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V. FEDERALLY APPROVED ACCREDITATION BODY SELECTION <br /> If a new OTP, you are required to select a federally recognized accreditation body. Check one of the below OTP <br /> Substance Abuse and Mental Health Services Administration (SAMHSA) approved accreditation bodies. <br /> We choose to be accredited as an OTP by: <br /> ❑ The Joint Commission <br /> ❑ The Commission on the Accreditation of Rehabilitation Facilities (CARF). <br /> ❑ Council on Accreditation (GOA). <br /> ❑ Washington State Division of Behavioral Health and Recovery(DBHR). <br /> If you selected DBHR as your accreditation body,this application addendum will serve as your application for <br /> accreditation as an OTP. There are no additional fees required for DBHR accreditation. <br /> If you change your mind about your choice of accreditation body prior to the award of accreditation, please notify DBHR <br /> within seven days of your decision. <br /> VI. ADDITIONAL MATERIALS TO BE SUBMITTED WITH YOUR APPLICATION <br /> A. As required by WAC 388-877B-0405(2)(c), attach copies of your: <br /> 1. Application for a registration certificate from the Washington State Board of Pharmacy. <br /> http://www.doh.wa.gov/portals/1/documents/pubs/690152.pdf <br /> 2. Application for licensure to the Federal Drug Enforcement Administration. <br /> http://www.deadiversion.usdoj.gov/drugreg/reg apps/224/224 instruct.htm <br /> 3. Application for certification to the Center for Substance Abuse Treatment(CSAT), SAMHSA. <br /> http://dpt2.samhsa.gov/sma162/ <br /> If not selecting DBHR as the federally recognized accreditation body,then attach a copy of your: <br /> 4. Application for accreditation by an accreditation body approved by CSAT, SAMHSA. <br /> http://www.dpt.samhsa.gov/regulations/accredbodies.aspx <br /> B. Documentation that transportation systems will provide reasonable opportunities to persons in need of treatment <br /> to access the services of the program as required by WAC 388-877B-0405(2)(b). <br /> C. When operating an OTP in another state, a copy of the national accreditation, state certification/accreditation, <br /> and survey reports from national or state certification or accreditation organizations over the past six years as <br /> required by WAC 388-877B-0405(2)(e). <br /> OTP Application Addendum—04/18/2017 <br /> Page 3 of 6 <br />