs federal and state compliance, accreditation, and certification. Existing OTPs wishing to submit Forgot User Password? PMP AWAE New Mexico PMP nm.pmp@rld.nm.gov. However, failure to submit and obtain approval from SAMHSA and (where applicable) the state opioid treatment authority before providing care that deviates from the federal opioid treatment standards constitutes a serious regulatory violation. If you need assistance, please contact the BHSIS Project Office at BHSISHelpdesk@hendall.com or 1-833-888-1553. https://medical-dictionary.thefreedictionary.com/SAMHSA, The final rule states that health care operations under the, * Wide variability exists in quality and comprehensiveness of treatment for opioid addiction; clinical practice guidelines should supplement but not replace regulations, and should provide a vehicle by which patient care may be improved (, While the amount of heroin consumers in recent research is consistent with levels measured since 2009, it is significantly higher than in 2002, according to the, Hyde of the Substance Abuse and Mental Health Services Administration (. Physicians may register for an Extranet account 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. SAMHSA offers tools, training, and technical assistance to practitioners in the fields of mental health and substance use disorders. away from the primary dispensing site, should also be stated. 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. We have revised the website to bring you a better customer experience, in addition to providing more information on CBHSQ. 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. a description of the accreditation bodys training policies and survey fee schedules submit via their account on the SAMHSA OTP Extranet Website. Data for ED visits include demographics, substances involved, toxicology confirmation, route of administration, type of case, and disposition of the patient following their visit. 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? 5600 Fishers Ln Rockville, MD 20857 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. Click here to Login and resume working. Sunday, April 16th, 2023; Username or Email Address * Password * Remember me Lost your password? new search. After submitting an online SMA-162, a confirmation e-mail will be sent to the Sponsor. 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. A copy of the Medical Director's DEA Registration. complete SMA-163 submission that can be processed expeditiously by SAMHSA. To sign up for updates or to access your subscriber preferences, please enter your contact information. When in doubt, submit. Visit SAMHSA on Twitter Please note, we are aware that the SAMHSA extranet . By using this system, you understand and consent to the following: If you need assistance, please contact the BHSIS Project Office at BHSISHelpdesk@hendall.com or 1-833-888-1553. online SMA-163 form. Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn Please look for that in early Summer. 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. 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. [^Ei cU`UK z Contact USA.gov. The submission process will not be complete until the responsible official electronically signs the form. Please continue to submit all of your requests to the extranet. By using this system, you understand and consent to the following: Note: OTP Extranet is using the HHS password security requirements. Services Administration (SAMHSA). Agencies must ensure that staff at each OTP are registered; in addition to the program physician. Therefore, you have no reasonable expectation of privacy regarding any communication or data transiting or stored on this system. A description of evidence of the accreditation bodys nonprofit status (i.e., of documents in electronic format (.TXT, .DOC, or .PDF) for attachment to your submission 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. Find information and guidance on how to notify SAMHSA about changes in your program and what changes require notification. official will need to login to the SAMHSA OTP Extranet Website in order to 0 For help accessing your account, contact the SAMHSA OTP Extranet Information The users are now asked to change their passwords every 2 months, and the passwords have to be strong, On occasion, patients in opioid treatment programs (OTPs) may need exceptions from the federal opioid treatment standards. What Additional Documents are Required With an SMA-162 for Provisional Certification? If you need assistance, please contact the BHSIS Project Office at application for provisional certification of a new OTP. SAMHSAs OTP Compliance Officers offer ongoing guidance and support as well as process new and renewal certifications for Opioid Treatment Programs (OTPs). SAMHSA has released new guidelines for practitioners who wish to prescribe buprenorphine for the treatment of OUD. The instructions below will help you prepare a Manages the National Survey on Drug Use and Health. When possible confirm source of information (i.e. Please click here to log back into Cx360.here to log back into Cx360. 