Opioid Treatment Programs (OTPs) are programs certified by the United States Substance Abuse and Mental Health Services Administration (SAMHSA) that engage in supervised assessment and treatment, using methadone, buprenorphine, L-alpha acetyl methadol, or naltrexone, of members who are addicted to opioids. Opioid Treatment Services (OTS) includes the use of Medication for Opioid Use Disorder (MOUD) in addition to the psychotherapy services to treat a member with an OUD.

OTP providers must be licensed by DBHDS as a provider of Medication Assisted Opioid Treatment/Opioid Treatment Services and contracted by the Managed Care Organizations (MCOs) and the DMAS fee-for-service Contractor as an Addiction and Recovery Treatment Services (ARTS) OTP Provider.

For treatments, take home doses have a maximum 28-day limit dispensing at a time and must be approved by the State Opioid Treatment Authorities (SOTA).

For more information, see the Virginia Medicaid Enterprise System (MES) site regarding take-home treatment programs: https://vamedicaid.dmas.virginia.gov/global-search?keys=Take-home or the DMAS OTS Manual https://www.dmas.virginia.gov/media/3765/ots-manual.pdf.

This dataset has been classified as a Tier 0 asset by the Commonwealth Data Trust. Tier 0 classifies a data resource as information that is neither sensitive nor proprietary, and intended for public access.

Medically managed intensive inpatient services (ASAM Level 4.0) are defined by the American Society of Addiction Medicine (ASAM) as acute care hospitals and are the designated setting for medically managed intensive inpatient treatment. Medically managed intensive inpatient services offer medically directed acute withdrawal management and related treatment designed to alleviate acute emotional, behavioral, cognitive, or biomedical distress resulting from, or occurring with, a member's use of alcohol and other drugs. Such service settings offer medically directed acute withdrawal management and related treatment designed to alleviate acute emotional, behavioral, cognitive, or biomedical distress, or all of these, resulting from, or co-occurring with, a member's use of alcohol or other drugs with the exception of tobacco-related disorders, caffeine abuse or dependence, or non-substance-related disorders.

For more information, see the Virginia Medicaid Enterprise System (MES) site regarding in Inpatient Detox ASAM 4.0 treatment programs: https://vamedicaid.dmas.virginia.gov/global-search?keys=ASAM%204.0&page=1 or the DMAS OTS Manual https://www.dmas.virginia.gov/media/3765/ots-manual.pdf.

This dataset has been classified as a Tier 0 asset by the Commonwealth Data Trust. Tier 0 classifies a data resource as information that is neither sensitive nor proprietary, and intended for public access.

Medically monitored ASAM Level 3.7 programs are appropriate for patients whose subacute biomedical and emotional, behavioral, or cognitive problems are so severe that they require inpatient treatment, but who do not need the full resources of an acute care general hospital or a medically managed inpatient treatment program.

For more information, see the Virginia Medicaid Enterprise System (MES) site regarding in Inpatient Detox ASAM 4.0 treatment programs: https://vamedicaid.dmas.virginia.gov/global-search?keys=ASAM%204.0&page=1 or the DMAS OTS Manual https://www.dmas.virginia.gov/media/3765/ots-manual.pdf.

This dataset has been classified as a Tier 0 asset by the Commonwealth Data Trust. Tier 0 classifies a data resource as information that is neither sensitive nor proprietary, and intended for public access.

Clinically Managed Population-Specific (ASAM Level 3.3) are defined by the American Society of Addiction Medicine (ASAM) as structured programs of skilled treatment services for adults only typically offering 24-hour care with trained personnel and designed to accommodate individuals with cognitive or other impairments or co-occurring disorders.

For more information, see the Virginia Medicaid Enterprise System (MES) site regarding Clinically Managed ASAM 3.3-Population-Specific treatment programs: https://vamedicaid.dmas.virginia.gov/global-search?keys=ASAM%203.3&page=2 or the DMAS OTS Manual https://www.dmas.virginia.gov/media/3765/ots-manual.pdf.

This dataset has been classified as a Tier 0 asset by the Commonwealth Data Trust. Tier 0 classifies a data resource as information that is neither sensitive nor proprietary, and intended for public access.

Preferred Office-Based Opioid Treatment Programs, also called Preferred OBOTs, are a type of outpatient addiction treatment designed for people with opioid use disorder (OUD). Preferred OBOTs provide high quality Medication-Assisted Treatment (MAT), for treating people with OUD. This dataset includes Medicaid enrolled Preferred OBOTs along with their contact information.

