As of January 2023, the X-waiver is no longer required to prescribe buprenorphine for opioid use disorder. Any references to the X-waiver no longer apply. The educational content on this site that offers CME meets the MATE Act requirements of 8 hours of training required for DEA certification.
As part of the DHCS MAT Expansion Project funded through SAMHSA State Targeted and State Opioid Response grants, the CA Department of Health Care Services is implementing the California Hub & Spoke System (CA H&SS). The CA H&SS aims to combat the opioid crisis in California through a collaborative effort of relevant stakeholders to increase access to MAT services throughout the state, particularly in counties with the highest overdose rates. The project design adapted a successful program in Vermont, called the Hub and Spoke Model. The CA H&SS consists of narcotic treatment programs, referred to as "Hubs," that serve as experts in treating OUD and office-based treatment settings, referred to as "Spokes," that provide ongoing care and maintenance treatment. CA H&SS is actively increasing the availability of MAT for patients with OUD by increasing the total number of physicians, physician assistants and nurse practitioners prescribing buprenorphine, while working to develop a sustainable system of care using evidence-based practices for patients with OUD. ISAP is contracted to provide training, technical assistance, and implementation support to the CA H&SS provider network through regionalized Learning Collaboratives and ongoing training and mentorship opportunities. As much as possible, CEs and CMEs are available for certified and licensed participants.
The CA H&SS initiated in 2017 under STR and SOR SAMHSA grants. Since 2020, Advocates for Human Potential (AHP) has served as the Administrative Entity to facilitate the contracting, invoicing, and data requirements with the CA H&SS awarded provider programs.
Project Coordinator: Christian Frable: Cfrable@mednet.ucla.edu
CA H&SS Site Support: Brandy Oeser: BOeser@mednet.ucla.edu