ASAM Criteria Utilization Management Course

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  • Register
    • Non-Member - $199
    • Regular Member - $149
    • Retired - $149
    • Early Career Physician - $149
    • Resident - $99
    • Student - $99
    • Associate - $99
    • ASAM Staff - Free!
    • International Member - $149
    • Emeritus Member - $149
    • Provisional Member - $149
    • Fellow Member - $149
    • Honorary Member - $149
    • CRT Member - $199

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The ASAM Criteria Utilization Management Course

Course Overview 

Welcome to Using The ASAM Criteria Utilization Management Course online course designed for beginner, intermediate and advanced counselors, social workers, administrators, and other clinical staff help managed care payers 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). 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 ASAM Criteria. The course also explores the importance of implementing a collaborative process between treatment providers and payers to ensure patient-centered care. Participants will explore the payer’s role in anticipating and adapting to implementation challenges to meet patient needs. This interactive hybrid asynchronous course is comprised of reading based, some recorded video-based online delivery, and can be completed at your own pace. This is a beginner level course.  

Begin the course by reviewing the Getting Started page that contains information about the structure and sequence of the course. From there, you can review the course introduction, faculty information, content modules, and different sections of the course to get acquainted with course navigation.

Quick Links 


ACGME Competencies

  • Patient Care and Procedural Skills
  • Medical Knowledge
  • Practice-Based Learning and Improvement
  • Systems Based Practice

Target Audience

  • Managed-care medical directors
  • Licensed health professionals conducting medical necessity reviews for SUDs
  • Providers of SUD treatment 

Getting Started


Structure of the Course

It's important to familiarize yourself with the overall structure and elements of the environment in which you will be learning. This online course is fully online and self-paced. The course content, learning activities, and assessments in the course should be completed asynchronously—you will log into the course site and complete them at your own pace. The course will take approximately 8-10 hours to complete. Date of Creation: 7.24.2020.

All content modules are available under the Contents tab in the course navigation.

Registration Deadline: There is no registration deadline. 

Module Structure

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Overview

This section serves as an introduction to the module.

 
 
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Learning Objectives

The learning objectives for the module are listed here.

 
 
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Module Introduction

The introduction provides an overview of the upcoming content.

 
 
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Module Content

This section contains content and learning materials you need to read or view.

 
 
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Practice/Reflection Exercise

This section contains practice and/or reflection exercises to help you work toward mastery of the concepts.

 
 
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Assessment

Each module contains a short assessment and at the end of the course, you will take a post-test. Learners are required to earn a 75% or above on the post-test and have 5 opportunities to successfully complete the post-test.

Course Introduction


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Implementing The ASAM Criteria in Utilization Review and Management

As increasing numbers of managed care companies, utilization management entities, and providers of care use The ASAM Criteria to guide level of care decisions, the opportunity for differences in interpretation and implementation also increases. Therefore, it is increasingly incumbent on all parties (clinicians, provider organizations, care managers, and payers) to manage care with clinical and fiscal integrity, in accordance with The ASAM Criteria. This course is designed to to help managed care payers 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).

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Learning Objectives

At the end of this course, you will be able to:

  • Examine the guiding principles of The ASAM Criteria and the payer’s role in its system-wide implementation.
  • Evaluate patient risk ratings across the six dimensions, as defined in The ASAM Criteria.
  • Evaluate treatment plans and clinical assessments in accordance with The ASAM Criteria to determine if the requested level of care is appropriate.
  • Conduct objective, comprehensive clinical case reviews (and re-reviews) based on The ASAM Criteria to drive ongoing evidence-based care.
  • Implement a collaborative process between treatment providers and payers using common terminology of The ASAM Criteria to ensure patient-centered care.
  • Examine implementation challenges and develop strategies to provide appropriate treatment for patients with substance use disorders.

