Department of Transportation (DOT) Substance Abuse Evaluations

conducted by a Substance Abuse Professional (SAP)

What is a SAP?

A SAP is a qualified Substance Abuse Professional that performs mandated evaluations for drivers who have violated the Department of Transportation (DOT) drug and alcohol program regulation. A SAP has completed the training and testing required by DOT.

 How much do these services cost?

The fee for SAP services ranges from $200 to $675. SAP services are not covered by insurance but might be covered by an Employee Assistance Program (EAP). Some insurance plans might cover part of the first visit and some employers might pay for services. Invoices are provided to seek reimbursement through third party payers.

 What should I expect during the first visit?

You should expect to complete a substance abuse evaluation, review the findings with the SAP, and discuss treatment recommendations. The first visit is approximately two hours but varies by SAP and the drivers’ needs.

 What does a SAP do?

A SAP conducts a face to face assessment and clinical evaluation of the driver. The SAP will then recommend a course of education and/or treatment. The SAP serves as a referral source to assist the employee with securing a placement into a program.

The SAP will conduct face to face follow up sessions with the driver to determine compliance with recommendations. The SAP also develops a follow up testing plan for the employee and provides the driver and employer with recommendations for continuing care.

On January 6, 2020, a clearinghouse was launched for drivers, employers, consortia/third-party administrators (C/TPAs), medical review officers (MROs), and SAPs. Through the clearinghouse drivers are able to view their own information and provide consent; employers and their designated C/TPAs are able to query drivers and record information; and MROs and SAPs are able to record information.

For more information about the DOT Drug & Alcohol policy visit https://www.transportation.gov/odapc and Driver Resources and Downloads | FMCSA (dot.gov)