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MATE Act Required Education on Substance Use Disorder

What Missouri Physicians Need to Know & Required Education

MATE Act Courses: On-Demand (Enduring Materials) or Live Webinars

Controlled Substance Prescribing: Comprehensive Education To Improve Quality of Care

Satisfy the new, one-time eight-hour training requirement issued by the Drug Enforcement Administration (DEA) to meet the conditions of the MATE Act for all registered physicians on treating and managing patients with opioid or other substance use disorders. 

MSMA, in conjunction with Clinical Care Options, is offering on-demand where you can claim your required eight hours of credit.  MSMA members receive a discount on the CME. 

  • Easy registration (special discount codes for MSMA members and non-members).
  • DEA-compliant course that fulfills the requirements of the MATE Act.
  • Credit includes AMA PRA Category 1 Credit™, AAFP, AANP, and AAPA.
  • MOC Credit for Board Certifications, MIPS Improvement Activity.

At the conclusion of this educational program, learners will be able to:

  1. Apply foundational practice elements for controlled substance prescribing and care for patients with substance use disorders.
  2. Utilize screening tests and assessment strategies to determine if benefits outweigh risks of controlled substance prescribing.
  3. Identify tools and resources to foster optimization of practice impact.
  4. Describe strategies to successfully initiate and monitor controlled substances or provide care for individual substance use disorders.
  5. Deploy evidence-based strategies to provide effective care for persons with substance use disorders.

Sign up for MATE Act On-Demand (Enduring Materials) or Live Webinar Courses

Step 1 - Go to CCO's DEA Resource Center.

Step 2 - To receive your MSMA-member discount, click here to log in and view code. Copy and paste code on CCO's payment registration page. 



MSMA members must log in using the email address that they receive MSMA communications and membership information.  Contact Cassie Williams at or call 573-691-4510 if you have issues logging into your account.

Step 3 - View options: On-Demand or Live Webinar/times and dates. Register and make payment.  

Live tech support is available on CCO's website. To access tech support, registrants should click on the question mark button in the upper right hand corner of the screen.

Training Requirements Standards

Upon initial application, or the first renewal of a physicians’ DEA registration (beginning on June 27, 2023), physicians will be required to check a box on their online DEA registration form – regardless of whether a registrant is completing their initial registration application or renewing their registration - to attest to having met one of the three requirements for training compliance.

1.      Board certification in addiction medicine or addiction psychiatry from the American Board of Medical Specialties, the American Board of Addiction Medicine, or the American Osteopathic Association

2.      Graduated in good standing from an accredited U.S. (allopathic or osteopathic) medical school, dental school, physician assistant program, or advanced practice nursing school within the past five years of June 27, 2023, and successfully completed a comprehensive curriculum that included no less than eight hours of training on:

·       Treating and managing patients with opioid or other substance use disorders, including the appropriate clinical use of all drugs approved by the Food and Drug Administration for the treatment of a substance use disorder; or

·       Safe pharmacological management of dental pain and screening, brief intervention, and referral for appropriate treatment of patients with or at risk of developing opioid and other substance use disorders.

3.      Physicians can also satisfy this training by engaging in a total of eight hours of training (inclusive or incremental) on treatment and management of patients with opioid or other substance use disorders. Previous MAT-Waived trainings count towards a DEA registrant’s eight-hour training.


This is a one-time requirement.


The deadline for satisfying this training requirement is the date of a physician’s next scheduled DEA registration submission – regardless of whether it is an initial registration or a renewal registration – on or after June 27, 2023.

DEA License Renewal Period

Three years.

Cost for DEA Prescriber License to DEA

$888 for three years


Self-attestation on DEA registration form


WARNING: 21 USC 843(d), states that any person who knowingly or intentionally furnishes false or fraudulent information in the application is subject to a term of imprisonment of not more than four years, and a fine under Title 18 of not more than $250,000, or both.


According to the DEA, if audited, prescribers may be asked to show documentation in the form of a certificate that the education was taken in advance of their DEA registration. 


DEA recommends that license holders keep documentation on course completion for the eight-hour requirement and readily available if audited.

Notices to DEA License Holders 

An electronic reminder to renew will be sent at 60, 45, 30, 15, and 5 days prior to the expiration date of the registration to the associated email address. All registrants should ensure that the email address listed on their registration is correct and active.

A renewal application is submitted in a timely manner prior to expiration, the registrant may continue operations, authorized by the registration, beyond the expiration date until final action is taken on the application.

DEA allows the reinstatement of an expired registration for one calendar month after the expiration date. If the registration is not renewed within that calendar month, an application for a new DEA registration will be required.

Regardless of whether a registration is reinstated within the calendar month after expiration, federal law prohibits the handling of controlled substances or List 1 chemicals for any period of time under an expired registration.

Multi-State License holders

DEA license holders working in multiple states must have multiple licenses. It is our understanding that you only need to fulfill the educational requirement once.

DEA Registrations Should Use Work Address

If the prescriber uses their home address in application, their home could be subject to unannounced inspections and searches.

State Requirements and DEA

Individual states may have educational requirements to obtain and maintain a valid license in that state. DEA merely requires that all state licensing requirements be met to obtain a DEA registration in that state.

Previous Training

Previously taken accredited courses on opioid and other substance abuse disorders can count towards this requirement. 


The training does not have to occur in one session.  It can be cumulative across multiple sessions that equal eight hours.

Questions? Contact Benita Stennis at


Missouri State Medical Association

113 Madison Street | P.O. Box 1028

Jefferson City, MO 65102
Phone: (573) 636-5151

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