W. Va. Code R. § 69-11-25
Current through Register Vol. XLI, No. 50, December 13, 2024
Section 69-11-25 - Required Services25.1. Each MAT program shall provide adequate medical, counseling, vocational, educational, recovery and other assessment and treatment services. These services must be available onsite at the facility or on a referral basis to outside providers and the program sponsor or administrator must be able to document that these services are fully and reasonably available to patients and comply with all federal and state laws, rules and regulations.25.2. Each MAT program shall require every patient to undergo a documented physical assessment by a program physician or a physician extender under the supervision of a program physician, before admission to the MAT program. The medical assessment shall be completed at the time of admission and prior to the first dose of medication-assisted treatment medication. The results of serology, drug screens and other tests must be completed within 14 days following admission.25.3. Each MAT program shall require every patient to undergo a documented biopsychosocial assessment by a program counselor before admission to the MAT program. The biopsychosocial assessment shall be completed at the time of admission and prior to the first dose of medication-assisted treatment medication.25.4. Each patient accepted for treatment at a MAT 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.25.5. Within seven days of the admission of a patient, the MAT program shall complete a post-admission initial assessment, an initial individualized treatment plan of care and a coordination of care agreement.25.6. Random drug testing of all patients shall be conducted during the course of treatment as required in paragraph 34.2.d.1. Each MAT program must provide adequate testing or analysis for drugs of abuse in accordance with generally accepted clinical practice.25.7. Each MAT program must provide adequate substance use disorder counseling to each patient as clinically necessary and at the minimum levels as required by subsection 26.8 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.25.8. Each MAT 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 MAT program or by referral to appropriate health care providers. Services rendered to pregnant patients shall comply with the requirements of subsection 35.5 of this rule.25.9. Each MAT program shall provide counseling on preventing exposure to, and the transmission of, HIV and hepatitis C 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 subsection 35.3 of this rule.25.10. Each MAT program that provides required services by referral or other agreement at offsite facilities or providers shall:25.10.a. Establish a strong working relationship with several treatment providers offering different levels of treatment;25.10.b. Be able to document a referral or other agreement with a local hospital, health care facility or other provider offsite services for the MAT program;25.10.c. Review psychosocial treatment expectations and responsibilities with the patient;25.10.d. Obtain signed consent form from each patient to approve open communication with the offsite provider and the MAT program; and25.10.e. Routinely provide and obtain updates from offsite providers to consistently monitor treatment attendance and progress.25.11. Services provided by a MAT 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 substance use disorder 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.W. Va. Code R. § 69-11-25