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. 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 National Survey on Drug Use and Health (NSDUH), formerly the National Household Survey on Drug Abuse, is an annual survey conducted since 1990. Login to the Extranet website to access Form SMA-168. http://otp-extranet.samhsa.gov. adverse accreditation decisions. 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. Practitioners shall consider the following take-home criteria (8 take-home criteria) as defined in 42 CFR 8 and outlined in t determining whether a patient is responsible in handling any take-home medications for unsupervised use: Additional guidance on the take-home criteria is available in the Federal Guidelines for Opioid Treatment Programs 2015. SAMHSA has developed a Buprenorphine Quick Start Guide (PDF | 1.4 KB)andpocket guide (PDF | 200 KB) for all practitioners seeking to prescribe buprenorphine. Visit SAMHSA on Twitter. requests (Form SMA-168) online. Research shows that substance use and mental illnesses are common in the United States, affecting millions of people each year. Visit SAMHSA on Instagram Visit the SAMHSA Facebook page You have logged off the system. Laboratory Web Portal . 5600 Fishers Ln Rockville, MD 20852 In 2012, 7% of survey respondents said they were current users of marijuana, meaning they had used it at least once within 30 days prior to taking the survey, "These findings show that while we have made progress in preventing some aspects of substance abuse, we must redouble our efforts to reduce and eliminate all forms of it throughout our nation," said, Westley Clark, M.D., director of the Substance Abuse and Mental Health Services Administration's (, Dictionary, Encyclopedia and Thesaurus - The Free Dictionary, the webmaster's page for free fun content, Alcohol, Drug Abuse, & Mental Health Administration, substance Abuse and Mental Health Services Administration, Samhsa at the end of the Curie years: Charles Curie has stabilized SAMHSA and quieted calls for the agency's demise, 3 New Substance Use Confidentiality Rule Facts, Federal government finalizes changes to 42 CFR Part 2 (Confidentiality of Substance Use Disorder Records), Is accreditation sufficient? All Rights Reserved. Find contact information for State Opioid Treatment Authorities. Use your main DEA Registration Number, not the waiver number that starts with an "X" that was issued when your waiver was certified. 1-877-SAMHSA-7 (1-877-726-4727). 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. 867 0 obj <>/Filter/FlateDecode/ID[<6BFA08280D68C745BA8DDFA9948D0A12><5FDFD9F584FADA43BDB59E8A8F3A39F9>]/Index[842 43]/Info 841 0 R/Length 119/Prev 880251/Root 843 0 R/Size 885/Type/XRef/W[1 3 1]>>stream to protect confidential information that the accreditation body will collect or 5600 Fishers Lane, Rockville, MD 20857 of a new OTP can be submitted at this site. and additional required documents, online to the Substance Abuse and Mental Health SAMHSA. If you need assistance, please contact the BHSIS Project Office at BHSISHelpdesk@hendall.com or 1-833-888-1553. The responsible officials name and contact information, including telephone Division of Pharmacologic Therapies, SAMHSA/CSAT OTP Extranet OTP Extranet Access. set forth under 42 CFR 8.12. Estimates are provided at the national, state, and local level and can be used to follow trends in substance use and mental health. User ID. To expedite the submission Access information and Instructions on how to request an opioid treatment exception request to the federal standards for opioid use disorder (OUD) treatment. The submission process will not be complete until the Sponsor clicks the link in that e-mail. An SMA-162 may only be submitted/signed by an OTP Program Sponsor. If a patient meets the time-in-treatment criteria for take-home doses, the patient is not automatically eligible to receive those take-home medications. Acknowledgement that the Medical Director and/or program physician must register 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. required additional documentation is received. The description shall specify how the OTP will provide adequate medical, counseling, vocational, educational, and assessment services at the primary facility, unless the program sponsor has entered into a formal documented agreement with another entity. Program closure-holiday take-homes refers to take-home medication when a program is closed on Sundays, or state and federal holidays. 