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 — one per practice address
Three-year renewal cycle, per-address registration. Multi-state clinicians track multiple DEAs separately, each with its own number, fee, and renewal date.
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, customizable alerts
Each DEA and each state CSR has its own alert schedule — pick the cadence that fits your workflow, or use the 90/60/30/14/7 default. Renewing one clock doesn't reset the others.
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 federal DEA registration authorizes controlled-substance prescribing — but it's tied to a specific practice address, so multi-state clinicians typically hold one DEA per practice location, each with its own number and three-year clock. About half the states layer a separate state controlled-substance registration (CSR or CDS) on top, with its own number, fee, board, and renewal cycle. Larch tracks each DEA and each state CSR as a separate credential so nothing 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.