Current through Register Vol. 54, No. 12, March 23, 2024
(a) Prior to
administration of an agent, a narcotic treatment program shall screen each
individual to determine eligibility for admission. The narcotic treatment
program shall:
(1) Verify that the individual
has reached 18 years of age.
(2)
Verify the individual's identity, including name, address, date of birth,
emergency contact and other identifying data.
(3) Obtain a drug use history and current
drug use status of the individual.
(4) Have a narcotic treatment physician make
a face-to-face determination of whether an individual is currently
physiologically dependent upon a narcotic drug and has been physiologically
dependent for at least 1 year prior to admission for maintenance treatment. The
narcotic treatment physician shall document in the patient's record the basis
for the determination of current dependency and evidence of a 1 year history of
addiction.
(b) Exceptions
to the requirements in subsection (a) are:
(1) A 1 year history of physiologic
dependency is not required for detoxification or for pregnant
patients.
(2) Upon readmitting a
patient who has been out of a narcotic treatment program for 6 months or less
after a voluntary termination, the narcotic treatment program shall update the
information in and review the patient's file to show current opiate narcotic
dependency, but need not conduct a physical examination and applicable
laboratory tests. Privileges earned during the previous treatment may be
reinstated at the discretion of the narcotic treatment physician.
(3) A patient who has been treated and later
detoxified from comprehensive maintenance treatment may be readmitted to
maintenance treatment, without evidence to support findings of current
physiologic dependence, up to 2 years after discharge, if the following
conditions are met:
(i) The narcotic treatment
program attended is able to document prior narcotic drug comprehensive
maintenance treatment of 6 months or more.
(ii) The admitting narcotic treatment
physician, exercising reasonable clinical judgment, finds readmission to
comprehensive maintenance treatment to be medically justified.
(c) If a patient was
previously discharged from treatment at another narcotic treatment program, the
admitting narcotic treatment program, with patient consent, shall contact the
previous facility for the treatment history.
(d) A narcotic treatment program shall
explain to each patient treatment options; pharmacology of methadone, LAAM and
other agents, including signs and symptoms of overdose and when to seek
emergency assistance; detoxification rights; grievance procedures; and clinic
charges, including the fee agreement signed by the patient.
(e) A narcotic treatment program shall secure
a personal history from the patient within the first week of admission. The
personal history shall be made a part of the patient record.
