reglab/statecodes huggingface dataset:
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-33 - "Opioid treatment medication" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC 12-23-18
Sec. 33.
"Opioid treatment medication" means any opioid treatment
				  medication approved by the Food and Drug Administration under Section 505 of
				  the Federal Food, Drug, and Cosmetic Act (21 U.S.C. §
										355)
				  for use in the treatment of opioid addiction.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-34 - "Opioid treatment program" or "OTP" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-7-2-135.6; IC
				  12-23-18
Sec. 34.
"Opioid treatment program" or "OTP" means a program as
				  follows:
(1) Through which opioid
				treatment medication is administered to an individual in the treatment of
				opioid addiction.
(2) For which
				certification is required under 42 CFR Part 8 .
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-35 - "Opioid treatment services" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 35.
"Opioid treatment services" means any and all services
				  provided by an OTP, including, but not limited to, the following:
(1) Medical services.
(2) Educational services.
(3) Counseling services.
(4) Treatment planning.
(5) Treatment plan review.
(6) Referral services for any service not
				provided by the OTP.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-36 - "Orientation" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 36.
"Orientation" means a structured session provided to a
				  patient enrolling in an OTP including the following:
(1) Information on the following:
(A) Services provided by the OTP.
(B) Patient rights and
				responsibilities.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-37 - "Outcome measures" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 37.
"Outcome measures" means measures that indicate the effect
				  of treatment upon an individual receiving treatment in an OTP.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-38 - "Patient" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 38.
"Patient" means an individual who has received or is
				  receiving treatment from an OTP in Indiana.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-39 - "Patient record" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 39.
"Patient record" means a compilation of all documents and
				  information, including recorded, written, and electronic formats that pertain
				  to a patient's care in an OTP.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-39.5 - "Phase treatment" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 39.5.
"Phase treatment" means the patient's progress through
				  treatment in a graduated sequence.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-41 - "Physical examination" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 41.
"Physical examination" means a full medical examination,
				  including laboratory analyses.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-42 - "Program sponsor" defined

Current through July 10, 2024
Authority: IC 12-23-1-6; IC 12-23-18
Affected: IC 12-23-18
Sec. 42.
"Program sponsor" has the meaning provided in
				  42 CFR §
										8.2.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-43 - "Recovery indicators" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 43.
"Recovery indicators" means information regarding an OTP
				  patient's response to treatment as collected in the central registry and used
				  in legislatively mandated reports.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-44 - "Recovery services" defined

Current through July 10, 2024
Authority: IC 12-23-1-6; IC 12-23-18
Affected: IC 12-23-18
Sec. 44.
"Recovery services" means, for purposes of
				  440 IAC 10-3, nonmedical services
				  provided by an OTP and specifically excluding the administration of opioid
				  treatment medication.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-45 - "Recovery support services" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 45.
"Recovery support services" means supportive services
				  provided in the community by formal and informal organizations and resources
				  designed to assist patients, their family members, and significant others to
				  initiate and sustain the patient's recovery.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-46 - "Referral" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 46.
"Referral" means the process of assisting a patient to find
				  and use resources that:
(1) meet the
				patient's needs for services; and
(2) are not provided directly by an
				OTP.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-47 - "Regular attendance" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 47.
"Regular attendance" means the attendance requirements set
				  forth in the following:
(1) An
				agreement between an OTP and a patient of the OTP.
(2) A patient's individualized treatment
				plan.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-48 - "Safe storage capacity" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 48.
"Safe storage capacity" means a portable, lockable
				  container:
(1) for storing an OTP
				patient's self-administered medication; and
(2) designed to reduce the risk of accidental
				ingestion of a patient's self-administered medication.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-49 - "Self-administration" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 49.
"Self-administration" means the direct application of a drug
				  to the body of a patient by the patient and also referred to as unsupervised
				  doses or take-home medications.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-50 - "Serious behavior problems" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 50.
"Serious behavior problems" means either of the
				  following:
(1) Problems indicating
				that a patient is failing to benefit from opioid addiction treatment.
(2) Problems that would interfere with other
				patients' treatment or staff safety, including, but not limited to, the
				following:
(A) Physical fighting on the
				program premises.
(B) Aggression
				toward other patients or staff.
(C)
				The repeated use of nonprescribed drugs or alcohol on the program premises and
				failure to comply with the patient's treatment plan.
(D) Verbal or physical threats to staff or
				other patients.
(E) Falsifying
				information to program staff.
(F)
				Bringing a firearm onto the premises of an OTP.
(G) Criminal behavior, including, but not
				limited to, attempts to complete or the completion of a sale of illicit
				drugs.
(H) The diversion of opioid
				treatment medication from therapeutic use.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-51 - "Short-term detoxification treatment" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 51.
"Short-term detoxification treatment" means detoxification
				  treatment for a period not exceeding thirty (30) days.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-52 - "Specific approval" defined

