California Code of Regulations
Title 9 - Rehabilitative and Developmental Services
Division 4 - Department of Alcohol and Drug Programs
Chapter 4 - Narcotic Treatment Programs
Subchapter 4 - Medication Security and Diversion Prevention
Article 1 - Detection of Multiple Registration
Section 10210 - Detection of Multiple Registration at Time of Application for Admission

Universal Citation: 9 CA Code of Regs 10210

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) Before a program admits a patient for treatment, the program shall:

(1) Notify the patient that it cannot provide replacement narcotic therapy to a patient who is simultaneously receiving this therapy from another program.

(2) Require the patient to sign a written statement documenting whether he/she is currently receiving replacement narcotic therapy from another program and retain the statement in the patient record. If the patient refuses to sign this statement, the program shall not admit the patient for treatment.

(3) Require the patient to provide the following information:

(A) Full name and any aliases,

(B) Month, day, and year of birth,

(D) Sex,

(E) Race,

(F) Height,

(G) Weight,

(H) Color of hair,

(I) Color of eyes,

(J) Distinguishing markings, such as scars or tattoos.

(4) Request the patient to voluntarily provide his/her Social Security number,

(5) Request the patient to sign an authorization for disclosure of confidential information, pursuant to Section 2.34, Part 2, Chapter 1, Title 42 of the Code of Federal Regulations for the limited purpose of authorizing the program to contact each narcotic treatment program within a radius of 50 statute miles to determine if the patient, as identified at Subsection (a)(3) and (a)(4) of this regulation, is simultaneously receiving replacement narcotic therapy from another program.

(6) Document in the patient record, in accordance with Section 10165, all information provided and authorizations of release of information signed pursuant to this subsection.

(b) Upon completion of the requirements of Subsection (a) of this regulation, the program shall proceed in accordance with Subsection (c) or Subsection (d) of this regulation, as appropriate.

(c) If the patient states that he/she is currently receiving replacement narcotic therapy from another program and the patient is not approved to receive services on a temporary basis in accordance with Sections 10205(b) and 10295, before admitting the patient for treatment, the program shall:

(1) Request the patient to sign an authorization of disclosure of confidential information, pursuant to Section 2.34, Part 2, Chapter 1, Title 42 of the Code of Federal Regulations for the limited purpose of authorizing the program to contact the previous program to notify it that the patient has applied for admission for replacement narcotic therapy;

(2) Contact the previous program by telephone and notify the program that the individual has applied for admission for replacement narcotic therapy;

(3) Request the program to cease providing replacement narcotic therapy if it has not already done so;

(4) Request the previous program to provide the new program with written documentation (letter or discharge summary) that it has discharged the patient; and

(A) The previous program shall provide such information within 72 hours of receiving the request.

(B) If the previous program states that it has already discharged the patient, the new program may admit the patient for treatment.

(5) Document the following information in writing in the patient's record:

(A) The name of the program contacted,

(B) The date and time of the contact,

(D) The results of the contact.

(d) If the patient states that he/she is a visiting patient approved to receive services on a temporary basis in accordance with Sections 10205(b) and 10295, before providing replacement narcotic therapy to the patient the program shall:

(1) Contact the other program to determine that it has not already provided the patient with replacement narcotic therapy for the same time period and that it will not do so; and

(2) Document the following information in writing in the patient's medication orders:

(A) The name of the program contacted,

(B) The date and time of the contact,

(D) The results of the contact.

(e) If the patient states that he/she is not currently receiving replacement narcotic therapy from another program, the program shall proceed in accordance with Section 10215.

1. Change without regulatory effect renumbering and amending parts of former section 10112 to 10210 filed 6-3-91 pursuant to section 100, title 1, California Code of Regulations (Register 91, No. 34).
2. Repealer and new section filed 5-6-93 as an emergency; operative 5-6-93 (Register 93, No. 19). No Certificate of Compliance is required pursuant to the provisions of section 17, Chapter 709, Statutes of 1992.
3. Editorial correction of printing error in HISTORY 2 (Register 93, No. 24).
4. Repealer and new section refiled 11-2-93 with amendments; operative 11-2-93. Submitted to OAL for printing only pursuant to Government Code section 11343.8 (Register 93, No. 45).
5. Amendment filed 3-15-96 as an emergency; operative 3-15-96 (Register 96, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-13-96 or emergency language will be repealed by operation of law on the following day.
6. Amendment refiled 7-8-96 as an emergency; operative 7-12-96 (Register 96, No. 28). A Certificate of Compliance must be transmitted to OAL by 11-12-96 or emergency language will be repealed by operation of law on the following day.
7. Amendment refiled 10-23-96 as an emergency; operative 10-29-96 (Register 96, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.
8. Amendment refiled 2-11-97 as an emergency; operative 2-24-97 (Register 97, No. 7). A Certificate of Compliance must be transmitted to OAL by 6-24-97 or emergency language will be repealed by operation of law on the following day.
9. Certificate of Compliance as to 2-11-97 order transmitted to OAL 3-4-97; disapproved by OAL and order of repeal as to 2-11-97 order filed 4-15-97 (Register 97, No. 16).
10. Amendment filed 4-15-97 as an emergency; operative 4-15-97 (Register 97, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-13-97 or emergency language will be repealed by operation of law on the following day.
11. Certificate of Compliance as to 4-15-97 order, including amemdnent of subsections (c) and (d), transmitted to OAL 6-2-97 and filed 6-13-97 (Register 97, No. 24).
12. Change without regulatory effect amending subsections (a)(5) and (c)(1) and NOTE filed 4-19-2006 pursuant to section 100, title 1, California Code of Regulations (Register 2006, No. 16).

Note: Authority cited: Sections 11755, 11835, 11839.3 and 11839.20, Health and Safety Code. Reference: Section 11839.22, Health and Safety Code.

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