W. Va. Code R. § 69-12-24

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 69-12-24 - Post-Admission Assessment

24.1. Each OBMAT program shall develop, implement, and maintain current policies and procedures, patient protocols, treatment plans, or treatment strategies, and profiles for the treatment of patients seeking treatment for medication-assisted treatment.

24.2. The program physician or physician extender shall conduct an assessment meeting the following requirements.

24.2.1. The assessment may include, but not limited to, an appropriate history and physical, mental status exam, substance use history, appropriate lab tests, pregnancy test for women of childbearing years, toxicology tests for drugs and alcohol, hepatitis B and hepatitis C screens, an inquiry to and report from the Controlled Substances Monitoring Program database, an inquiry whether the patient is being treated at any other opioid treatment OBMAT program, the diagnosis of all conditions, including a diagnosis of substance use disorder, including signs and symptoms, the dates, amounts, and dosage forms for any drugs prescribed, dispensed, and administered, and any other tests as necessary or appropriate in the treatment provider's discretion; and

24.2.2. For other than the toxicology tests for drugs and alcohol, appropriate history, substance abuse history, hepatitis B and hepatitis C screens, and the pregnancy test, the physician may satisfy the assessment requirements by reviewing records from a physical examination of the patient that was conducted by a physician within a reasonable period of time prior to the visit not to exceed 30 days and a copy of the report by the referring physician and any medical records from other providers, if applicable.

24.2.3. The post-admission assessment may include laboratory tests conducted by the OBMAT program or by other reliable sources.

24.3. Continuing Assessments.

Subsequent patient assessments shall include periodic patient evaluations. Patients shall be seen at reasonable intervals based upon the individual circumstance of the patient. Periodic assessment is necessary to determine compliance with the dosing regimen, effectiveness of treatment plan, and to assess how the patient is responding to the prescribed medication. Once a stable dosage is achieved and urine or other toxicology tests are free of illicit drugs, less frequent office visits may be initiated for patients on a stable dose of the prescribed medication who are making progress toward treatment objectives. Continuation or modification of therapy shall depend on the physician's evaluation of progress toward stated treatment objectives.

W. Va. Code R. § 69-12-24