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Certification Process

SAPTA Certification is based on Nevada Revised Statute (NRS) 458, Nevada Administrative Code (NAC) 458, Division Criteria approved through NAC 458 and the Dual Diagnosis Capability in Addiction Treatment (DDCAT) Toolkit.  Certification visits are conducted in intervals of 6 months, 1 year or 2 years based on scores using a weighted instrument.  Certification implies that at the time of the site visit a program will be scored accordingly based on organizational materials and a random selection of records reviewed.  These ratings describe compliance at a certain point in time based on site visits reviewing organizational policies and practice, human resource oversight and a sample of clinical records at the time of the site visit. Ratings will be applied at each Provider location.

Ratings

Learn what our ratings mean.

Service Levels

Service level descriptions.

Ratings

Initial Organization Certification (A rating will be applied after the certification renewal site visit.): An initial certification is issued to a new program that has met minimum standards.  Requirements are reviewed related to Organizational, Policy and Procedure, Human Resource and physical plant. However, as an initially certified agency, agencies need time to build up their clientele and thus clinical records are not reviewed.  A 6-Month Certification is issued and a renewal Certification site visit is scheduled in 5-months to review clinical records for compliance.

Inactive Clientele Certification (A rating will be applied after a certification renewal site visit.): A Provider who has been certified for a minimum of 6 months but does not have substance use or co-occurring mental health client records for review to determine compliance is considered inactive.  A 6-Month Certification is issued to allow additional time to build clientele and a renewal Certification site visit is scheduled in 5-months to review clinical records for compliance.

Organization is on Corrective Action: If a Provider receives a score under 65% in any category and an overall weighted score of 65% on a 100% scale, the program is placed on a Corrective Action Plan (CAP).  Providers on Corrective Action receive shorter certification time periods and have site visits more frequently.

Meets Minimum Standard: If a Provider receives a score of 65% – 75% in any category and an overall weighted score of 75% on a 100% scale. These ratings describe compliance at a certain point in time based on site visits reviewing organizational policies and practice, human resource oversight and a sample of clinical records at the time of the site visit.

Meets Average Standard: If a Provider receives at least a 75% in each category and an overall weighted score of 75%-89% on a 100% scale.  These ratings describe compliance at a certain point in time based on site visits reviewing organizational policies and practice, human resource oversight and a sample of clinical records at the time of the site visit.

Meets Above Standard: If a Provider receives a least an 80% in each category and an overall weighted score of 90% on a 100% scale. These ratings describe compliance at a certain point in time based on site visits reviewing organizational policies and practice, human resource oversight and a sample of clinical records at the time of the site visit.

Service Levels

Early Intervention Services

Level 0.5 Early Intervention for Adults and Adolescents, this level of care constitutes a service for individuals who, for a known reason, are at risk of developing substance-related problems, or a service for those for whom there is not yet sufficient information to document a diagnosable substance use disorder. Often this level of service is related to DUI Education Courses.

Evaluation Center

Evaluation Center is a service that evaluates a person pursuant to NRS 484C.350 in a facility certified by the Division to determine whether the person is an abuser of alcohol or another drug through an assessment process.  An Evaluation Center must not be operated by a treatment program if the county population is 100,000 or more. Individuals typically don’t meet the criteria for a substance use disorder, but are at risk of developing a diagnosis due to driving under the influence.  Delivery of services typically include a 6-8-hour educational curriculum on the impact of alcohol and substance use on operating a motor vehicle and other daily activities.  Evaluation Centers serve as a component of a court order evaluation because of a Driving Under the Influence (DUI).  Service deliver also includes a comprehensive assessment that entails screening too screening tools to assist with referral needs for mental health assess, ASI or other acceptable biopsychosocial, ASAM 6 Dimensional assessment, DSM 5 with documented criteria to support diagnosis and Diagnostic Summary of the recommendation including any case management needs and referrals.

Outpatient Services

Level 1 Outpatient Services for Adolescents and Adults, this level of care typically consists of less than 9 hours of service/week for adults, or less than 6 hours a week for adolescents for recovery or motivational enhancement therapies and strategies. Level 1 encompasses organized services that may be delivered in a wide variety of settings.

Level 2.1 Intensive Outpatient Services for Adolescents and Adults, this level of care typically consists of 9 or more hours of service a week for adults or 6 or more hours for adolescents respectively to treat multidimensional instability. Level 2.1 encompasses services that are capable of meeting the complex needs of people with substance use condition and/or co-occurring conditions. It is an organized outpatient service that delivers treatment services during the day, before or after work or school, in the evening, and/or on weekends.

