Requirement for CADC credential for facilities that treat substance use disorders, effective July 1

For members with a diagnosis involving a substance use disorder, group counseling and didactic group sessions must be provided by a professional who has the Certified Alcohol and Drug Counselor, or CADC, credential, or by a nurse (RN) or someone with a higher credential.

This is effective starting July 1, 2021.

Which providers this applies to

This requirement applies to facilities that treat members who have coverage through these plans:

This requirement applies to facilities that provide and bill for one or more of the following types of treatment for substance use disorders:

What to do when employees don’t have the CADC credential

Fully licensed mental health practitioners who are employed by these facilities but who do not have the CADC credential can provide group counseling and didactic group sessions, but they must do the following:

Note: Group psychotherapy must be provided by a fully licensed mental health practitioner (for example, an LMSW).

We'll update provider manuals

Over the next few weeks, we'll update the provider manuals to include this new information.

Posted: July 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network