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How To: Become a MAT Provider in Your Community

Steps to Obtain Your Mat Waiver

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Upcoming FREE Tulane University Project ECHO MAT Waiver Training

Our job at Tulane University Project ECHO MAT is to facilitate your access to training. In addition to the training resources listed above, our team of experts is offering a series of in-person waiver trainings. These trainings will be free of charge and open to any waiver-eligible provider. To register, Contact us.

Don’t see a date that works for you? Have a large group or practice that wants to schedule a private waiver training? Need additional support? Please reach out to us through our Contact form.

What are the potential benefits of becoming a MAT provider?

Louisiana is in the midst of an opioid epidemic. From addiction to overdose, the impact of opioid abuse is far reaching and can be devastating.

If you are an active primary care provider in Louisiana, there is a reasonable likelihood that the opioid epidemic has touched the lives of one or more of your patients.

Becoming a MAT provider does not have to mean refocusing your practice into a drug treatment facility. What it does mean is that you will be trained, equipped, and ready to offer evidence-based treatment options to your patients who may be struggling with opioid addiction.

Providing MAT can be a cost-effective addition to the existing array of services you provide your patients.

Witnessing the life-saving effects that this evidence-based treatment for opioid addiction can have in the lives of your patients can be the biggest benefit of all.

How do I become a MAT provider?

Currently, three provider classes are eligible to become DATA 2000 waivered to prescribe buprenorphine in the context of MAT. Look below for more information regarding eligibility and training requirements for each:

Physicians

 Under the Drug Addiction Treatment Act of 2000 (DATA 2000), qualified physicians may apply for waivers to treat opioid dependency with approved buprenorphine products in any settings in which they are qualified to practice, including a office, community hospital, health department, or correctional facility.

A “qualifying physician” is one who is:

  • Licensed under state law.
  • Registered with the Drug Enforcement Agency to dispense controlled substances.
  • Required to treat no more than 30 patients at a time within the first year.
  • Qualified by training and/or certification.
  • Capable of referring patients to (or providing) counseling and other services.

To qualify for a waiver, a licensed physician (M.D. or D.O.) must meet any one or more of the following criteria and provide supporting documentation for all that apply:

  • Hold a subspecialty board certification in addiction psychiatry from the American Board of Medical Specialties.
  • Hold an addiction certification from the American Society of Addiction Medicine (ASAM).
  • Hold a subspecialty board certification in addiction medicine from the American Osteopathic Association.
  • Have completed the required 8 hours of training for the treatment and management of patients with opioid use disorders.
  • Have participated as an investigator in one or more clinical trials leading to the approval of a narcotic medication in Schedule III, IV, or V for maintenance or detoxification.
  • Have other training or experience that the state medical licensing board considers a demonstration of the physician’s ability to treat and manage patients with opioid dependency.
  • Have completed other training or experience that HHS considers a demonstration of the physician’s ability to treat and manage patients with opioid dependency.

Physicians require 8 hours of training to apply to the Drug Enforcement Agency for a waiver to prescribe buprenorphine, one of three medications approved by the FDA for the treatment of opioid use disorder.

Training Formats for Physicians

Online 24 Hour Training

Online 8 Hour MAT Waiver Training

Half and Half (In-Person) Training

Physicians sign up for and attend a 4 hour live training taught by a clinical expert in their area. Once completed, participants will receive the second half of the course – a 4 hour online self-study portion. At the end of the course, participants are required to pass an exam with a 75% or higher before applying for their waiver.

Half and Half (Webinar)

Physicians sign up for and attend a 4 hour virtual webinar via computer taught by a clinical expert. Once completed, participants will receive the second half of the course – a 4 hour online self-study portion. At the end of the course, participants are required to pass an exam with a 75% or higher before applying for their waiver.

8 Hour Full Day Training

Physicians sign up for and attend a full day training led by a clinical expert in various locations throughout the year. View calendar of events to search for upcoming 8 Hour in-person trainings in your area

Nurse Practitioners & Physician Assistants

The Comprehensive Addiction and Recovery Act (CARA) was signed into law in July, 2016. One of CARA’s provisions was to expand access to MAT by extending the privilege of prescribing buprenorphine in office-based settings to qualifying nurse practitioners (NPs) and physician assistants (PAs) until October 1, 2021.

  • Complete no fewer than 24 hours of initial training provided by one of the following organizations: American Society of Addiction Medicine, American Academy of Addiction Psychiatry, American Medical Association, American Osteopathic Association, American Nurses Credentialing Center, American Psychiatric Association, American Association of Nurse Practitioners, American Academy of Physician Assistants, or any other organization that the Secretary of Health and Human Services determines is appropriate.
  • NPs and PAs may take the 8-hour DATA Waiver course for the treatment of opioid use disorder, provided for free by the Providers’ Clinical Support System for Medication Assisted Treatment (PCSS-MAT) (URL = https://pcssmat.org/) .
  • The additional 16 hours of training is now also available free of charge at the PCSS-MAT website (URL = https://pcssmat.org/).

In accordance with the Comprehensive Addiction and Recovery Act (CARA), nurse practitioners must complete 24 hours of specialized training to prescribe buprenorphine, one of three medications approved by the FDA for the treatment of opioid use disorder. The training includes 8 hours of MAT waiver training and an additional 16 hours of training.

