New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 325 - SPECIALTY SERVICES
Part 12 - MEDICATION ASSISTED TREATMENT SERVICES IN CORRECTIONAL SETTINGS
Section 8.325.12.10 - POLICIES AND PROCEDURES
Universal Citation: 8 NM Admin Code 8.325.12.10
Current through Register Vol. 35, No. 18, September 24, 2024
A. Every program shall establish written general policies, procedures and guidelines reflecting language in this rule in its entirety.
B. These established policies, procedures and guidelines shall further detail each of the following categories:
(1) Medication diversion:
(a) addressing prevention of diversion and
misuse of MOUD;
(b) assuring
diversion policies are visible in the facility;
(c) addressing consequential strategies for
diversion, to include non-punitive approaches for remediation instead of
immediately terminating from the program; and
(d) addressing critical incident
reporting.
(2) Screening
and treatment of pregnant individuals in compliance with 31.3.11 NMSA
1978.
(3) Withdrawal management:
(a) screening (clinical opiate withdrawal
scale (COWS) or its equivalent) and assessment to discern level of withdrawal
intensity, e.g. mild, moderate or severe;
(b) monitoring the individual;
(c) describing roles and responsibilities for
staff;
(d) identifying treatment
and supportive care to include assurances of the following:
(i) withdrawal treatment is planned and
supervised by the program medical director;
(ii) dose reduction occurs at a rate deemed
medically appropriate; and
(iii)
program participant is informed of the risks of withdrawal treatment.
(4) Transition of care,
to include:
(a) engaging and educating the
program participant;
(b) assuring
MCOs initiate transition of care planning prior to release to facilitate
continuity of care, and inclusion of tribal 638 or Indian health service
program staff for transition in tribal communities for fee for service
participants; and
(c) describing
roles and responsibilities for staff.
(5) Medication tapering guidelines: Each of
the following shall have its own guidelines:
(a) transferring patients to higher level of
care based on medical necessity;
(b) assuring pregnancy and postpartum patient
care; and
(c) providing reentry
support.
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