Substance use treatment

What types of treatments are covered by Apple Health?

• Alcohol use treatment
• Involuntary treatment
• Medications for opioid use disorder (MOUD)
• Opioid use treatment

Who provides treatment services?

Drug and alcohol treatment services are covered by:

• Behavioral health organizations (BHOs)
• Apple Health fee-for-service (FFS) program

How do I become an Apple Health provider?

To learn more about becoming a provider, visit our Become a behavioral health provider page. 

Screening, brief intervention, and referral to treatment (SBIRT)

SBIRT is an evidenced-based model for early intervention and treatment for people who have or are at risk of developing substance use disorders. The SBIRT approach:

• Provides universal screening for substance use.
• Identifies risky or hazardous use that may lead to abuse or dependence.
• Offers early intervention and timely referral to treatment.

Do I need certification to use SBIRT?

Yes. Providers must complete one of the approved SBIRT trainings to implement SBIRT and to supervise SBIRT services. Completing an approved training meets HCA’s requirement of three to four hours of SBIRT training.

HCA approved SBIRT trainings

• HealtheKnowledge
  • Online SBIRT course, self-paced, approximately three hours
• Northwest Addiction Technology Transfer Center (Northwest ATTC
  • Instructor led SBIRT Basic Training, approximately four hours

SBIRT resources

SBIRT Oregon

SBIRT Oregon hosts implementation resources such as workflows, screening forms, and training videos. The videos focus on primary care settings and include demonstrations of brief interventions. The webpage also provides Drug Abuse Screening Test (DAST) and Alcohol Use Disorders Identification Test (AUDIT) screening tools in multiple languages.

Washington State Hospital Association – SBIRT training videos

The Washington State Hospital Association SBIRT training videos are designed for busy care teams and support SBIRT implementation across care settings with a focus on emergency departments and inpatient units.

Institute for Research, Education, & Training in Addictions (IRETA) – SBIRT toolkit

An SBIRT toolkit for practitioners and organizations using or considering SBIRT in a variety of settings. Includes client brochures and resources to support SBIRT delivery for adults and adolescents.

Substance Abuse and Mental Health Services Administration (SAMHSA) – SBIRT resources

SAMHSA’s SBIRT webpage has information about SBIRT, testimonials, reimbursement considerations, and links to additional education and implementation resources.

Addiction Technology Transfer Center (ATTC) Network – SBIRT resources

View SBIRT resources developed by the ATTC Network, including brochures, curricula, online courses, videos, and implementation tools.

National Opinion Research Center (NORC) at the University of Chicago – The Big Initiative

NORC is learning collaborative focused on SBIRT education, workforce development, and implementation support.

Tools and resources for substance use professionals

• Alcohol: Know the facts — What is a standard drink? (waiting area poster)
• Medications for opioid use disorder
• Paying for Primary Care Services: Substance user disorder setting and the MAT billing process
  • Frequently asked questions (FAQs)
• Training and toolkits for opioid misuse and overdose prevention (stopoverdose.org)

For additional billing- and reporting-related resources, visit our Resources for behavioral health providers page.