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The ASAM Criteria defines the treatment criteria and levels of care for the treatment of substance-related and co-occurring conditions. The ASAM Criteria structure is the underlying framework for our service codes (billing guides), fiscal assumptions (rates), etc.
Under state law, licensed behavioral health agencies (BHA) providers are required to use The ASAM Criteria. Managed care organizations (MCOs), behavioral health administrative services organizations (BH-ASOs) contracted by the Health Care Authority (HCA), and private insurance plans use The ASAM Criteria as a utilization management tool.
The ASAM Criteria, 4th Edition, Volume 1, Adults is now available.
Want to stay up to date on the ASAM?
The state will adopt the new ASAM Criteria version in January of 2026. Providers can prepare for implementation, but rates and service codes will not change until 2026.
To get ready to use the new version, the state will offer a series of training courses.
Training courses will:
The Adolescent and Transition Age Youth version is anticipated to be released in 2026.
This is a great training for a broad audience who works in the field and wants a consolidated overview of the ASAM updates. Tier 1 training is for anyone and everyone in the behavioral health field.
This is a prerequisite for Tier 3 training. Tier 2 training will benefit clinicians who are newer to the field or are substance use disorder professionals who would benefit from an in-depth course.
This training is designed for clinical supervisors, directors, administrators, and decision makers who play a key role in implementation and ongoing support of adopting the changes within their organization.
All trainings are offered by the Train for Change company. Although the trainings are free of charge, you will need to purchase The ASAM Criteria, 4th Edition.
For information about trainings
Email: Train for Change
For ASAM transition and other related questions
Email: HCA substance use disorder provider support
For ASAM for adolescent and transition age youth and other related questions
Email: HCA substance use disorder provider support (include “ATAY” in your subject line)