Faculty


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Dr. Alvin D. Pelt, MD, FASAM

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Dr. Alvin Pelt, MD, is an addiction psychiatrist in the Central Ohio area, where he began his practice in 1989. He is a graduate of Western Michigan University and Wayne State University School of Medicine. Dr. Pelt is Board Certified with the American Board of Neurology and Psychiatry, with additional certification in Addiction Psychiatry; he is also a Diplomate of the American board of Addiction Medicine (ABAM).

Dr. Pelt has over twenty years of experience in treating addictions; with specialization in the areas of alcohol and opiate addiction-recovery. He is currently the Behavioral Health Medical Director for Buckeye Health Plan, a Centene corporation affiliate. He has previously served as Medical Director for several addiction treatment programs in Central Ohio.



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Dr. Alvin Pelt Intro Video






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Dr. Wendy Welch, MD, FASAM

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Dr. Wendy Welch is a board-certified addiction psychiatrist. Her clinical career has been in treating both adults and children with addiction and co-occurring psychiatric illnesses. She is currently the Chief Medical Officer of Cardinal Innovations Healthcare, a specialty behavioral health plan that serves Medicaid recipients in about 20 counties across the state of North Carolina.

With 24 years of experience, Welch is a Certified Physician Executive and is also certified in Health Care Quality and Management. Welch received her Doctor of Medicine (MD) degree from the University of Florida in 1990. In 2019, Welch received an MBA in Business Administration, Management and Operations from the University of Massachusetts, Amherst.



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Dr. Wendy Welch Intro Video

Key:

Complete
Failed
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Course Overview
Course Overview
Begin self-paced component package.
Begin self-paced component package.
Module 1 Using The ASAM Criteria in Utilization Management
Module 1
Begin self-paced component package.
Begin self-paced component package.
Module 2 Conducting Initial Case Reviews
Module 2
Begin self-paced component package.
Begin self-paced component package.
Module 3 Individual Treatment Plan (ITP)
Module 3
Begin self-paced component package.
Begin self-paced component package.
Module 4 Continued Service and Transfer/Discharge Criteria
Module 4
Begin self-paced component package.
Begin self-paced component package.
Module 5 Becoming Proficient in Utilization Management Using The ASAM Criteria
Module 5
Begin self-paced component package.
Begin self-paced component package.
Evaluation, Post-Test, and Certificate
Utilization Management Post Course Evaluation
19 Questions
Claim Certificate
Up to 8.00 medical credits available  |  Certificate available
Up to 8.00 medical credits available  |  Certificate available

How to Claim Credits


To claim continuing education (CE) and/or continuing medical education (CME) credit, follow the steps below.

STEP 1

Complete all the content modules in the course located under "Course Content." Each module contains instructional materials, interactive exercises, and knowledge checks. After completing the five modules, take the end of the course post-test assessment. Learners must achieve a 75% or higher on the post-test and will have 5 opportunities to successfully complete the post-test

STEP 2

Complete the post-course evaluation. Fill out the survey by clicking the blue "Fill out Survey" button. Be sure to scroll down on all Likert Scale questions. There are answers that expand past the size of the survey window. Submit the evaluation (the next box should activate, and the evaluation box should turn green with a white check mark).

STEP 3

Click the button “Claim Credits” in the box titled "Download Course Certificate." Choose the type of credit (Physician or Non-physician) and click submit. Click the button “View/Print Certificate” to save or print your certificate. If you ever lose your certificate, you can come back to the ASAM e-Learning Center and view it on your transcript (found in the Dashboard).

Credits and Disclosures


ACCME Accredited with Commendation

ACCME Accreditation Statement

The American Society of Addiction Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA Credit Designation Statement

The American Society of Addiction Medicine designates this enduring material for a maximum of 8 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

National Board for Certified Counselors ACEP

The 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. The American Society of Addiction Medicine is solely responsible for all aspects of the programs.

NAADAC, the Association for Addiction Professionals

This activity has been approved by the American Society of Addiction Medicine, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #295, ASAM is responsible for all aspects of the programming.