Current through July 10, 2024
Authority: IC 12-23-1-6; IC 12-23-18
Affected: IC 12-23-18-0.5
Sec. 52.
"Specific approval" means the division's approval of an OTP
				  under IC 12-23-18-0.5 and
				  440 IAC 10-4.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-53 - "Stable home environment" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 53.
"Stable home environment" means a criterion based on a
				  judgment made by OTP clinical staff on the basis of knowledge of a patient's
				  lifestyle at admission and the patient's movement toward increased stability in
				  living arrangements and health-promoting social relationships.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-54 - "State authority" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 54.
"State authority" means the government agency designated by
				  the governor, or other appropriate official designated by the governor, to
				  exercise the responsibility and authority within the state for governing the
				  treatment of opioid addiction with an opioid drug.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-54.5 - "State opioid treatment authority" or "SOTA" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 54.5.
"SOTA" means state opioid treatment authority.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-55 - "Substance abuse assessment" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 55.
"Substance abuse assessment" means an assessment using a
				  standardized tool that meets the following requirements:
(1) Has proven reliable and valid in
				measuring an individual's severity of substance use disorder.
(2) Assists a clinician in:
(A) identifying treatment needs;
				and
(B) developing an
				individualized treatment plan.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-56 - "Tapering" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 56.
"Tapering" means a directed reduction of medication dosage
				  over time with the goal of reducing the dosage or eliminating the dosage as
				  clinically determined based on the:
(1) known pharmacology of the medication;
				and
(2) clinical responsiveness of
				the patient.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-57 - "Titration" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 57.
"Titration" means the induction of opioid treatment
				  medication in which initial low doses are used to test patient tolerance with
				  the goal of achieving the correct dosage as clinically determined on an
				  individualized basis given the:
(1)
				known pharmacology of the medication; and
(2) clinical responsiveness of the
				patient.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 1 - Definitions › Section 1-58 - "Treatment planning" defined

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 58.
"Treatment planning" means the process by which a counselor
				  or clinical staff and a patient do the following:
(1) Identify and rank problems needing
				resolution.
(2) Establish
				agreed-upon individualized immediate and longer term treatment goals.
(3) Decide upon a treatment process and the
				resources to be used.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 2 - General Requirements › Section 2-1 - Purpose and authority of rules for operation of opioid treatment programs

Current through July 10, 2024
Authority: IC
				  12-23-18-0.5; IC
				  12-23-18-5.5
Affected: IC
				  12-23-18-0.5
Sec. 1.
(a) The
				purpose of this article is to establish standards by which an OTP shall operate
				in Indiana, including the following:
(1) An
				opioid treatment facility and, if applicable, an addiction treatment facility
				shall be certified by the division.
(2) An OTP shall be specifically approved by
				the division.
(3) An OTP shall be
				in compliance with state and federal law.
(4) Separate specific approval and
				certification under this article is required for each location at which an OTP
				is operated.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 2 - General Requirements › Section 2-2 - Designation of state opioid treatment authority

Current through July 10, 2024
Authority: IC
				  12-23-18-0.5; IC
				  12-23-18-5.5
Affected: IC
				  12-23-18-0.5
Sec. 2.
The SOTA is the director of the division of mental health
				  and addiction or his or her designee. The SOTA is responsible for governing
				  opioid treatment facilities and programs in accordance with all applicable
				  state and federal regulations. The SOTA shall also serve as a liaison with the
				  appropriate federal agencies.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 2 - General Requirements › Section 2-3 - Determining need for a new opioid treatment program

Current through July 10, 2024
Authority: IC 12-8-8.5-4; IC 12-23-1-6; IC
				  12-23-18-5.5
Affected: IC 12-23-18
Sec. 3.
(a) In
				determining whether there is a need for a new opioid treatment program in a
				proposed opioid treatment program's geographic location, the division shall
				consider the following factors as presented by a proposed opioid treatment
				program:
(1) The proposed opioid treatment
				program is at least twenty (20) miles away from an existing opioid treatment
				program, except where there is significant need, based on criteria in
				subdivisions (2) through (7), to support a second opioid treatment program
				within the twenty (20) mile radius.
(2) The proposed opioid treatment program
				demonstrates that the community in the proposed opioid treatment program's
				geographic location has a significant number of health-related indicators of
				opioid misuse as illustrated by:
(A) emergency
				room reports indicating opioid misuse;
(B) death reports indicating opioid
				misuse;
(C) reports of individuals
				infected with hepatitis C virus or human immunodeficiency virus (HIV);
				or
(D) the presence of pain clinics
				in the area, including closed pain clinics.
(3) The proposed opioid treatment program
				demonstrates that the community in the proposed opioid treatment program's
				geographic location has a significant number of opioid-related criminal
				activities as illustrated by:
(A) criminal
				adjudications;
(B) arrests;
				or
(C)
				diversions.
(4) The
				proposed opioid treatment program demonstrates that the community in the
				proposed opioid treatment program's geographic location has high rates of
				substance use disorders involving opioids.
(5) The proposed opioid treatment program
				demonstrates there is strong community support for a new proposed opioid
				treatment program in the proposed opioid treatment program's geographic
				location through letters of support from interested community
				members.
(6) The proposed opioid
				treatment program accepts health insurance, including health insurance provided
				by the state or federal government.
(7) The proposed opioid treatment program
				anticipates serving a significant number of clients with income levels at or
				below one hundred thirty-eight percent (138%) of the federal poverty
				level.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 3 - Certification of Opioid Treatment Facilities › Section 3-1 - Certification of opioid treatment facilities and addiction treatment facilities

