DEA & state CSR
DEA renewal tracking + state CSR — every clock, all visible.
Most clinicians lose controlled-substance authority not because the DEA expired but because a state CSR with a renewal date they lost track of quietly lapsed. Different boards. Different fees. Different renewal cadences. And, since June 2023, the federal MATE Act adds a one-time 8-hour SUD/opioid training every DEA-registered prescriber attests to at registration or first renewal. Larch keeps every clock visible so the prescribing privileges you depend on don’t go dark between renewals.
What Larch tracks
Federal and state, side by side.
Federal DEA
Three-year renewal cycle, fee tracking, schedule classes, and the supporting documentation the DEA may ask for during inspection.
State CSR / CDS rows
Each state CSR is its own credential with its own clock. When you practice in a new state, add a CSR row — Larch tracks it the same way as the DEA.
Independent alerts
The DEA and each state CSR have their own 90/60/30/14/7-day alert ladders. Renewing one doesn't reset the others — every clock runs on its own.
Authorization documents
Collaborative-practice authorization letters, MAT/X-waiver successor records, formulary exceptions — store them with the credential they belong to.
Audit-ready trail
Every read and write is audit-logged. If a board or DEA agent ever asks, the supporting documentation is timestamped and signed-URL accessible.
Lapse-risk surfacing
The dashboard rolls up the soonest-expiring controlled-substance authority across federal and state, so you see the real risk in one number.
Common questions
What clinicians ask first.
- What's the difference between DEA and state CSR?
- Your DEA is a single federal registration that authorizes you to prescribe controlled substances anywhere in the US. Many states require a separate state-level controlled-substance registration (CSR or CDS) layered on top — you have to hold both to prescribe controlled substances in that state. The two have different renewal cycles, different fees, and (often) different boards behind them. Larch tracks them as separate credentials so neither one slips.
- Which states require a state-level CSR?
- About half. The list and the renewal cadence vary substantially. Larch lets you add a CSR row for any state where you hold one and tracks its expiration independently of the DEA. We don't yet ship a state-by-state rules engine telling you whether your state requires one — that's on the roadmap. For now, you tell Larch what you hold and we keep the calendar honest.
- What about Schedule II prescribing or special authorizations?
- Track them as supporting documents on the DEA or CSR record — collaborative-practice authorization letters, formulary exceptions, training certificates (e.g., MAT/X-waiver successor authorizations). Encrypted at rest, signed-URL access only.
What else Larch tracks
One platform, every credential.
Add your DEA. Add your CSRs. Sleep better tonight.
Free forever. No credit card. Both the federal and state stacks from day one.