Pg. 32 indicates that a pscyh eval can be done by psychiatrist, NP or PA. Pg. 35 states that the psych eval is to be done by a psychiatrist or psychiatric NP and meet the licensing standards for residential crisis stab and medically monitored withdrawal services at ASAM 3.5 and 3.7. Is a PA acceptable? Is an NP who is not psych certified acceptable? For co-occurring enhanced programs providing ASAM 3.7, the ARTs manual (p. 57) requires a psychiatric assessment within 4 hours of admission by telephone and within 24 hours following admission in person or via telemedicine, or soon as appropriate or medically necessary. P. 54 of the ARTS manual requires an addiction-credentialed physician or physician with experience in addiction medicine to oversee the treatment process and ensure quality of care, while licensed physicians or physician extenders are required to complete a physical exam of the person within 24 hours of admission. Language is contradictory regarding who is qualified to complete necessary psych eval/admission eval.