Treatment of Opioid Use Disorder: Waiver Qualifying - WISAM - Monday, September 14, 2020

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Includes a Live Event on 09/14/2020 at 1:30 PM (EDT)

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Host: WISAM

Date: Monday, September 14, 2020 | 12:30 pm - 5:00 pm CT

ONLY OPEN TO WI PROVIDERS

Remote Live Webinar

Online Portion Due: Sunday, September 13, 2020

Overview 

Welcome to The ASAM Treatment of Opioid Use Disorder Course online access. This course covers all medications and treatments for opioid use disorder, and provides the required education needed to obtain the waiver to prescribe buprenorphine. ASAM is an approved provider by CSAT/SAMHSA of DATA 2000 training.
This is an 8-hour blended course combining 4 hours of online learning followed by 4 hours of live learning. The live portion of the course builds off content delivered in the online portion. Course faculty are expecting learners to complete the online portion before attending the live portion. You must complete both portions to receive credit for the course. 

Getting Started 

To begin the online portion of the course, please log-in to your left and locate the box that says "View Course." If you do not know your password, or you have forgotten it, select "Forgot Password" and you will be emailed a link to reset your password. If you have any questions, please contact education@ASAM.org.

Learning Objectives

Module 1 

  1. Assess patients for the full spectrum of harmful opioid use including misuse and use disorders
  2. Describe the current epidemiologic trends in opioid misuse including overdose and use disorders
  3. Recall opioid use neurobiology as it applies to the development of an opioid use disorder and relapse risk
  4. Summarize the laws regulating office-based opioid treatment including the Drug Addiction Treatment Act of 2000 and the Comprehensive Addiction and Recovery Act of 2016
  5. Summarize the clinical pharmacology, efficacy and safety of methadone, buprenorphine and naltrexone in treating opioid use disorders

Module 2

  1. Identify and assess patients who are appropriate for treatment with medications for an opioid use disorder in an office-based setting
  2. Describe procedures for setting up office systems to support medication prescribing for opioid use disorders
  3. Describe procedures for initiating, stabilizing, maintaining, monitoring and modifying treatment of patients on buprenorphine or naltrexone

Module 3

  1. Summarize the assessment and management of patients with psychiatric and medical co-morbidities associated with opioid use disorders
  2. Describe unique issues of treating adolescents, young adults, pregnant and postpartum patients maintained on medications for opioid use disorders
  3. Summarize acute and chronic pain management strategies for patients with an opioid use disorder

Overall

Apply for a waiver to prescribe buprenorphine to patients with opioid use disorder

Key:

Complete
Failed
Available
Locked
Complete Pre-Course Survey
2 Questions
2 Questions Please answer the following
View Course
Begin self-paced component package.
Begin self-paced component package. Complete Module 1 and Module 2.
Complete Online Portion Evaluation
17 Questions
17 Questions Please complete the evaluation to claim CME.
Attend Live Webinar
09/14/2020 at 1:30 PM (EDT)   |  300 minutes
09/14/2020 at 1:30 PM (EDT)   |  300 minutes Live Webinar begins at 12:30 pm CT (1:30 pm ET) Click the link to register for the webinar. You will receive an email from WISAM with a specialized individual link to join the webinar. Please check all email inboxes and your spam folder for this email.
Complete Live Portion Evaluation
17 Questions
17 Questions Please complete the evaluation to claim CME.
Download CME Certificate
Up to 8.00 medical credits available  |  Certificate available
Up to 8.00 medical credits available  |  Certificate available This session has been approved for 8 AMA PRA Category 1 Credits. Participants should claim only the credits commensurate with the extent of their participation in the activity.

Target Audience

  1. Physicians, Nurse Practitioners, Physician Assistants, Certified Nurse Midwives, Certified Registered Nurse Anesthetists, and Clinical Nurse Specialists who wish to obtain a waiver to prescribe buprenorphine in an office-based setting for opioid use disorder.
  2. Clinicians and healthcare team members working with physicians who prescribe buprenorphine in office-based treatment of opioid use disorder.