For more information, see the Virginia Medicaid Enterprise System (MES) site regarding preferred office-based treatment programs: https://vamedicaid.dmas.virginia.gov/manual-chapters/preferred-office-based-addiction-treatment-and-opioid-treatment-programs or the DMAS OTS Manual https://www.dmas.virginia.gov/media/3765/ots-manual.pdf.

This dataset has been classified as a Tier 0 asset by the Commonwealth Data Trust. Tier 0 classifies a data resource as information that is neither sensitive nor proprietary, and intended for public access.

Clinically Managed Residential (ASAM Level 3.5) are defined by the American Society of Addiction Medicine (ASAM) as structured programs of skilled treatment services for for individuals in some imminent danger
with functional limitations who cannot safely be treated outside of a 24-hour stable living
environment that promotes recovery skill development and deters relapse. Patients receiving this level of care have severe social and psychological conditions. This level of care is appropriate for adolescents with patterns of maladaptive behavior, temperament extremes and/or cognitive disability related to mental health disorders.

For more information, see the Virginia Medicaid Enterprise System (MES) site regarding Clinically Managed ASAM 3.5 Residential treatment programs: https://vamedicaid.dmas.virginia.gov/global-search?keys=ASAM%203.5 or the DMAS OTS Manual https://www.dmas.virginia.gov/media/3765/ots-manual.pdf.

This dataset has been classified as a Tier 0 asset by the Commonwealth Data Trust. Tier 0 classifies a data resource as information that is neither sensitive nor proprietary, and intended for public access.

Substance use partial hospitalization services (ASAM Level 2.5) are defined by the American Society of Addiction Medicine (ASAM) as structured programs of skilled treatment services for adults, children and adolescents delivering a minimum of 20 service hours per week with at least five service hours per service day of skilled treatment services.

For more information, see the Virginia Medicaid Enterprise System (MES) site regarding Partial Hospitalization ASAM 2.5 treatment programs: https://vamedicaid.dmas.virginia.gov/global-search?keys=Partial+Hospitalization+ASAM+2.5 or the DMAS OTS Manual https://www.dmas.virginia.gov/media/3765/ots-manual.pdf.

This dataset has been classified as a Tier 0 asset by the Commonwealth Data Trust. Tier 0 classifies a data resource as information that is neither sensitive nor proprietary, and intended for public access.

Intensive outpatient services (ASAM Level 2.1) are defined by the American Society of Addiction Medicine (ASAM) as structured programs of skilled treatment services for adults, children and adolescents delivering a minimum of 3 service hours per service day to achieve 9 to 19 hours of services per week for adults and 6 to 19 hours of services per week for children and adolescents. Services can also be provided on the weekend and those hours are part of the weekly hours as long as they do not exceed the maximum hours. This service is provided to members who do not require the intensive level of care of inpatient, residential, or partial hospitalization services, but requires more intensive services than outpatient services.

For more information, see the Virginia Medicaid Enterprise System (MES) site regarding Intensive Outpatient ASAM 2.1 treatment programs: https://vamedicaid.dmas.virginia.gov/global-search?keys=ASAM+2.1 or the DMAS OTS Manual https://www.dmas.virginia.gov/media/3765/ots-manual.pdf.

This dataset has been classified as a Tier 0 asset by the Commonwealth Data Trust. Tier 0 classifies a data resource as information that is neither sensitive nor proprietary, and intended for public access.

Clinically managed services (ASAM Level 3.1) are defined by the American Society of Addiction Medicine (ASAM) as structured programs of skilled treatment services for adults, children and adolescents delivering a minimum of 5 service hours per week of low
intensity SUD treatment. Treatment includes individual, group and family therapy,
medication management and psychoeducation. The services facilitate the application of recovery skills, relapse prevention and emotional coping strategies

For more information, see the Virginia Medicaid Enterprise System (MES) site regarding Clinically Managed ASAM 3.1 treatment programs: https://vamedicaid.dmas.virginia.gov/global-search?keys=ASAM+3.1 or the DMAS OTS Manual https://www.dmas.virginia.gov/media/3765/ots-manual.pdf.

This dataset has been classified as a Tier 0 asset by the Commonwealth Data Trust. Tier 0 classifies a data resource as information that is neither sensitive nor proprietary, and intended for public access.