Training Formats for Nurse Practitioners

Online 24 Hour Training

Begin the NP 8 Hour MAT Waiver Training

Begin the NP 16 Hour MAT Waiver Training

Note: At the end of the 8 hour and 16 hour MAT waiver training courses, you will receive a CE Certificate for 8.0 continuing nursing education contact hours (8.0 contact hours in pharmacology) and 16.0 continuing nursing education contact hours (13.0 contact hours in pharmacology) provided by APNA. For questions regarding registering or accessing this course, email mat@apna.org or contact customer support here: https://e-learning.apna.org/help.

Other Training Formats to Fulfill 8 Hour Requirement

Half and Half (In-Person) Training

NPs sign up for and attend a 4 hour live training taught by a clinical expert in their area. Once completed, participants receive the second half of the course – a 4 hour online self-study portion. At the end of the course, participants are required to pass an exam with a 75% or higher before applying for their waiver. This option fulfills the first 8 hours out of the 24 hour requirement.

Half and Half (Webinar)

NPs sign up for and attend a 4 hour virtual webinar via computer taught by a clinical expert. Once completed, participants receive the second half of the course – a 4 hour online self-study portion. At the end of the course, participants are required to pass an exam with a 75% or higher before applying for their waiver. This option fulfills the first 8 hours out of the 24 hour requirement.

8 Hour Full Day Training

NPs sign up for and attend a full day training led by a clinical expert in various locations throughout the year. View calendar of events to search for upcoming 8 hour in-person trainings in your area. This option fulfills the first 8 hours out of the 24 hour requirement.

Physician Assistants

 In accordance with the Comprehensive Addiction and Recovery Act (CARA), physician assistants must complete 24 hours of specialized training to prescribe buprenorphine, one of three medications approved by the FDA for the treatment of opioid use disorder. The training includes 8 hours of MAT waiver training and an additional 16 hours of training.

Training Formats for Physician Assistants

Online 24 Hour Training

Begin the PA 8 hour MAT Waiver Training

Begin the PA 16 hour MAT Waiver Training

Jointly Accredited ProviderJoint Accreditation Statement: In support of improving patient care, American Academy of Addiction Psychiatry is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC) and the American Academy of PAs (AAPA) to provide continuing education for the healthcare team.

PA AAPA Category 1 CMEAAPA Credit Designation Statement – Enduring Material (8 Hour): American Academy of Addiction Psychiatry has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 8 AAPA Category 1 CME credits. Approval is valid until 2/16/2020. PAs should only claim credit commensurate with the extent of their participation.

PA AAPA Category 1 CMEAAPA Credit Designation Statement – Enduring Material (16 Hour): American Academy of Addiction Psychiatry has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 16 AAPA Category 1 CME credits. Approval is valid until 2/16/2020. PAs should only claim credit commensurate with the extent of their participation.

Other Training Formats to Fulfill 8 Hour Requirement

Half and Half (In-Person) Training

PAs sign up for and attend a 4 hour live training taught by a clinical expert in their area. Once completed, participants receive the second half of the course – a 4 hour online self-study portion. At the end of the course, participants are required to pass an exam with a 75% or higher before applying for their waiver. This option fulfills the first 8 hours out of the 24 hour requirement.

Half and Half (Webinar)

PAs sign up for and attend a 4 hour virtual webinar via computer taught by a clinical expert. Once completed, participants receive the second half of the course – a 4 hour online self-study portion. At the end of the course, participants are required to pass an exam with a 75% or higher before applying for their waiver. This option fulfills the first 8 hours out of the 24 hour requirement.

8 Hour Full Day Training

PAs sign up for and attend a full day training led by a clinical expert in various locations throughout the year. View calendar of events to search for upcoming 8 hour in-person trainings in your area. This option fulfills the first 8 hours out of the 24 hour requirement.

For questions regarding the 8 hour and 16 hour courses, email pcss@aaap.org.

Once SAMHSA verifies that the background of a provider is correct and valid, the DEA assigns the waivered provider a special identification number. DEA regulations require this identification number and the provider’s regular DEA registration number on all buprenorphine prescriptions for opioid dependence treatment.

Several resources exist to help providers access the training required for DATA 2000/CARA eligibility. We have summarized these training opportunities in the table below. You can visit the website for any one of these training programs by clicking the training title on the left-hand column of the table.

Organization
Cost
Location
Credit Hours
CME
Professions
Americans Academy of Addiction PsychiatryCURRENTLY UNAVAILABLE DUE TO UPDATING
8 AMA PRA Category 1
MD, DO
None for Online/Live Varies
Live In-Person & Web-Based
8/Additional 16
8 AMA PRA Category 1 or up to 24 AAPA Category 1 or up to 24 AANP CE
MD, DO, NP, PA
None
Live Online & Web-Based
8
4.25 -8 AMA PRA Category 1/ 8 AAFP/ 8 AOA Category 1-A
MD, DO, NP, PA
None
Live & Web-Based
8/Additional 16
8 AMA PRA Category 1
MD, DO, NP, PA

Once you have completed your waiver training, registered with SAMHSA, and received your DEA special identification number, you are ready to begin seeing patients. Patient limits can be increased annually through completion of a brief additional application process. Yearly patient limits are as follows:

  • Year 1: Maximum of 30 MAT patients
  • Year 2: Maximum of 100 MAT patients
  • Year 3: Maximum of 275 patients