Current through Register Vol. 54, No. 12, March 23, 2024
If a narcotic treatment program provides narcotic
detoxification services, the narcotic treatment program shall develop and
implement narcotic detoxification policies and procedures which include the
following:
(1) For narcotic
detoxification from methadone or any other narcotic, the detoxification service
may not exceed 180 days.
(2) For
calculating the 1-year narcotic dependency history required for admission to
maintenance treatment, the narcotic detoxification period may not be
included.
(3) A 1-year physiologic
dependence is not required for narcotic detoxification although documentation
of current dependency is required.
(4) Minimum requirements for short-term
narcotic detoxification treatment are as follows:
(i) Take-home medication is not allowed
during a 30-day narcotic detoxification treatment. A narcotic treatment program
shall observe the patient ingesting the medication 7 days per week.
(ii) The narcotic treatment program shall
perform an initial drug screening test or analysis.
(iii) The narcotic treatment program shall
develop a treatment plan. The patient's counselor shall monitor the patient's
progress toward the goal of short-term narcotic detoxification and possible
drug-free treatment referral.
(iv)
No narcotic treatment program may provide short-term narcotic detoxification
treatment to an individual until at least 7 days after the conclusion of any
previous short-term narcotic detoxification treatment.
(5) Minimum requirements for long-term
detoxification treatment are as follows:
(i) A
narcotic treatment program shall administer medication to allow a patient to
attain drug-free status and to make progress in rehabilitation within 180 days
or less.
(ii) A narcotic treatment
program shall perform an initial drug screening test or analysis. A narcotic
treatment program shall perform at least one additional random test or analysis
monthly on each patient during long-term narcotic detoxification.
(iii) The narcotic treatment program shall
develop an initial treatment plan, and update the plan monthly.
(iv) A narcotic treatment program shall
observe the patient while ingesting the medication at least 6 days a
week.
(v) No narcotic treatment
program may provide long-term narcotic detoxification treatment to an
individual until at least 7 days after the conclusion of any previous narcotic
detoxification treatment.