California Association for Drug/Alcohol Educators (CAADE)

This educational program is approved by CAADE: #CP40 999 1222

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-20-330-1222

Continuing Education Credits (CEUs)

Non-physician participants will receive a certificate of attendance upon completion of the activity and an online evaluation confirming their participation. Participants should submit his/her certificate of attendance to their professional organization/institute.

Maintenance of Certification


American Board of Preventive Medicine (ABPM)

The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 8 LLSA credits towards ABPM MOC Part II requirements.

American Board of Anesthesiology (ABA)

This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology TM (MOCA®) program, known as MOCA 2.0®.

American Board of Pediatrics (ABP)

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn a maximum of 8 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Internal Medicine (ABIM)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 8 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credits.

American Board of Surgery (ABS)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and/or Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit

American Board of Psychiatry and Neurology (ABPN)

Successful completion of this CME activity can be used to satisfy the American Board of Psychiatry and Neurology’s (ABPN) CME requirement for Maintenance of Certification program.

American Board of Addiction Medicine (ABAM)

Successful completion of this activity can be used to satisfy the American Board of Addiction Medicine (ABAM) for Tmoc as credits towards ABAM LLSA Part II requirements.

CME Reviewer and Disclosure Information


ASAM CME Committee Reviewer

Herbert Malinoff, MD, FACP, DFASAM – No Relevant Financial Disclosures 

Program Planning Committee, CME Committee, Medical Education Council (MEC), and Faculty Disclosure Information

In accordance with disclosure policies of ASAM and the ACCME, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all CME activities. These policies include resolving all possible conflicts of interest for the Planning Committees, CME Committee, MEC, and Faculty. All activity Planning Committee members and Faculty have disclosed relevant financial relationship information. The ASAM CME Committee has reviewed these disclosures and determined that the relationships are not inappropriate in the context of their respective presentations and are not inconsistent with the educational goals and integrity of the activity.

Faculty and Planning Committee


Faculty Disclosure Information

David Mee-Lee, MD, FASAM – Does Disclose

  • Change Companies, Royalties, Developing and delivering eTraining modules and Interactive Journals
  • Train for Change, Training fees, Training workshops on ASAM Criteria

David R. Gastfriend, MD, DFASAM – Does Disclose

  • ASAM, Royalty, Chief Architect (Agent) CONTINUUM
  • Alkermes, Stockholder,
  • Intent Solutions, Stock, Consultant
  • DynamiCare Health BiorCorRx, FEi Systems, Stock/Salary, Chief Medical Officer & Co-Founder
  • Horizon BCBS, IBM Watson, fee, Consultant

Planning Committee Disclosure Information

Corey Waller, MD, MS, DFASAM, FACEP, (Chair) – No Relevant Financial Disclosures 

David Mee-Lee, MD, FASAM – No Relevant Financial Disclosures 

David R. Gastfriend, MD, DFASAM – No Relevant Financial Disclosures 

Lewis Breitner, PhD, LADC, LMFT – No Relevant Financial Disclosures 

Amy Davis, DO, MS, FACP, FAAHPM – No Relevant Financial Disclosures 

Jennifer Harrison, PhD, LMSW, CAADC – No Relevant Financial Disclosures 

Melissa Holland, MA, MD, FACOG, CAADC – No Relevant Financial Disclosures 

Christine Mulford, RN, MSN, FNP-BC – No Relevant Financial Disclosures 

Surita Rao, MBBS, FASAM – Does Disclose

  • John Snow, Inc., Speaker/Honoraria (includes speakers bureau, symposia, and expert witness)

J. Paul Seale, MD, FASAM – No Relevant Financial Disclosures 

Gerald D. Shulman, MA, MAC, FACATA – No Relevant Financial Disclosures 

Refunds, Cancellations and ADA Accommodations

All  refund requests and cancellations must be made in writing and emailed to ASAM's Education Department: education@asam.org

If you require ADA Accommodations, please contact ASAM's Education Department.

Fees


ASAM Member, Retired, Early Career Physician: $149.00

ASAM Member, Retired, Early Career Physician: $149.00

ASAM Resident, Student, Associate Members: $99.00