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medication-assisted treatment for substance use disorders

Applying to SAMHSA to Renew Certification of an Existing Opioid Treatment Program

Overview

Existing OTPs apply for renewal of certification using Form SMA-162 located on the SAMHSA OTP Extranet Web site (http://otp-extranet.samhsa.gov).

All OTPs have an account on the SAMHSA OTP Extranet Web site. For instructions on accessing your program's account, contact the SAMHSA OTP Extranet Information Center at:

1-866-687-2728 (OTP-CSAT)
or
otp-extranet@opioid.samhsa.gov.

An overview of the information needed to prepare and submit a request for renewal of certification is provided below.  Complete instruction are found on the SAMHSA OTP Extranet site

Who may submit Form SMA-162?

Form SMA-162 may only be submitted/signed by an OTP Program Sponsor. The Program Sponsor's name and contact information, including telephone number and e-mail address, are required on the form. After submitting an online SMA-162, a confirmation e-mail will be sent to the Sponsor. The Sponsor will need to click a link supplied in that e-mail to electronically sign the SMA-162 and complete the submission process. The submission process will not be complete until the Sponsor clicks the link in that e-mail. SAMHSA will contact the Sponsor after receipt of a completed SMA-162 if additional information is required.

What supporting documentation is required with Form SMA-162 for Renewal of Certification?

When submitting an SMA-162 online at the SAMHSA OTP Extranet Web site for renewal of certification, you must provide a copy of the application to the accreditation body to which your program has applied, including the date on which your program applied for accreditation, the dates of any accreditation surveys that have taken place or are expected to take place, and the expected schedule for completing the accreditation process.

You can attach this documentation in electronic format on page 2 of the online SMA-162. The file may be in any of the following formats: .txt, .doc, .docx, .tiff, or .pdf.  .

Notifying SAMHSA of Program Changes

Existing OTPs must notify SAMHSA within 3 weeks of either of the following program changes:

  • Change of Program Sponsor
  • Change of Medical Director

In addition, existing OTPs must apply to SAMHSA to receive approval for:

  • Relocation
  • Addition of new medical units (satellite clinics or mobile units)

Additional information about notifying SAMHSA of program changes is available on the instruction page.

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For More Information

For more information about OTP certification and opening a treatment program

In states beginning in A-FL, contact

  • Mary Lou Ojeda
    Public Health Advisor
    Division of Pharmacologic Therapies
    SAMHSA Center for Substance Abuse Treatment
    mary.ojeda@samhsa.hhs.gov
    Voice: 240.276.2894
    Fax: 240.276.2710

In states beginning in GA-MI , contact

  • Brandon Johnson
    Public Health Advisor
    Division of Pharmacologic Therapies
    SAMHSA Center for Substance Abuse Treatment
    brandon.johnson@samhsa.hhs.gov
    Voice: 240.276.2889
    Fax: 240.238.9459

In states beginning in MN - OH, contact

  • Nichole Washington Smith
    Public Health Advisor
    Division of Pharmacologic Therapies
    SAMHSA Center for Substance Abuse Treatment
    nichole.washington@samhsa.hhs.gov
    Voice: 240.276.2719
    Fax: 240.276.2710

In states beginning in OK-WY, contact

  • Steve Mason
    Public Health Advisor
    Division of Pharmacologic Therapies
    SAMHSA Center for Substance Abuse Treatment
    steve.mason@samhsa.hhs.gov
    Voice: 240.276.2901
    Fax: 240.276.2710

The mailing address for the above listed personnel is:

  • Division of Pharmacologic Therapies
    Center for Substance Abuse Treatment
    SAMHSA
    1 Choke Cherry Rd.
    Rockville, MD 20857
    (Overnight: 20850)
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