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Delaware START Initiative Expansion for Primary Care Providers

The Delaware Division of Substance Abuse and Mental Health (DSAMH) launched the Delaware START (Substance Use Treatment and Recovery Transformation) Initiative in October 2018 in order to increase access to care and treatment for individuals living with opioid use disorder (OUD) and other substance use disorders (SUD) by fostering system-wide improvement based framework that measures client outcomes. Through the START Initiative, DSAMH seeks to transform the full continuum of care for substance use disorder including engaging primary care providers (PCPs). 


PCPs play a key role in improving acute response, initiating medication-assisted treatment (MAT) to manage withdrawal, and rapidly engaging individuals in treatment. The documents below provide more information about the START Initiative, including details about two potential pathways for PCP participation, depending upon readiness and the current array of services offered in the primary care environment.


All providers interested in participating in this innovative initiative are invited to submit the below application by April 12, 2019, to Kristen Rego at

Pre-Application Conference Call:Any questions pertaining to the application process or the services outlined can be directed to All questions will be addressed on Friday, March 15 at 11 a.m. during an open forum conference call (details below). This call will allow potential applicants the opportunity to receive information pertaining to the service needs and selection process. All questions and answers will be posted on the DSAMH’s website within one (1) week of the conference call.


Conference call information: Call-in number: 302-526-5475; Conference ID: 4912451