Online Course
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Includes Credits
Implementing The ASAM Criteria 4th Edition in Utilization Management Course is a 5-hour fully online course designed to designed to help managed behavioral health organizations (MBHO) and managed care payers to develop a holistic understanding of The ASAM Criteria and their role in constructing a full range of services for patients with substance use disorders (SUD) and co-occurring disorders.
Implementing The ASAM Criteria 4th Edition in Utilization Management Course
Created August 2024
Online CourseOverview
This 5-hour online course is designed to help managed behavioral health organizations (MBHO) and managed care payers to develop a holistic understanding of The ASAM Criteria and their role in constructing a full range of services for patients with substance use disorders (SUD) and co-occurring disorders.
Through interactive and case-based activities, the course covers the process of conducting objective clinical case reviews, evaluating treatment plans, and determining the appropriate level of care in accordance with the 4th Edition of The ASAM Criteria. The course also explores the importance of implementing a collaborative process between treatment providers and payers to ensure patient-centered care.
The target audience for this course includes beginner, intermediate, and advanced counselors, social workers, administrators, clinical staff, medical students, managed-care medical directors, licensed health professionals (managed care payers) who conduct medical necessity reviews for SUDs, and any other healthcare professional who works with individuals with addictive, substance-related, and co-occurring conditions.
Learning Objectives:
- Examine the payer’s role in the system-wide implementation of The ASAM Criteria, Fourth Edition.
- Evaluate patient risk ratings across ASAM Criteria subdimensions based on the Dimensional Admission Criteria, as defined in The ASAM Criteria, Fourth Edition.
- Evaluate treatment plans and treatment plan updates to determine if the program is effectively supporting the member in addressing their Dimensional Drivers as defined by The ASAM Criteria, Fourth Edition.
- Conduct objective, comprehensive clinical case reviews (and concurrent reviews) based on The ASAM Criteria, Fourth Edition, to drive ongoing evidence-based care.
- Evaluate requests for continued service and level of care transitions based on the Continued Service and Transition Criteria, as defined in The ASAM Criteria, Fourth Edition.
- Evaluate treatment plans and treatment plan updates to determine if the program is effectively supporting the member to make address their Dimensional Drivers as defined by The ASAM Criteria, Fourth Edition.
- Evaluate transition plans based on The ASAM Criteria, Fourth Edition, to support effective transitions to less intensive levels of care.
- Implement a collaborative process between payers, treatment providers, and policymakers using The ASAM Criteria, Fourth Edition, as a shared language to support mutual understanding and enhanced accountability to promote patient-centered care.
- Examine implementation challenges and develop strategies to provide appropriate treatment for persons with SUDs.
- Understand what tools and resources are available to support effective system-wide implementation of The ASAM Criteria.
Registration Rates
ASAM Learner Type Rate ASAM Member $169 Non-Member $229 Associate Member $119 Resident Member* $119 Student Member* $119 *Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.
Membership Question? Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.
Refunds & Cancellations
All ASAM eLearning Center refund requests must be made in writing to Education@ASAM.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or eLearning Center credit.Open Registration: 08/05/2024 - 08/05/2027
Close Access Date: 09/05/2027Course Instructions
- Click the Contents tab to begin the activity.
- Complete the Course Introduction and Modules 1-4.
- After each module click Complete Post Test to answer multiple choice questions. Participants will have 10 attempts to pass and must answer 70% of the total questions correctly.
- Click Complete Evaluation - Presenters to provide valuable activity feedback.
- Click Claim Certificate to claim your medical credits. Click the button View/Print Certificate to save or print your certificate.
Need Assistance?
For assistance logging in, accessing activities, claiming credit, or for other questions or concerns, please check the FAQ page or e-mail Education@ASAM.org
ASAM is proud to offer eSSENTIAL Accessibility to ensure our website is accessible and functional for all our learners while providing free assistive technology for people with the widest possible range of abilities.
Brian Hurley
MD, MBA, DFASAM
Brian Hurley, MD, MBA, DFASAM is an addiction physician and the Director of Addiction Medicine for the Los Angeles County Department of Health Services. Brian is currently a Director at Large for the American Society of Addiction Medicine (ASAM) and will assume the position of President-Elect this April 2021. He co-chairs the Los Angeles County Department of Health Services’ Substance Use Disorders Workgroup and the SafeMedLA Medications for Addiction Treatment Action Team, and is the Clinical Director of the Addiction Treatment Starts Here programs through the Center for Care Innovations, focused on increasing the delivery of Medications for Addiction Treatment in California’s community health centers. He is the PI of two MAT Access Points projects funded by the Sierra Health Foundation, a co-PI of a TRDRP funded smoking cessation implementation project, and a co-investigator on NIDA, NIAAA, and PCORI funded addiction related implementation science grants managed through RAND. He is a member of the Motivational Interviewing Network of Trainers and regularly conducts motivational interviewing trainings throughout the United States. He is a Volunteer Assistant Clinical Professor of Addiction Medicine in the Department of Family Medicine at the UCLA David Geffen School of Medicine. He additionally serves on the American Board of Psychiatry and Neurology’s Addiction Psychiatry examination writing committee.
Brian completed the Robert Wood Johnson Foundation Clinical Scholars Program at the University of California, Los Angeles (UCLA), and was previously a UCLA - Veterans Administration National Quality Scholar at the VA Greater Los Angeles Healthcare System. He completed a fellowship program in addiction psychiatry at New York University School of Medicine. He completed residency training at the Massachusetts General Hospital and McLean Hospital, where he was Chief Resident in Addiction Psychiatry. Brian is a former National President of the American Medical Student Association.