Subhadeep Barman

MD, FASAM, FAPA

Subhadeep Barman, MD, FASAM, FAPA is the Medical Director of Addiction Medicine at ProHealth Care, a multi-specialty medical group in south eastern Wisconsin. He earned his medical degree at University of Calcutta, India and subsequently trained in psychiatry in the United Kingdom and then at the University of Vermont. He then practiced psychiatry and addiction medicine at Acadia Hospital in Maine where he became the Associate Medical Director of Ambulatory Services. He has expertise in the use of all approved medications for treatment of opioid use disorder including buprenorphine, methadone and naltrexone. Dr. Barman is board certified in addiction medicine and psychiatry and currently practices at Waukesha Memorial Hospital at the outpatient clinic as well as partial hospital and intensive outpatient programs where he incorporates medication assisted treatment of opioid use disorder. He currently teaches residents at the Waukesha family medicine residency program.  He is actively involved in improving access to treatment of substance use disorders in the community and has presented seminars and workshops on opioid use disorders. He is a member of the Wisconsin State Controlled Substances Board (CSB) and the State Council on Alcohol and Other Drug Abuse (SCAODA). He is also on the Program Committee of the Annual Conferences of American Society of Addiction Medicine (ASAM) as well as the Wisconsin Society of Addiction Medicine (WISAM).

 

 

 

ACCME Accredited with Commendation

CME/CE Credits

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 live internet-based activity for a maximum of 8 AMA PRA Category 1 Credit(s)TM. 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

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)

ABPM Maintenance of Certification (MOC)

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

ABA Maintenance of Certification (MOC)

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®.

ABP Maintenance of Certification (MOC)

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.

 ABIM Maintenance of Certification (MOC)

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 credit.

ABAM Transitional Maintenance of Certification (Tmoc)

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.

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.

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.

ASAM Treatment of Opioid Use Disorder Course Program Planning Committee

NameNature of Relevant Financial Relationship
Dan Alford, MD, MPH, DFASAM, ChairNone
Edwin Salsitz, MD, DFASAM, Curriculum DirectorNone
Alta DeRoo, MD, FASAM, FACOGNone
Soraya Azari, MDNone
Jill Mattingly, DHSc, MMSc, PA-CNone
Debra Newman, PA-C, MPAS, MPHCommercial Interest: AbbVie
What was received: Honoraria
Role: Expert faculty for CME activities
Commercial Interest: Gilead
What was received: Honoraria
Role: Expert faculty for CME activities
Mary McMasters, MD, DFASAMNone
Yngvild K. Olsen, MD, MPH, DFASAMNone
Shawn Ryan, MD, MBA, FASAMCommercial Interest: Crosswave 
What was received: Stock 
Role: Advisor
Commercial Interest: Dynamicare
What was received: Stock
Role: Advisor
Kristin Smith, DNP, FNP-C, AAHIVSNone
Tricia E. Wright, MD, MS, FACOG, DFASAMNone

ASAM CME Committee

NameNature of Relevant Financial Relationship
Catherine Friedman, MD, FAPA, DFASAM, ChairNone
Catharina Armstrong, MD, MPHNone
Subhadeep Barman, MD, FASAM, FAPANone
Benjamin Bearnot, MD, MPH, FASAMCommercial Interest: Johnson and Johnson
What was received: Common stock
Role: None
Commercial Interest: Baxter International
What was received: Common stock
Role: None
Commercial Interest: Takeda Pharmaceuticals
What was received: Common stock
Role: none
R. Jeffrey Goldsmith, MD, DLFAPA, DFASAMCommercial Interest: Alkermes
What was received: Travel expenses
Role: Speaker
Zwaantje H. Hamming, FNP-C, CARN-APNone
Herbert L. Malinoff, MD, FACP, DFASAM None
Noel Ilogu, MD, MRCP, DFASAMNone
Edwin A. Salsitz, MD, DFASAMNone
 ASAM Staff and Consultants
Arlene C. Deverman, MA, CAE, CFRENone
Sandy MetcalfeNone
Kate M. BrundageNone

ASAM Medical Education Council

NameNature of Relevant Financial Relationship
Peter Selby, MBBS, CCFP, FCFP, MHSc, DFASAM, ChairCommercial Interest: Johnson & Johnson; Novartis; Pfizer Inc.
What was received: Received free/discounted materials for research studies through an open tender process
Role: Research Studies
Commercial Interest: Pfizer Inc. Global Research Awards for Nicotine Dependence (GRAND).
What was received: Grant funds
Role: Principal investigator on research study
Commercial Interest: Johnson & Johnson E-NRT Advisory Board
What was received: Consulting Fees
Role: Consulting on Johnson & Johnson E-NRT Advisory Board
Daniel P. Alford, MD, MPH, DFASAMNone
Michael Fingerhood, MD, FACP, FASAMNone
Catherine R. Friedman, MD, FAPA, DFASAMNone
Adam J. Gordon, MD, MPH, FACP, DFASAMNone
Miriam S. Komaromy, MD, FACP, DFASAMNone
Edwin A. Salsitz, MD, DFASAMNone
Brian Hurley, MD, MBA, DFASAMNone
Mark A. Weiner, MD, FASAMNone
 ASAM Staff and ConsultantsNone
Penny S. Mills, MBANone
Arlene C. Deverman, MA, CAE, CFRENone
Marcia Jackson, PhDNone
Dawn C. PiotrowskiNone
Molly S. MazukNone
Alexandra (Alli) KrouseNone
Jennifer L. ButchartCommercial Interest: Merck
What was received: Spouse received stocks
Role: Stockholder


