Current through Register Vol. 18, September 20, 2024
(1) To be licensed
to provide ASAM 3.7 services, as outlined in the ASAM criteria, a substance use
disorder facility (SUDF) must meet the following staffing requirements:
(a) a medical director that oversees the
treatment process, medication management, and all medical services;
(b) a physician, nurse practitioner, or
physician assistant licensed under Title 37, chapters 3 or 20, MCA, available
on-call 24 hours a day, seven days a week to provide medical consultation,
evaluate clients, and prescribe medications;
(c) a registered nurse (RN) licensed under
Title 37, MCA, on-site or on call 24 hours a day, seven days a week to
supervise nursing services;
(d) a
RN or licensed practical nurse (LPN) on-site 24 hours a day, seven days a
week;
(e) additional RNs, LPNs or
certified nurse aides (CNA) in sufficient numbers to assist in the
administration of medical protocols and assure the client's safety. LPNs and
CNAs must be under the supervision of the RN;
(f) licensed addiction counselors or mental
health professionals in sufficient numbers to provide therapeutic services to
clients with substance use and mental disorders, as described by this chapter
and in accordance with the clients' individualized treatment plans;
(g) a licensed addiction counselor or mental
health professional must be on-site or on-call 16 hours a day, seven days a
week;
(h) care managers in
sufficient numbers to provide adequate services to clients; and
(i) rehabilitation aides in sufficient number
to provide on-site 24 hours a day, seven days a week staffing patterns to
ensure the safety of clients and to provide direct care services and
appropriate supervision of clients.
(2) Medical service must be provided,
according to written physician approved protocols, 24 hours a day, seven days a
week and must include:
(a) a physical
examination and screening conducted by a physician, nurse practitioner, or a
physician assistant of clients on-site within 24 hours of admission, to
identify medical needs for health problems and screen for communicable
diseases;
(b) a comprehensive
nursing assessment that includes a mental health screening and evaluates the
need for acute intoxication and withdrawal management services completed by a
registered nurse at the time of admission; and
(c) medication
management.
(3) Daily
clinical skilled treatment services and medical services must be provided
on-site by an interdisciplinary team seven days a week.
(4) The SUDF must provide recreational
activities seven days a week.
(5)
All progress notes must be completed in a timely manner and before the next
session of the same type or there must be documentation why this did not
occur.
(6) The SUDF must ensure a
coordinated transfer to an acute care hospital or other licensed health care
facilities.
(7) Coordination of
necessary services (medical, laboratory, toxicology, psychiatric,
psychological, emergency) or other levels of care must be available through
direct affiliation or referral processes.
AUTH:
50-5-103,
53-24-208,
MCA; IMP:
50-5-101,
50-5-103,
53-24-208,
53-24-209,
76-2-411,
MCA
