Association of Missouri Nurse Practitioners

AANP C.A.R.A. Implementation Education

Posted about 2 years ago by Shanna Chapman

Educational opportunities for meeting the requirements to apply for a medication assisted therapy waiver through SAMHSA:

Below are the objectives for meeting the educational requirements of the nurse practitioner application to SAMHSA for a Medication Assisted Therapy waiver.


The Society of Addiction Medicine and the American Association of Nurse Practitioners have partnered to offer the additional 16 hours of required education [in addition to the 8 hours now offered on the SAMHSA website].  AANP has the full 24 hours of education available as well:


“This CE activity provides two training sessions that must be completed to fulfill the 24-hour continuing education training requirements outlined in the Comprehensive Addiction and Recovery Act (CARA).  Participants must complete both activities to qualify for the waiver application. Those who complete this educational activity must allow a week for their information to be reported and then will be able to apply for the waiver to prescribe buprenorphine for patients with opioid addiction. ASAM, AANP and AAPA have formed a collaborative to provide the 24-hour waiver training for nurse practitioners and physician assistants. Educational content has been identified and/or created to satisfy the 24-hour requirement as described in the Comprehensive Addiction and Recovery Act (CARA). “

“ 8-hour Activity Overview:  Part I: The ASAM Treatment of Opioid Use Disorder Course: Includes Waiver Qualifying Requirements - will ensure that participants are exposed to the highest quality, evidence-based practices when using buprenorphine to treat opioid use disorders.”

“16-hour Activity Overview: Part II: NP/PA 16-Hour Waiver Training - The 16-hour product developed includes all additional education required by the Comprehensive Addiction and Recovery Act (CARA) for nurse practitioners to successfully apply for a waiver to prescribe buprenorphine for office-based treatment of opioid use disorders.”

“This activity was planned in accordance with AANP Accreditation Standards and Policies in collaboration with ASAM, and AAPA to provide the 24 hours of required education. Planner, faculty, and all other relevant disclosures are listed on the ASAM website.  The collaborative of ASAM, AANP and AAPA identified and reviewed this content to provide the NP/PA training required by CARA. The NP/PA 24-Hour Waiver Training is available for free through 2017 in part by an unrestricted educational grant from Indivior.”

“To complete the CE for this activity, successfully complete all content and posttests on the partner site, and then submit the online program evaluation in the AANP CE Center. “

“For questions about this online CE activity, or more information concerning the AANP CE Center, contact the AANP CE Center Manager at”  AANP member site


The only thing that you do not have here is confirmation from SAMHSA that this education fulfills the requirements [though it certainly is implied].  Elliot and I will follow up with them and report back.  SAMHSA has previously stated that CNPs could begin with the existing 8 hours and they state:


“For the additional 16 hours, SAMHSA will also offer the training for free through the PCSS-MAT once it has been developed. NPs and PAs who have completed the required training and seek to become DATA-waiver for up to 30 patients will be able to apply to do so beginning in early 2017. For more information on the upcoming launch of the application and SAMHSA-sponsored training opportunities, sign up (link is external) for the Buprenorphine Waiver Management email list.” SAMHSA 1/25/2017



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