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MARYLOU SUDDERS Secretary MONICA BHAREL, MD, MPH Commissioner Tel: 617-624-6000 www.mass.gov/dph To: BSAS Providers From: Lydie Ultimo, Director of the Bureau of Substance Abuse Services Date: July 28, 2015 Re: Timely Access to Treatment for Individuals with an Opioid Use Disorder with Medication Assisted Treatment As you know, Massachusetts is in the midst of an opioid overdose epidemic. Governor Baker, Secretary Sudders, Commissioner Bharel and the Legislature have prioritized efforts and resources to stem the tide of opioid overdose deaths. 1 To that end, BSAS wants to ensure that individuals with an opioid use disorder have timely access to the full continuum of treatment and recovery oriented services. Many of you have integrated medication assisted treatment (MAT) as evidence based practice into your treatment services. Resources, such as the Practice Guidance on Integrating Medication into Behavioral Treatment and Pregnancy and Medication Assisted Treatment 2 , AdCare 3 and PRAXIS 4 training sessions, SAMHSA publications 5 and Legal Action Center resources 6 are available to assist you and your staff members in acquiring the knowledge and tools for integrating MAT into treatment. BSAS will continue to send out alerts about new initiatives or resources to support you and can serve as a resource as you integrate MAT into your practice. BSAS regulations prohibit the denial of admission based on an individual’s use of medications prescribed by a physician outside of the licensee’s service or agency. 7 Compliance with this regulation is required and will be addressed during BSAS licensing inspection visits. Complaints regarding non-compliance will be investigated promptly. Client rights and the phone number for the BSAS complaint line (617-624-5171), should be prominently posted and easily accessible to all. Non-compliance with this regulatory requirement will be taken very seriously and could result in revocation of your license. BSAS is happy to assist you with any questions or concerns. Please contact Jayne Wilson, [email protected], or Erica Piedade, [email protected], with such questions or concerns. Our efforts to ensure that individuals receive timely access to the full continuum of care for a substance use disorder will reduce the number of opioid related deaths and will increase the number of individuals engaged in recovery. Recovery works, let us do our part! 1 Action Plan to Address the Opioid Epidemic in the Commonwealth, June 22, 2015 (www.mass.gov/stopaddiction) 2 http://www.mass.gov/eohhs/gov/departments/dph/programs/substance-abuse/providers/program-licensing/principles-of-care- and-practice-guidance.html 3 http://www.adcare-educational.org/ 4 PRAXIS, Center for Social Innovation (www.center4si.com) 5 http://search.usa.gov/search/docs?affiliate=samhsa-store&dc=1415&query=medication%20assisted%20treatment 6 http://lac.org/resources/substance-use-resources/medication-assisted-treatment-resources/ 7 105 CMR 164.070(G) The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health 250 Washington Street, Boston, MA 02108-4619 CHARLES D. BAKER Governor KARYN E. POLITO Lieutenant Governor

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Page 1: Medication Assisted Treatment

MARYLOU SUDDERS

Secretary

MONICA BHAREL, MD, MPH Commissioner

Tel: 617-624-6000

www.mass.gov/dph

To: BSAS Providers

From: Lydie Ultimo, Director of the Bureau of Substance Abuse Services

Date: July 28, 2015

Re: Timely Access to Treatment for Individuals with an Opioid Use Disorder with

Medication Assisted Treatment

As you know, Massachusetts is in the midst of an opioid overdose epidemic. Governor Baker,

Secretary Sudders, Commissioner Bharel and the Legislature have prioritized efforts and

resources to stem the tide of opioid overdose deaths.1 To that end, BSAS wants to ensure that

individuals with an opioid use disorder have timely access to the full continuum of treatment and

recovery oriented services.

Many of you have integrated medication assisted treatment (MAT) as evidence based practice

into your treatment services. Resources, such as the Practice Guidance on Integrating

Medication into Behavioral Treatment and Pregnancy and Medication Assisted Treatment2,

AdCare3 and PRAXIS

4 training sessions, SAMHSA publications

5 and Legal Action Center

resources6 are available to assist you and your staff members in acquiring the knowledge and

tools for integrating MAT into treatment. BSAS will continue to send out alerts about new

initiatives or resources to support you and can serve as a resource as you integrate MAT into

your practice.

BSAS regulations prohibit the denial of admission based on an individual’s use of medications

prescribed by a physician outside of the licensee’s service or agency.7 Compliance with this

regulation is required and will be addressed during BSAS licensing inspection visits. Complaints

regarding non-compliance will be investigated promptly. Client rights and the phone number for

the BSAS complaint line (617-624-5171), should be prominently posted and easily accessible to

all. Non-compliance with this regulatory requirement will be taken very seriously and could

result in revocation of your license.

BSAS is happy to assist you with any questions or concerns. Please contact Jayne Wilson,

[email protected], or Erica Piedade, [email protected], with such questions

or concerns. Our efforts to ensure that individuals receive timely access to the full continuum of

care for a substance use disorder will reduce the number of opioid related deaths and will

increase the number of individuals engaged in recovery. Recovery works, let us do our part!

1 Action Plan to Address the Opioid Epidemic in the Commonwealth, June 22, 2015 (www.mass.gov/stopaddiction) 2 http://www.mass.gov/eohhs/gov/departments/dph/programs/substance-abuse/providers/program-licensing/principles-of-care-

and-practice-guidance.html 3 http://www.adcare-educational.org/ 4 PRAXIS, Center for Social Innovation (www.center4si.com) 5 http://search.usa.gov/search/docs?affiliate=samhsa-store&dc=1415&query=medication%20assisted%20treatment 6 http://lac.org/resources/substance-use-resources/medication-assisted-treatment-resources/ 7 105 CMR 164.070(G)

The Commonwealth of Massachusetts Executive Office of Health and Human Services

Department of Public Health 250 Washington Street, Boston, MA 02108-4619

CHARLES D. BAKER

Governor

KARYN E. POLITO Lieutenant Governor