Current through Register Vol. XLI, No. 50, December 13, 2024
Section 69-7-30 - Required Services30.1.Each opioid treatment program shall provide adequate medical, counseling, vocational, educational, recovery and other assessment and treatment services. These services must be available at the primary facility and the program sponsor or administrator must be able to document that these services are fully and reasonably available to patients.30.2. Each opioid treatment program shall require every patient to undergo a complete, fully documented physical evaluation by a program physician or a primary care physician, or an authorized health care professional under the supervision of a program physician, before admission to the opioid treatment program. The full medical examination, including the results of serology and other tests, must be completed within fourteen days following admission.30.3. Each patient accepted for treatment at an opioid treatment program shall be assessed initially and at least every 90 days following the initial assessment by qualified personnel who shall determine the most appropriate combination of recovery-oriented services and treatment for the patient.30.4. Within seven days of the admission of a patient, the opioid treatment program shall complete a post-admission initial assessment and an initial individualized treatment plan of care.30.5. Random drug testing of all patients shall be conducted during the course of treatment at least monthly. Each opioid treatment program must provide adequate testing or analysis for drugs of abuse in accordance with generally accepted clinical practice.30.6.Each opioid treatment program must provide adequate substance abuse counseling to each patient as clinically necessary and at the minimum levels as required by §31.8 of this rule. Counseling shall be provided by a program counselor, qualified by education, training or experience to assess the psychological and sociological background of patients, to contribute to the appropriate individualized treatment plan of care for the patient and to monitor patient progress.30.7. Each opioid treatment program shall maintain current policies and procedures that reflect the special needs of patients who are pregnant. Prenatal care and other gender-specific services of pregnant patients must be provided either by the opioid treatment program or by referral to appropriate healthcare providers. Services rendered to pregnant patients shall comply with the requirements of §44 of this rule.30.8. Each opioid treatment program must provide counseling on preventing exposure to, and the transmission of, human immunodeficiency virus (HIV) disease and Hepatitis C disease for each patient admitted or re-admitted to maintenance or detoxification treatment. Services rendered to patients with HIV disease shall comply with the requirements of section 44 of this rule.30.9. Services provided by an opioid treatment program should adhere to recovery initiatives promoted by federal and state laws, rules and regulations and the protocols and guidelines of approved authorities. Recovery initiatives include assistance in overcoming or managing a patient's addiction or other diseases; encouraging a patient to live in a physically and emotionally healthy manner; ensuring that the patient lives in a stable and safe place; engaging the patient in meaningful daily activities, such as job, school, volunteerism, family caretaking or creative endeavors; and assisting the patient in obtaining the independence, income and resources to participate in society and in developing relationships and supportive social networks.