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American Society of Addiction Medicine (ASAM) Designation
In an effort to raise the standards of care for addictions providers in Indiana, the Office of Medicaid Policy and Planning (OMPP) is partnering with the Division of Mental Health and Addiction (DMHA) on an American Society of Addiction Medicine (ASAM) level of care designation process, beginning with residential addiction treatment facilities.
To solidify this process, Indiana Medicaid has created a new provider specialty 836 (Substance Use Disorder (SUD) Residential Addiction Treatment Facility) within provider type 35 (addiction services). By July 1, 2018, all facilities seeking Medicaid reimbursement for residential SUD treatment must be enrolled as this new provider specialty.
ASAM designation process
Step 1: Obtain an addiction treatment services provider, regular certification and sub-acute facility certification from DMHA.
The first step in the process is to be certified as an addiction treatment services provider, regular certification and residential sub-acute facility by DMHA. Facilities licensed as Department of Child Services (DCS) child care institutions or private secure care institutions need to have addiction treatment services provider, regular certification, not sub-acute facility certification. If you need to apply, click here for a list of documents needed to apply, click here to go to the forms.
Step 2: Obtain an ASAM designation from DMHA.
After obtaining the required certifications from DMHA, each facility will need to apply for ASAM designation from DMHA. DMHA will provide a designation indicating approval of offering ASAM Level 3.1 or Level 3.5 residential services. Click here to complete the application for ASAM designation.
Step 3: Enroll as a Medicaid provider/add provider type and specialty.
After you have received your certification as an addiction treatment services provider, regular certification and residential sub-acute facility with your ASAM designation, the last step is being enrolled as a Medicaid provider with the provider type 35 (addiction services) and provider specialty 836 (SUD residential addiction treatment facility). If you are not a Medicaid provider yet or you are already a Medicaid provider and you need to add the provider type and specialty, you can use the following links to assist in the process:
You can also learn about the newest coverage for substance use treatment by visiting the Indiana Medicaid Bulletin BT201801.
As an addiction residential provider, you may find the resources below helpful.
ASAM designation FAQs – This document lists frequency asked questions regarding the ASAM designation process.
For addiction providers – This webpage lists upcoming DMHA trainings for addiction providers, how to be added to the DMHA addiction team email notifications and information about ASAM.
- ASAM Website – This webpage takes you to the official ASAM website