In an effort to raise the standards of care for addictions providers in Indiana, the Office of Medicaid Policy and Planning is partnering with the Division of Mental Health and Addiction on an American Society of Addiction Medicine (ASAM) level of care designation process, beginning with residential addiction treatment facilities.
To solidify this process, Indiana Medicaid has created a new provider specialty 836 (Substance Use Disorder Residential Addiction Treatment Facility within provider type 11 – Behavioral Health Provider). On July 1, 2018, all facilities seeking Medicaid reimbursement for residential SUD treatment were required to be enrolled as this new provider specialty.
ASAM designation process
Step 1: Obtain an addiction treatment services provider, regular certification and sub-acute facility certification from DMHA.
The first step in the process is to be certified as an addiction treatment services provider, regular certification and sub-acute stabilization facility by DMHA. Facilities licensed as Department of Child Services child care institutions or private secure care institutions need to have addiction treatment services provider, regular certification, not sub-acute facility certification. Information on applying for the addiction service provider, regular certification can be found here. Information on applying for the sub-acute stabilization facility can be found here.
Step 2: Obtain an ASAM designation from DMHA.
After obtaining the required certifications from DMHA, each facility will need to apply for ASAM designation from DMHA. DMHA will provide a designation indicating approval of offering ASAM Level 3.1 or Level 3.5 residential services. Information on applying for the ASAM application can be found here.
Step 3: Enroll as a Medicaid provider/add provider type and specialty.
After you have received your certification as an addiction treatment services provider, regular certification and residential sub-acute facility with your ASAM designation, the last step is being enrolled as a Medicaid provider with the provider type 11 (Behavioral Health Provider) and provider specialty 836 (SUD residential addiction treatment facility). If you are not a Medicaid provider yet or you are already a Medicaid provider and you need to add the provider specialty, you can use the following links to assist in the process:
- Learn about Medicaid provider enrollment
- More information and complete a Medicaid provider enrollment application
Educational resources
As an addiction residential provider, you may find the resources below helpful.
FSSA SUD Services - For questions and concerns regarding Substance Use Disorder services, providers may email FSSA SUD services at SUD.Services@fssa.in.gov.
ASAM designation FAQs – This document lists frequency asked questions regarding the ASAM designation process.
For addiction providers – This webpage lists upcoming DMHA trainings for addiction providers, how to be added to the DMHA addiction team email notifications and information about ASAM.
- ASAM Website – This webpage takes you to the official ASAM website