Chapter IV, pages 22-23 under ISP Specific Requirements for ASAM Levels – ASAM Level 3.7, 3.5 – 3.1, 2.5 – 2.1 requires that a “Licensed Credentialed Addition Treatment Professional” shall develop/complete and document the initial ISP.   Licensed staff are a luxury in rural areas, we need to ability to use LMHP-E to perform this task in order to be in a position to provided needed services for our area.