Level 2.5 Partial Hospitalization Services for Adolescents and Adults, this level of care typically provides 20 or more hours of service a week for multidimensional instability that does not require 24-hour care. Level 2.5 encompasses services that are capable of meeting the complex needs of people with substance use and/or co-occurring conditions. It is an organized outpatient service that delivers treatment services usually during the day as day treatment or partial hospitalization services.

OBOT (Office-based Opioid Treatment) / Outpatient Services

Office Based Opioid Treatment / Level 1 Outpatient (OBOT/1) Adult and Adolescent typically utilizes buprenorphine and naltrexone prescriptions for medication through a retail pharmacy combined with outpatient counseling at a minimum of less than 9 hours per week for adults and less than 6 hours per week for adolescents.  OBOT/1 services are delivered by physicians/prescribers and counselors in a structured setting.

Office Based Opioid Treatment / Level 2.1 Outpatient (OBOT/2.1) Adult and Adolescent typically utilizes buprenorphine and naltrexone prescriptions for medication through a retail pharmacy combined with outpatient counseling at a minimum of 9 hours per week for adults and a minimum of 6 hours per week for adolescents.  OBOT/2.1 services are delivered by physicians/prescribers and counselors in a structured setting.

Opioid Treatment Services

(medication/outpatient counseling/ambulatory withdrawal management and Integrated Opioid Treatment & Recovery Centers)

(OTP) are heavily regulated by federal and state agencies and involve direct administration of medications on a daily basis without the prescribing of medications; even “take-home” supplies originate at the “dispensing window” of the OTP and do not involve prescriptions taken to a retail pharmacy.  OTPs providing services to Adults and Adolescents are a bundled service offering medication, Level 1 Outpatient counseling and Level 1 Ambulatory Withdrawal Management.  OTPs typically utilize methadone, buprenorphine formulations or naltrexone and is an organized ambulatory, addiction treatment service for patients with an opioid use disorder (OUD).  It is delivered by a team of personnel trained in the treatment of OUD, which includes at a minimum, physicians/prescribers, nurses, licensed or certified addiction counselor and mental health counselors who can provide patient-centered and recovery-oriented individualized treatment, case management, and health education.

Integrated Opioid Treatment and Recovery Center (IOTRC) Adult services include one or more of the FDA approved medications to treat opioid use disorder in addition to individualized outpatient treatment for the substance use and co-occurring mental health disorder.  IOTRCs offer services to individuals with an OUD including pregnant women and clients with a co-occurring mental health disorder.  IOTRCs also offer Naloxone (overdose reversal medication), Peer/Recovery Support Services, and a variety of supportive services to assist clients with recovery including referral and care coordination for services that are better delivered by a community partner agency.

Drug Court Services

Drug Court Adult and Adolescent programs offer services including assessment, treatment and referrals for individuals assigned by a court to the program.  A Drug Court program must utilize services with evidence of the following principles:

  • A restorative justice model of treatment for criminal justice clients
  • Incentives and sanctions
  • Motivation enhancement approaches
  • Activities that encourage behavior that is designed to benefit other persons
  • Phasing of programs (eg. Service intensity step-down)
  • Modeling of behavior by staff

Residential Services

Level 3.1 Clinically Managed Low-Intensity Residential Services, this Adolescent and Adult level of care typically provides a 24 hour living support and structure with available trained personnel, and offers at least 5 hours of clinical service a week. Level 3 encompasses residential services that are described as co-occurring capable or co-occurring enhanced services, which are staffed by designated substance use treatment, mental health, and general medical personnel who provide a range of services in a 24-hour living support setting.

Level 3.5 Clinically Managed Medium-Intensity Residential Services (Adolescent), this level of care provides 24-hour care with trained counselors to stabilize multidimensional imminent danger and prepare for outpatient treatment. Level 3.5 services offer a 25 hours of structured activities per week with a minimum of 10 hours of those being clinical services.  Patients in this level are able to tolerate and use full active milieu or therapeutic communities. Level 3 encompasses residential services that are described as co-occurring capable or co-occurring enhanced services, which are staffed by designated substance use treatment, mental health, and general medical personnel who provide a range of services in a 24-hour treatment setting.

Level 3.5 Clinically Managed High-Intensity Residential Services (Adult), this level of care provides 24-hour care with trained counselors to stabilize multidimensional imminent danger and prepare for outpatient treatment. Level 3.5 services offer a 25 hours of structured activities per week with a minimum of 10 hours of those being clinical services.  Patients in this level are able to tolerate and use full active milieu or therapeutic communities. Level 3 encompasses residential services that are described as co-occurring capable or co-occurring enhanced services, which are staffed by designated substance use treatment, mental health, and general medical personnel who provide a range of services in a 24-hour treatment setting.