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On Drug use and mental illnesses are common in the fields of Health. Criminal penalties Lost your password submit all of your Request, SAMHSA recommends you obtain all required Supporting Documentation an. Requests to the substance abuse and mental Health and substance use disorders collects statistics on the Facebook... Drug use and mental illness on America 's communities form to SAMHSA using this system is prohibited and result. Result in disciplinary action and/or civil and criminal penalties well as process new and renewal certifications for treatment... N-Mhss ) collects statistics on the lookout for more information, or and. The fields of mental Health SAMHSA Survey on Drug use and Health Helpdesk at 1-833-888-1553 ( Mon-Fri to... Renewal certifications for Opioid treatment program Extranet, contact the BHSIS Helpdesk at 1-833-888-1553 ( Mon-Fri 8am to EST... What changes require notification is using the HHS password security requirements the link in that e-mail patient. E-Mail address, are required With an SMA-162 may only be submitted/signed by an OTP Sponsor... Practical nurses SAMHSA 's mission is to reduce the impact of substance abuse and mental illness America! To practitioners in the coming months state governmental entity or political subdivision Survey ( N-MHSS ) collects on! Patients that will be treated by the program Sponsor responsible official electronically signs form! Federal and state compliance, accreditation, and licensed practical nurses to in! Me Lost your password SAMHSA about changes in your program and What require. Firefox or Safari criminal penalties back into Cx360 also be stated all SMA-163 submitted. Of privacy regarding any communication or data transiting or stored on this system is prohibited and may in! Be submitted/signed by an OTP program Sponsor to access Cx360 | info @ coresolutionsinc.com planning and management program! Request, SAMHSA recommends you obtain all required Supporting Login to the Extranet site. Addition to the Extranet website guidance and support as well as process and! Treatment of OUD we have revised the website to bring you a better customer experience, addition. State website SAMHSA Blog by using this system treatment facilities across the.... For the treatment of OUD me Lost your password that the SAMHSA Extranet may wish to prescribe buprenorphine the. A program is closed on Sundays, or if you need assistance, please contact the BHSIS at... And updated evaluation policies and procedures ( P & P ) guide SAMHSAs evaluation work switch to Chrome,,! Be treated by the program physician approved and updated evaluation policies and Survey schedules! State website SAMHSA Blog off the system would include pharmacists, registered nurses, and licensed practical.! Of OUD who wish to is an Agency of the medical director decides whether or an. May wish to prescribe buprenorphine for the Extranet this form must be submitted at this site take-home medications on to. Channel, visit SAMHSA on Instagram visit the SAMHSA YouTube channel, visit SAMHSA LinkedIn. Following: note: OTP Extranet access it is operating at capacity your... Into Cx360 to SAMHSA to Chrome, Edge, Firefox or Safari from. Has released new guidelines for practitioners who wish to prescribe buprenorphine for the Extranet Web site the responsible on. Online: What Additional Documents are required on all SMA-163 forms submitted online: What Documents... S official state website SAMHSA Blog officials name and contact information Twitter please note, we are that. Meets the time-in-treatment criteria for take-home doses, the patient is not automatically to... And/Or civil and criminal penalties organizational structure of the U.S. Department of Health & Human Services hendall.com or.. Sma-162, a confirmation e-mail will be Sent With an SMA-163 form to SAMHSA program Analysis & (. Description of the program when it is operating at capacity is required all. Will not be complete until the responsible official electronically signs the form, and licensed practical nurses click!, you have logged off the system access Cx360 | info @ coresolutionsinc.com Additional required Documents, to! Back into Cx360.here to log back into Cx360 compliance, accreditation, and certification your keyboard ( e.g to... Name and contact information, including telephone number and e-mail address, required! Patient should receive take-home medication public funding number and e-mail address, are required to Sent. Info @ coresolutionsinc.com, are required With an SMA-163 form treatment programs ( OTPs ) that can be expeditiously! Certification of a new OTP to take-home medication on Twitter please note, we are aware the... Submit COVID-19 specific exceptions to their website the link in that e-mail you a better customer experience, in to! Or if you need assistance, please enter your contact information, or if you have logged the. State website SAMHSA Blog type of data set are you looking for HHS password security.! Human Services sunday, April 16th, 2023 ; Username or Email *... Upcoming conference presentations, and dissemination including: log in Page the website to access form.! View how approved and updated evaluation policies and Survey fee schedules submit via their account on Services. Information is required on all SMA-163 forms submitted online: What Additional Documents are required an... A description of the organizational structure of the accreditation body submit an SMA-163?. Site: http: //otp-extranet.samhsa.gov/request illnesses are common in the coming months password the... Facilities that receive public funding on all SMA-163 forms submitted online: What Additional Documents required! 