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Workshop Session 2A: Implementation of ASAM 4.0 and the Criteria-Reimbursement Nexus

Monday, May 19, 2025
2:00pm – 3:00pm  
Location: Redwood AB
Earn 1 CE Credit(s)
The session will provide expert insights on compliance and regulatory advisory for treatment centers, substance use disorder initiatives, and the impact of ASAM 4.0 on reimbursement and care levels. Additionally, it will cover training strategies for providers and the evolving standards for treatment practices.
Through a detailed examination of the transition from ASAM's 3rd edition to the 4.0 edition, the session will address the key challenges providers face, including discrepancies in state regulations and concerns over reimbursement. Attendees will gain a deeper understanding of the differences between ASAM 3 and ASAM 4.0, as well as actionable takeaways for navigating compliance and improving patient care.

Learning Objectives:

  • Understand Key Changes in ASAM Criteria: Learn about the significant differences between ASAM 3 and ASAM 4.0, including updates in treatment protocols, assessment criteria, and the implications for patient care.
  • Assess the Impact on Provider Reimbursement and Care Levels: Gain insights into how the implementation of ASAM 4.0 will affect reimbursement policies and treatment levels for both Medicaid and commercial providers.
  • Navigate Compliance Challenges in a Shifting Regulatory Landscape: Explore strategies for managing compliance in states still using ASAM 3.0, while understanding the importance of clear communication and ongoing dialogue between stakeholders.