Level 3.7 Medically Monitored High-Intensity Inpatient Services (Adolescent) is designed to meet the needs of patients who have functional limitations in Dimensions 1, 2, and/or 3.  Level 3.7 services are offered by an interdisciplinary staff of appropriately credentialed staff with the primary treatment focus related to substance use disorders.  Level 3.7 services are appropriate for patients whose subacute biomedical and emotional problems are so severe that they require inpatient treatment, but who do not need the full resources of an acute care general hospital.

Level 3.7 Medically Monitored Intensive Inpatient Services (Adult) is designed to meet the needs of patients who have functional limitations in Dimensions 1, 2, and/or 3.  Level 3.7 services are offered by an interdisciplinary staff of appropriately credentialed staff with the primary treatment focus related to substance use disorders.  Level 3.7 services are appropriate for patients whose subacute biomedical and emotional problems are so severe that they require inpatient treatment, but who do not need the full resources of an acute care general hospital.

Transitional Housing Adult and Adolescent services consist of a supportive living environment for individuals who are receiving substance use treatment in a SAPTA Certified Level 1 or Level 2.1 program and who are without appropriate living alternatives.

Withdrawal Management / Detoxification Services

Level 1-WM Ambulatory Withdrawal Management Adult and Adolescent (previously referred to as Detox or Detoxification)  without Extended On-Site Monitoring is an organized outpatient service, which may be delivered in an office setting, in a health care or addiction treatment facility by trained personnel who provide medically supervised evaluation, withdrawal management, and referral services in regularly scheduled sessions.  This service is typically combined with an OTP/OBOT.

Level 3.2-WM Clinically Managed Residential Withdrawal Management Adult and Adolescent (sometimes referred to as social model detox) (previously referred to as Detox or Detoxification)  is an organized service that is delivered by appropriately trained staff who provide 24-hour supervision, observation, and support for clients who are intoxicated or experiencing withdrawal.  Vitals will be checked every 2 waking hours.  The service is characterized by its emphasis on peer and social support rather than medical and nursing care.  This service provides care for clients whose signs and symptoms are sufficiently severe to require 24-hour structure and support.  The goal is to stabilize and client and then conduct a full assessment in order to provide referral and linkage to appropriate treatment services.

Level 3.7-WM Medically Monitored Inpatient Withdrawal Management Adult and Adolescent (previously referred to as Detox or Detoxification)  is an organized service delivered by medical and nursing professionals, which provides for 24-hour evaluation and withdrawal management in a permanent facility with inpatient beds.  Vitals will be checked every 2 waking hours. Services are provided to clients whose signs and symptoms are sufficiently severe to warrant 24-hour inpatient care.  The goal is to stabilize the client and then conduct a full assessment in order to provide referral and linkage to appropriate treatment services.

Civil Protective Custody / Withdrawal Management Adult and Adolescent (previously referred to as Detox or Detoxification) is intoxication management for individuals taken into Civil Protective Custody by a peace officer for being unlawfully under the influence of alcohol or drugs in a public place, and unable to provide for the health and safety of self or others.  Vitals will be checked every 2 waking hours. The services delivered under this service are consistent with Level 3.2WM.

Service Endorsements

Providers with service endorsements are certified for specific levels of service and receive an endorsement for one the following:

Co-Occurring Disorder Services (substance use and mental health services)

Co-Occurring Disorder (COD) Services are designed to treat adolescents and adults who have a substance use and mental health disorder in an integrated manner by utilizing personnel that are appropriately licensed/certified to offer both services.  COD services are assessed by utilizing the Dual Diagnosis Capability in Addiction Treatment (DDCAT) to be either Capable or Enhanced which depends on the types of staff employed and more integrated service delivery capacity.

COD Capable for Adults and Adolescents:  A Capable program has the ability to screen for co-occurring substance use and mental health services.  Depending on the Provider’s staff qualifications the Provider will either be able to offer some COD treatment services on-site or coordinate care with an agency with qualified mental health staff as well as medication management.

COD Enhanced for Adults and Adolescents: An Enhanced program has the ability to screen and assess for co-occurring substance use and mental health services. Additionally, the program is able to provide integrated care for individuals with moderate to severe severity including medication management, case management, and peer support services.  The program has inter-disciplinary staff to provide a full range of psychiatric services.

Medicaid provider eligibility is updated quarterly.   The last update was May 2020.