Substance Use Disorders

Becoming a state approved program can have the following advantages:

  1. Access to Substance Abuse Block Grant (SABG) funding. State approved programs can apply for SABG contract funds through a Request for Proposal (RFP) process each year (for non-Medicaid covered services and individuals 139-200% FPL)
  2. Access to alcohol tax dollars. 20% of generated alcohol tax dollars are distributed to counties and only state approved programs included in a county plan and located in that county can receive those funds. Funds must be used for substance use disorder (SUD) prevention, treatment, and recovery services.
  3. Per 61-8-1009, MCA, DUI education and assessments must be performed by an LAC at an approved program (currently this is inclusive of the state approved SUD providers)
  4. State approve treatment programs can enroll in Montana Medicaid to bill for covered SUD services.

When applying for state approval there are three qualifications to consider: Individual Providers, Facilities, and Prevention Provider. For all three, the Application and Supplement will need to be completed.  AMDD suggests reviewing ARM: 37.27 Chemical Dependency Program

State Approved Facilities

Facilities are organizations staffed with professionals from multiple disciplines that vary according to the American Society of Addiction Medicine (ASAM) Level of Care being provided. Facilities are staffed by a team of professionals that can be mobilized to offer substance use disorder (SUD) specialty services and multiple levels of care if the organization has the appropriate staffing at a given county location. Facilities receive an annual inspection through the Office of Inspector General to ensure compliance with administrative rules.  

State Approved Outpatient Treatment Providers

An outpatient treatment provider is a licensed addictions counselor that assumes the role of being the sole owner and operator. This provider offers outpatient services under the scope of their individual license to patients within their county. What sets this apart from a facility is the additional staff needed to offer SUD specialty services. Individual providers receive an annual inspection from AMDD to ensure compliance with administrative rules. 

State Approved Prevention Provider

Prevention Providers offer provide prevention and early intervention services as described by the Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services. Prevention providers receive an annual inspection from AMDD to ensure compliance with administrative rules.  

What to expect:

  1. Upon the submission of the application, the department will respond within 30 days of receiving the application, the department will notify the applicant in writing of acceptance or denial of the application per ARM 37.27.106 (4).
  2. Per ARM 37.27.106 (7) If written documents submitted to the department do not meet the requirements of these rules and regulations, the department shall notify the applicant in writing. The applicant shall have 30 days from date of notification to respond in writing to the content of the notice. If a response is not received within 30 days, the department may refuse to grant approval and shall notify the applicant in writing of the action taken.
  3. If the application and supporting documentation meet the application requirements, the department shall issue provisional approval. Within 90 days of granting provisional approval, the department shall inspect the provider either on-site or remotely per ARM 37.27.107 (4) and ARM 37.27.105 (4).
  4. Facilities that have achieved the limited state approval status from the AMDD will be scheduled a site visit with Office of Inspector General (OIG) for full State Approval. If the facility demonstrates compliance with the administrative rules, a certificate for full state approval will be issued.
  5. Prevention and Individual Providers will receive the same timeline with initial review process; however, AMDD will be conducting the full-approval inspection. The provider will be scheduled a documentation review with AMDD, either on-site or remotely. If the provider demonstrates compliance with administrative rules, a letter for full state approval will be issued.
  6. Once full state approval has been granted, providers delivering SUD treatment services can enroll in MT Medicaid. 

Once the application has been completed, please send to:

Cody Magpie LAC

Substance Use Disorder Program Officer

Cody.Magpie@mt.gov

The Program Officer can be reached at: 406-444-9582 for any questions, concerns, and/or guidance regarding the approval process. 

Provider Forms