How to Apply for a Waiver

Physicians

SAMHSA reviews waiver applications within 45 business days of receipt. If approved, you will receive a letter via email that confirms your waiver and includes your prescribing identification number.

Waiver applications are forwarded to the DEA. DEA regulations require your prescribing identification number to be included on all buprenorphine prescriptions for opioid dependency treatment, along with your regular DEA number.

If you have not received confirmation of receipt of your application, or if it has been more than 45 business days since submitting it, contact CSAT by email: infobuprenorphine@samhsa.hhs.gov or call 866.287.2728.

Other Approved Prescribers

Apply

NPs and PAs who have completed the 24 hours of required training may seek to obtain a DATA 2000 waiver for up to 30 patients by completing the Waiver Notification Form. Effective February 27, 2017, SAMHSA will only accept electronic submissions of the NOI.

NPs and PAs may send copies of their training certificates to csatbupinfo@dsgonline.com. These waiver applications are forwarded to the Drug Enforcement Administration (DEA), which will assign the NP or PA a special identification number. DEA regulations require this number to be included on all buprenorphine prescriptions for opioid dependency treatment, along with the NP’s or PA’s regular DEA registration number.

SAMHSA shall review waiver applications within 45 days of receipt. If approved, NPs and PAs will receive a letter via email that confirms their waiver and includes their prescribing identification number. 

Qualify

To qualify for a waiver to treat patients with Opioid Use Disorder, NPs and PAs must:

  • Be licensed under state law to prescribe schedule III, IV, or V medications for pain
  • Complete no less than 24 hours of appropriate education through a qualified provider
  • Through other training or experience, demonstrate the ability to treat and manage OUD
  • If required by state law, supervision or working in collaboration with a qualifying physician to prescribe medications for the treatment of OUD may be required.

Please ensure that your state regulations allow you to prescribe buprenorphine and other medications to treat OUD before you apply for the waiver.  Some states may have overriding state legislation that will prevent NPs from prescribing these medications even if Federal law allows it.

Overview of Legislation

Physicians

The Drug Abuse Treatment Act of 2000 (DATA 2000) specifies training is necessary for physicians to obtain a waiver to engage in office‐based treatment of opioid use disorders using drugs approved by the FDA on Schedules III, IV, and V. This course addresses those requirements using a curriculum approved by CSAT/SAMHSA and ASAM, who is one of the national organizations named in the DATA 2000 legislation as eligible to prepare and administer these courses.

Nurse Practitioners & Physician Assistants

On July 22, 2016, President Obama signed the Comprehensive Addiction and Recovery Act (CARA) into law. CARA authorizes qualified NPs and PAs to become waivered to prescribe buprenorphine in office-based settings for patients with Opioid Use Disorder (OUD) for a five-year period expiring in October 2021.    

To qualify, NPs and PAs must: 

  • Be licensed under state law to prescribe schedule III, IV, or V medications for pain  
  • Complete not less than 24 hours of appropriate education through a qualified provider
  • Through other training or experience, demonstrate the ability to treat and manage OUD  
  • If required by state law, be supervised or work in collaboration with a qualifying physician to prescribe medications for the treatment of OUD

HHS' announcement on November 16, 2016, enables NPs and PAs to immediately begin taking the 24 hours of required training. For the full HHS announcement, click here.

NPs and PAs can begin the training immediately by taking the 8-hour buprenorphine course ASAM currently offers or that other stakeholders offer (see below for more information). The remaining 16 hours will have to be completed with one training provider. ASAM is developing multiple 16-hour training course options and formats, including collaborations with:

The ASAM Treatment of Opioid Use Disorder Course has been made available in part by an unrestricted educational grant from Indivior Inc.