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Contact Project ECHO

Physical Address:

Idaho Water Center
322 E. Front Street, Ste. 222
Boise, ID 83702

Phone: 208-364-4072

Fax: 208-364-3178



ECHO’s Buprenorphine (X-Waiver) Training Information

ECHO Idaho is partnering with the Providers Clinical Support System (PCSS), led by the American Academy of Addiction Psychiatry and a large coalition of national professional organizations, including DATA 2000 organizations, the American Psychiatric Association and the American Osteopathic Academy of Addiction Medicine, to provide free X-waiver trainings.

In this two-part training, participants take a live (in person or via Zoom videoconferencing) four-hour training through ECHO Idaho and complete a four-hour online self-study portion through PCSS to learn best practices for prescribing medications for opioid use disorders, including how to help support, stabilize and potentially save lives of patients with SUD.

If you have questions not answered here, please email or call 208-364-4072.

Definition of "Provider"

For this, “providers” are physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists and certified nurse midwives.

Important Disclaimer

With the signing of the Consolidated Appropriations Act of 2023 (the Act) on 12/29/22, Congress eliminated the “DATA-Waiver Program.”  The DEA has consequently lifted all registration and training requirements and eliminated the patient limits. This change will dramatically increase access to treatment across the country and hopefully help turn the opioid epidemic around.

Live Portion Training Logistics

  • The training is done in a half-live and half-online format.
  • Four hours of the training are live. You can join this portion via videoconferencing (Zoom) from a computer or smartphone. You must have a webcam turned on and focused on you for the entire training so we can verify your attendance.
  • Four hours of the training are an online self-study portion you complete on your own schedule. At the end of the online modules, you must pass an exam with 75% or higher and complete a survey from PCSS in order to receive your certificate of completion.

  • The live portion of the training is four hours. The online modules are expected to take about four hours (self-paced). Providers are eligible to apply for their X-waiver to treat more than 30 patients after meeting this eight-hour training requirement.
  • Physician assistants (PAs) and advanced practice registered nurses (APRNs - NP/CNM/CNS/CRNA) must complete 16 additional hours of online training. APRNs and PAs do not have to take the trainings in any particular order. However, they both must complete 24 hours of specialized training (the eight-hour ECHO Idaho/PCSS training plus a 16-hour training).
  • See PCSS for more information and to access FAQs relating to the eight-hour and 24-hour requirements, or contact for assistance.

  • If you miss any part of the live training, you are not yet eligible to apply for the waiver to treat more than 30 patients.

  • Visit ECHO Idaho's website to find our schedule of upcoming X-waiver trainings. If our training dates do not work in your schedule, there are other training options (including all online trainings) available through PCSS.

  • The training is free through PCSS and ECHO Idaho.
  • The additional 16-hour X-waiver courses for PAs and APRNs are also offered at no cost.

  • Yes, you must register at least 24 hours ahead of the training.

  • Email or call 208-364-4569 to let the event coordinator know you are unable to attend. Then, watch our website for the next training date!

  • Join via videoconference and webcam using Zoom from a computer or smartphone. If you are new to Zoom, contact us at or 208-364-4569 and we will assist you.

  • Yes! You are eligible to earn the X-waiver through this training. NPs, CNMs, CRNAs, CNSs, and PAs must complete 24 hours of specialized training before applying for their waiver. The Half and Half X-Waiver Training offered through ECHO counts toward the eight-hour requirement.
  • You must also complete a 16-hour course specific to your credential. The eight-hour and 16-hour trainings can be taken in any order.

  • Medical residents and PA/APRN students can complete the X-waiver training at any point in their studies. Once you complete the eight-hour training, you will receive a certificate of completion that does not expire.
  • Residents and students are eligible to apply for their waiver after they have their DEA number and an unrestricted medical license. With this additional training, residents will be able to apply to treat up to 100 patients.

  • Yes! We welcome everyone who wants to audit the training for their own professional development, even those who are not eligible or interested in earning their X-waiver. Pharmacists, counselors, and health educators working in clinics where medications for opioid use disorder are dispensed have audited past trainings.
  • Additionally, providers who already have their X-waiver are welcome to attend this training, especially if they are interested in increasing their patient limit from 30 to 100.

Online Portion

  • After you register for the training, you will receive a confirmation email from ECHO Idaho. This email contains information about accessing the online portion of the training.

  • Yes. Anyone who registers for the live training will receive the link to access the online modules.

  • You are encouraged to complete the online modules and pass the exam within 90 days after the live training. If you prefer, you may complete the online modules prior to the live training.

Continuing Education (CE and CME) Credit Information

  • Once you complete both the live and online trainings, you may access your certificate of completion for the full eight-hour training in the online learning platform.
  • Note: Partial CE credit will not be awarded for the online portion.

  • Yes, you are able to receive CE commensurate to the extent of your participation in the live portion (partial credit available in 0.25 increments). The online portion provides four hours of CE, but all components of the training must be completed in order to be awarded credit. Partial credit will not be awarded for the online training.

Sponsor Information

ECHO Idaho is led by the University of Idaho, WWAMI Medical Education Program. Its X-Waiver Training program is made possible (in part) by grant no. 1H79TI081968 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Contact Project ECHO

Physical Address:

Idaho Water Center
322 E. Front Street, Ste. 222
Boise, ID 83702

Phone: 208-364-4072

Fax: 208-364-3178