Policy/Procedure Number: : External Policy : Internal Policy : Original Date: : Applies to: Medi-Cal ☒ Employees OPerations Executive Compliance Department BOARD COMPLIANCE FINANCE PAC CEO COO Credentialing DEPT. DIRECTOR/OFFICER : : : MPCP2017 of Primary Care - Behavioral Health and Indications for Referral Guidelines – MCQP1021 Initial Health Assessment and Behavioral Risk Assessment – MP CR 13B Buprenorphine Prescriber Credentialing – MCQG1015 Pediatric Preventive Health Guidelines – MCQG1005 Adult Preventive Health Guidelines – : : Substance Use Disorders (SUD) According to the Substance Abuse and Mental Health Services – Administration (SAMHSA), substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home. According to the DSM-5, a diagnosis of substance use disorder is based on evidence of impaired control, social impairment, risky use, and pharmacological criteria. Substance use disorders occur in a range of severity including mild, moderate, or severe. The most common substance use disorders in the United States include the following: Alcohol Use Disorder (AUD) Tobacco Use Disorder Cannabis Use Disorder Stimulant Use Disorder Hallucinogen Use Disorder Opioid Use Disorder Alcohol Misuse Excessive drinking can put a person at risk of developing an alcohol use disorder. The definitions for the different levels of drinking behavior include the following: Binge Drinking SAMHSA defines binge drinking as drinking 5 or more alcoholic drinks on the same – occasion on at least 1 day in the past 30 days. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines binge drinking as a pattern of drinking that produces blood alcohol concentrations (BAC) of greater than 0.08 g/dL. This usually occurs after 4 drinks for women and 5
Policy/Procedure Number: : : External Policy Internal Policy Original Date: : : Applies to: ☒ Medi-Cal Employees OPerations Executive Compliance Department BOARD COMPLIANCE FINANCE PAC CEO COO Credentialing DEPT. DIRECTOR/OFFICER : : : MPCP2017 – of Primary Care - Behavioral Health and Indications for Referral Guidelines MCQP1021 – Initial Health Assessment and Behavioral Risk Assessment MP CR 13B – Buprenorphine Prescriber Credentialing MCQG1015 – Pediatric Preventive Health Guidelines MCQG1005 – Adult Preventive Health Guidelines : : Substance Use Disorders (SUD) – According to the Substance Abuse and Mental Health Services Administration (SAMHSA), substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home. According to the DSM-5, a diagnosis of substance use disorder is based on evidence of impaired control, social impairment, risky use, and pharmacological criteria. Substance use disorders occur in a range of severity including mild, moderate, or severe. The most common substance use disorders in the United States include the following: Alcohol Use Disorder (AUD) Tobacco Use Disorder Cannabis Use Disorder Stimulant Use Disorder Hallucinogen Use Disorder Opioid Use Disorder Alcohol Misuse Excessive drinking can put a person at risk of developing an alcohol use disorder. The definitions for the different levels of drinking behavior include the following: Binge Drinking – SAMHSA defines binge drinking as drinking 5 or more alcoholic drinks on the same occasion on at least 1 day in the past 30 days. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines binge drinking as a pattern of drinking that produces blood alcohol concentrations (BAC) of greater than 0.08 g/dL. This usually occurs after 4 drinks for women and 5