The ASAM Criteria Utilization Management Course

3.67 (3 votes)

  • 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 - $149

The ASAM Criteria Utilization Management Course

On-Demand Course

Overview

This 8-hour, on-demand course is designed 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).

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.

The target audience for this introductory and intermediate level activity include: managed-care medical directors, licensed health professionals conducting medical necessity reviews for SUDs, and providers of SUD treatment.

This activity addresses the following ACGME Competencies: Patient Care and Procedural Skills, Medical Knowledge, Practice-Based Learning and Improvement, and Systems Based Practice.



Learning Objectives

Upon completion, learners will be able to:

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

Registration Rates

ASAM Learner TypeRate
ASAM Member$149
Non-Member$199
Associate Member$99
Resident Member*$99
Student Member*$99

*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 e-Learning 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 e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.

Registration Deadline: 09/08/2024

Instructions

  1. Click on the Contents tab to begin this activity.
  2. Click Complete Post Test after each module to answer multiple choice questions. Participants will have 10 attempts to pass and must answer 4 out of 5 questions correctly.
  3. Click Complete Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
  4. Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM e-Learning Center, clicking Dashboard, and clicking Transcript/Achievements.

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.

Alvin D. Pelt

MD, FASAM

Alvin Pelt, MD, FASAM 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).

Alvin Pelt, MD, FASAM 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.



No relevant financial disclosures

Wendy Welch

MD, FASAM

Wendy Welch, MD, FASAM 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.

No relevant financial disclosures

CME, CE, CEU and Other Credit Types

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 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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 (MOC) or Continuing Certification Programs (CCP)

American Board of Preventive Medicine (ABPM)
The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 8 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. 

Royal College of Physicians and Surgeons of Canada (RCPSC)
Royal College Fellows can use participation in Accredited Continuing Medical Education to earn Section 3 Credits

American Board of Addiction Medicine (ABAM)
Successful completion of this activity can be used to satisfy the American Board of Addiction Medicine (ABAM) Tmoc credit requirements.

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 mitigating all possible relevant financial relationships with ineligible companies for the Planning Committees and Presenters. All activity Planning Committee members and Presenters 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.

Key:

Complete
Failed
Available
Locked
Complete Module - Course Overview
Begin self-paced component package.
Begin self-paced component package. This activity will take approximately 60-80 minutes to complete. This activity was last reviewed and updated in August 2021.
Complete Module 1 - Using The ASAM Criteria in Utilization Management
Begin self-paced component package.
Begin self-paced component package. This activity will take approximately 60-80 minutes to complete. This activity was last reviewed and updated in August 2021.
Complete Post Test - Module 1
5 Questions  |  10 attempts  |  4/5 points to pass
5 Questions  |  10 attempts  |  4/5 points to pass This post-test has 5 questions and requires 4 out of 5 questions to pass the test.
Complete Module 2 - Conducting Initial Case Reviews
Begin self-paced component package.
Begin self-paced component package. This activity will take approximately 60-80 minutes to complete. This activity was last reviewed and updated in August 2021.
Complete Post Test - Module 2
5 Questions  |  10 attempts  |  4/5 points to pass
5 Questions  |  10 attempts  |  4/5 points to pass This post-test has 5 questions and requires 4 out of 5 questions to pass the test.
Complete Module 3 - Individual Treatment Plan (ITP)
Begin self-paced component package.
Begin self-paced component package. This activity will take approximately 60-80 minutes to complete. This activity was last reviewed and updated in August 2021.
Complete Post Test - Module 3
5 Questions  |  10 attempts  |  4/5 points to pass
5 Questions  |  10 attempts  |  4/5 points to pass This post-test has 5 questions and requires 4 out of 5 questions to pass the test.
Complete Module 4 - Continued Service and Transfer/Discharge Criteria
Begin self-paced component package.
Begin self-paced component package. This activity will take approximately 60-80 minutes to complete. This activity was last reviewed and updated in August 2021.
Complete Post Test - Module 4
5 Questions  |  10 attempts  |  4/5 points to pass
5 Questions  |  10 attempts  |  4/5 points to pass This post-test has 5 questions and requires 4 out of 5 questions to pass the test.
Complete Module 5 - Becoming Proficient in Utilization Management Using The ASAM Criteria
Begin self-paced component package.
Begin self-paced component package. This activity will take approximately 60-80 minutes to complete. This activity was last reviewed and updated in August 2021.
Complete Post Test - Module 5
5 Questions  |  10 attempts  |  4/5 points to pass
5 Questions  |  10 attempts  |  4/5 points to pass This post-test has 5 questions and requires 4 out of 5 questions to pass the test.
Complete Evaluation
16 Questions
16 Questions Scroll down on evaluation, there may be questions that expand past the size of the window.
Complete Presenter Evaluation
3 Questions
3 Questions Please complete the evaluation to claim CME.
Claim Credit & Certificate
Up to 8.00 medical credits available  |  Certificate available
Up to 8.00 medical credits available  |  Certificate available Participants should claim only the credit commensurate with the extent of their participation in the activity.