Apply for MCSR as a Medication Administration Program (MAP) site

To become a MAP site, you must apply for the Massachusetts Controlled Substances Registration (MCSR).
Processing may take 4-6 weeks from the receipt of application.

Drug Control Program

The Details of Apply for MCSR as a Medication Administration Program (MAP) site

What you need for Apply for MCSR as a Medication Administration Program (MAP) site

The Drug Control Program (DCP) issues the Massachusetts Controlled Substances Registration (MCSR) to community-based program that are licensed, funded, or operated by the Department of Mental Health, Department of Children and Families, and adult Department of Developmental Services.

Youth sites

A youth Caring Together site must submit:

  • Copy of site license(s)
  • Copy of current Caring Together Contract with DMH/DCF
  • MCSR application form
  • Attestation document (for potential new sites)

A DMH Youth Therapeutic Day Service must submit:

  • Copy of current contract
  • DMH Letter of support (site address specific)
  • MCSR application form
  • Attestation document (for potential new sites)

Adult sites

An adult site must submit:

  • Copy of current DDS/DMH license
  • And/or current contract with DDS/DMH
  • If the license and/or contract do not indicate the site address requesting registration, an additional secondary document indicating DDS/DMH support for the site address is required
  • MCSR application form
  • Attestation document (for potential new sites)

More information

Incomplete application forms will be returned and will cause a delay in issuing the site’s MCSR. Copies of documents must be submitted along with the original application form.

See the guide to completing the MAP MCSR application form for full instructions.

How to apply Apply for MCSR as a Medication Administration Program (MAP) site

Download the application below.

Complete, sign (not initial), and date the MCSR application form and mail in the original application, along with the applicable supporting documents to:

Department of Public Health,
Bureau of Health Professions Licensure
Drug Control Program-Medication Administration Program
239 Causeway St.
Suite 500
Boston, MA 02114

For questions regarding the MCSR MAP application, call (617) 973-0927.

Downloads for Apply for MCSR as a Medication Administration Program (MAP) site

Contact for Apply for MCSR as a Medication Administration Program (MAP) site

Address
239 Causeway St., Suite 500, Boston, MA 02114
Fax
(617) 753-8083
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