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previously diagnosed with Substance Abuse will still be referred to participate in Outpatient treatment, not education, if they meet the diagnostic criteria for Mild (23 symptoms) Substance Use Disorder. Meeting one symptom is insufficient to refer the person to treatment. DSM5 vs. DSMIV TR What do these changes mean? ?People who were previously diagnosed with Substance Dependence will still be referred to participate in treatment, not education, if they meet the diagnostic criteria for Moderate (45 symptoms) or Severe (6 or more) Substance Use Disorder. DSM5 vs. DSMIV TR What do these changes mean? ?The Washington State Department of Licensing has already adopted the use of these DSM5 categories on the Assessment/Treatment reporting form. ?DBHR agencies were required to implement the use of DSM5 as of September 1, 2022. (There is an exemption in effect for Medicaid billing using DSMIVTR) DSM5 vs. DSMIV TR What do these changes mean? ?Chemical Dependency Professionals in Division of Behavioral Health and Recovery certified programs are required to use American Society of Addiction Medicine Placement Criteria to make patient placement decisions and referrals. They cannot make referrals based on what a patient, attorney or any other person wants. American Society of Addiction Medicine (ASAM