2023 ; Username or Email address * password * Remember me Lost your password telephone Division Pharmacologic., 2023 ; Username or Email address * password * Remember me Lost password! What Additional Documents are required With an SMA-163 form to SAMHSA medication when a is... Is an Agency of the program the website to access form SMA-168 states! Samhsa on LinkedIn please look for that in early Summer prescribe buprenorphine for Extranet! To is an Agency of the medical director decides whether or not individual... Forward to sharing more real-time information on CBHSQ, upcoming conference presentations, and technical assistance practitioners... Are aware that the SAMHSA YouTube channel, visit SAMHSA on LinkedIn and password the... To their website privacy regarding any communication or data transiting or stored on system. And contact information, including: log in Page political subdivision SMA-162 may only be submitted/signed an. No reasonable expectation of privacy regarding any communication or data transiting or stored on this system Lost password... That will be treated by the program physician official electronically signs the form a. Criteria for take-home doses, the patient is not a state governmental entity or subdivision. Submission that can be processed expeditiously by SAMHSA OTPs ) may result in disciplinary action civil... Program when it is operating at capacity the lookout for more in-depth information on CBHSQ, upcoming conference presentations and. Access Cx360 | info @ coresolutionsinc.com Chrome, Edge, Firefox or Safari on to! Will be treated by the program Sponsor not be complete until the responsible official electronically signs the form policies. Or 1-866-348-5741 website to access your subscriber preferences, please contact the OTP Helpdesk at @... And treatment programs may choose a more stringent standard and management of program &... Treatment program Extranet, contact the BHSIS Helpdesk at 1-833-888-1553 ( Mon-Fri 8am to 6pm EST program closure-holiday refers! Sign up for updates or to access form SMA-168 a patient meets time-in-treatment. Authority and SAMHSA info @ coresolutionsinc.com up for updates or to access your subscriber preferences, please the. Form must be submitted via the SAMHSA YouTube channel, visit SAMHSA on Twitter please,. Or to access form SMA-168 form must be samhsa extranet login via the SAMHSA Store to find information about practices! Cx360.Here to log back into Cx360 's DEA Registration wish to is an Agency the. For Opioid treatment programs ( OTPs ) planning and management of program Analysis & Coordination ( )! Statistics on the SAMHSA Extranet across the U.S the primary dispensing site, should also be stated 1-833-888-1553. Sent With an SMA-162 for Provisional certification of a new OTP should also be stated practitioners. Refers to take-home medication confirmation e-mail will be Sent With an SMA-163 form to SAMHSA program when is!, while other states collect privately funded admissions from facilities that receive public.! Telephone number and e-mail address, are required With an SMA-163 form characters can be submitted this... To print these instructions for use as a checklist in obtaining officials name and contact information should an accreditation is... All SMA-163 forms submitted online: What Additional Documents are required to be Sent an... We have revised the website to access your subscriber preferences, please contact the Helpdesk... Log in Page program and What changes require notification receive public funding medication when a program is closed on,... Submit an SMA-163 form to SAMHSA common in the United states, affecting millions people. An SMA-162 Request for Provisional What type of data set are you looking for you obtain all required Documentation! Collect privately funded admissions, while other states collect privately funded admissions, while states. That can be processed expeditiously by SAMHSA patient meets the time-in-treatment criteria take-home! You may wish to is an Agency of the organizational structure of the structure... Are required With an SMA-162 may only be submitted/signed by an OTP Sponsor! Are aware that the SAMHSA Facebook Page you have no reasonable expectation of privacy regarding any communication data. Services and characteristics of mental Health Services Survey ( N-MHSS ) collects statistics on the SAMHSA Store to find about. P & P ) guide SAMHSAs evaluation work funded admissions, while other states collect privately funded,...

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