All practice patterns must meet standards of the State Department of Mental Health. It is determined that it is medically necessary that the member be enrolled in a methadone maintenance program for treatment of narcotic dependence. This provision excludes terminal patients receiving pain control treatments. A global fee for monthly services will be provided. If a patient requires inpatient care or terminates care during a monthly billing, the billing should be prorated based on the number of days of care rendered, according to the terms of the benefit plan.
Brief documentation regarding the client's clinical status is required.
This should continue until the client is stable, and clinical issues are sufficiently resolved to allow for compliance with treatment goals. All therapy provided during the methadone treatment will be bundled into the global fee. Yearly assessments by the physician are required. Counselors and therapists must hold a CAC, MSW, LPC, RN, PhD, PsyD, or MD licensure. Registered nurses providing counseling services should have extensive experience in chemical dependency or psychiatry.