No relevant financial disclosures
Joel V. Brill
MD
Joel V. Brill, MD FACP is an executive clinician with over 30 years of experience providing strategic leadership and medical oversight to large data-driven health organizations. Dr. Brill is Board Certified in Internal Medicine and Gastroenterology and works extensively with the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) on coding, coverage and reimbursement issues, and co-Chaired the Part D medication measures Technical Expert Panel for CMS. Dr. Brill is an Assistant Clinical Professor of Medicine at the University of Arizona College of Medicine, and an Adjunct Assistant Professor of Medicine at Midwestern University. He participates in the CPT Editorial Panel and the AMA RBRVS Update Committee (RUC) and has introduced over 200 HCPCS and CPT coding proposals. He has published extensively on episode and bundled payment methodologies and has developed and submitted advanced payment models to the HHS Physician Focused Payment Model Technical Advisory Committee for consideration under MACRA.
Does Disclose - Consultant/Advisory Board, Ownership Interest (includes stock, stock options, patent or other intellectual property): Perry Health, Hello Heart, and Anx Robotica. Ownership Interest (includes stock, stock options, patent or other intellectual property): Accomplish Health and Stage Zero Life Sciences
Christine R. Mulford
RN, MSN, FNP-BC
Christine Mulford, RN, MSN, FNP-BC is a board-certified Family Nurse Practitioner who brings more than two decades of clinical practice and leadership to the field of addiction medicine. She has practiced at all levels of outpatient care, including telemedicine. Additionally, she has directed an inpatient medically managed withdrawal management program. Her special interests are meeting the unique treatment needs of LGBTQ+ individuals and reducing stigma for all individuals with substance use disorders.
Ms. Mulford earned her Master of Science in Nursing from Vanderbilt University in Nashville, Tennessee. She has served as a guest lecturer for Arizona State University Project Echo. At ASAM, she holds positions on The ASAM Criteria Education Planning Committee as well as the ASAM CONTINUUM sub-committee. She has been an ASAM Faculty member since 2019.
No Relevant Financial Disclosures.
Course Reviewers
- Paul Earley, MD, DFASAM - Does disclose Dynamicare: Ownership Interest (includes stock, stock options, patent or other intellectual property)
- Sara Johnson, RN, BSN, MA - No relevant financial relationships
- Kristin Calheno-Hill, RN, BSN, MA - No relevant financial relationships
- Steve Daviss, MD, DLFAPA, FASAM - Does disclose Optum – Employee Stock, M3 Information – minority equity
- David Gastfriend, MD, DFASAM - No relevant financial relationships
Course Contributors
- Debra Nussbaum, PhD, LCSW - No relevant financial relationships
- Patrice Reed, MA, LPCC, LADC - No relevant financial relationships
- Michele Virva, LCSW FNAP - No relevant financial relationships
Accreditation & Credit Designation Statements
Joint Accreditation Statement
In support of improving patient care, the American Society of Addiction Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Available
- Physicians: 5 Credit(s)
- Nurses & NPs: 5 Nursing Contact Hour(s)
- Pharmacology Hour(s): 5 Hour(s)
- PAs: 5 Credit(s)
- Pharmacists: 5 Credit(s)
- Social Workers: 5 Credit(s)
- Interprofessional Continuing Education: 5 Credit(s)
- Certified Counselors: 5 NBCC Contact Hour(s)
Maintenance of Certification (MOC)/Continuing Certification Program (CCP)
This activity is designed to meet the requirements for MOC/CCP for several primary physician boards and for state licensing CME requirements. MOC Credit is only reported and designated for ABA, ABP, ABIM, and ABS. By completing the online credit application and evaluation, the learner permits ASAM to report credits to the appropriate Board. Learn more.
- ABA MOCA 2.0®*: 5 Lifelong Learning
- ABIM MOC Points: 5 Medical Knowledge
- ABP MOC: 5 Lifelong Learning & Self-Assessment
- ABS Continuing Certification: 5 Accredited CME
Additionally, this activity has been designed to satisfy the requirements of the following primary physician board certification requirements. Please confirm with your individual Board.
- American Board of Addiction Medicine (ABAM)
- American Board of Preventative Medicine (ABPM)
- American Board of Psychiatry and Neurology (ABPN)
- Royal College of Physicians and Surgeons of Canada (RCPSC)
Certificates for other professions
All participants may request a certificate of participation upon completion of the activity and an online evaluation confirming their participation. Learners are strongly advised to contact their professional licensing board or professional association to confirm this certificate will be accepted as evidence supporting continuing education requirements.
California Association for Drug/Alcohol Educators (CAADE)
This educational program is approved by CAADE: #CP40 999 1225.
California Association of DUI Treatment Centers (CADTP)
This educational program is approved by CADTP: #205.
California Consortium of Addiction Programs and Professionals (CCAPP)
This educational program is approved by CCAPP: #OS-20-330-1224.
Disclosure Information
In accordance with the disclosure policies of ASAM and Joint Accreditation, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all accredited continuing education activities. These policies include identifying and mitigating all relevant financial relationships with ineligible companies for those involved in the creation and dissemination of accredited continuing education.
See the attached pdf for a list of disclosures.
American Society of Addiction Medicine has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7062. Programs that do not qualify for NBCC credit are clearly identified. American Society of Addiction Medicine is solely responsible for all aspects of the programs.
MOCA 2.0® is a trademark of the American board of Anesthesiology®. This activity contributes to the patient safety CME requirement for Part II: Lifelong Learning and Self-Assessment of the American board of Anesthesiology's (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website, https://www.theaba.org/, for a list of all MOCA 2.0 requirements.
The complete list of disclosures and designation statements are linked below.
This course incorporates AI technology to enhance certain audio and visual elements. In select cases, we employed AI-powered voice cloning to create audio versions of faculty developed content. All content was developed and approved by expert faculty, without the use of AI tools.
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