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18-0.5
Sec. 1.
(a) An OTP
				shall apply to the division annually for the following:
(1) Certification of an opioid treatment
				facility under this rule.
(2) If
				applicable, certification of an addiction treatment facility under this
				rule.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 3 - Certification of Opioid Treatment Facilities › Section 3-3 - Requirements for opioid treatment facilities and addiction treatment facilities

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 3.
(a) An OTP
				applicant shall be in compliance with the following requirements for an opioid
				treatment facility and, if applicable, an addiction treatment facility:
(1) The OTP shall maintain the facility in a
				sanitary condition.
(2) In common
				or waiting areas, the OTP shall display educational materials pertinent to the
				following:
(A) Opioid addiction
				treatment.
(B) Recovery support
				services.
(3) The OTP
				shall provide adequate ventilation and lighting in the following:
(A) Waiting areas.
(B) Counseling areas.
(C) All other facility
				areas.
(4) The OTP shall
				have adequate soundproofing so that confidentiality shall be maintained in the
				following:
(A) Patient counseling
				rooms.
(B) Physical examination
				rooms.
(C) Other rooms or areas in
				the facility used to meet with patients.
(5) The OTP shall provide adequate security
				both inside and outside the facility:
(A) for
				the safety of the patients, staff, and others; and
(B) to prevent loitering and illegal
				activities.
(6) Separate
				toilet facilities shall be provided for use by patients and staff.
(7) The facility and areas within the
				facility shall be accessible to persons with physical disabilities.
(8) The physical environment within the
				facility shall be conducive to promoting improved functioning and
				recovery.
(9) The facility shall:
(A) meet all local, state, and federal
				requirements; and
(B) post an
				annual inspection report from appropriate officials.
(10) The facility shall maintain stocked
				first aid kits for emergency use.
(11) The facility shall:
(A) have a disaster plan and facility
				evacuation plan;
(B) annually
				update and approve the plan in clause (A); and
(C) post the plan in clause (A) in an area
				accessible to staff and to the public.
(12) The facility shall meet physical
				facility standards established by the OTP's accreditation
				body.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 3 - Certification of Opioid Treatment Facilities › Section 3-4 - Temporary certification

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 4.
(a) The
				division may issue a temporary certification if the applicant:
(1) has applied for, but has not yet
				obtained, a current certification from the United States Department of Health
				and Human Services, Substance Abuse and Mental Health Services Administration
				(SAMHSA) under 42 CFR Part 8 ; and
(2) meets the requirements of this
				section.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 3 - Certification of Opioid Treatment Facilities › Section 3-5 - Maintenance of certification

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18; IC 12-27
Sec. 5.
(a) An OTP
				certified under this article shall notify the division in writing not later
				than sixty (60) days prior to any of the following:
(1) A change in the location within the same
				county of an:
(A) opioid treatment facility;
				or
(B) addiction treatment
				facility.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 3 - Certification of Opioid Treatment Facilities › Section 3-6 - Relocation of an opioid treatment facility or addiction treatment facility

Current through July 10, 2024
Authority: IC 12-23-1-6; IC 12-23-18
Affected: IC 12-23-18
Sec. 6.
(a)
				Certification of any opioid treatment facility shall not be transferred from
				one (1) location to another location.
(b) An OTP may not relocate either an opioid
				treatment facility or an addiction treatment facility to a location outside of
				the county in which the OTP has obtained the following:
(1) Certification from the division under
				this rule.
(2) Specific approval
				from the division under
				440 IAC 10-4.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 3 - Certification of Opioid Treatment Facilities › Section 3-7 - Conditional status of certification

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 7.
(a) The
				division shall issue a conditional status under this article upon the
				division's investigation and determination of any of the following conditions:
(1) A substantive change in the entity's
				accreditation status other than revocation of the accreditation.
(2) Failure of the entity to renew
				accreditation within ninety (90) days following expiration of the entity's
				current accreditation by the entity's accrediting agency.
(3) Failure to comply with this
				article.
(4) Any conduct or
				practice in the operations of the entity that is found by the division to be
				detrimental to the welfare of persons served by the entity or
				organization.
(5) The physical
				safety of the patients or staff of the entity is compromised by a physical or
				sanitary condition of a physical facility of the entity.
(6) Violation of, or failure to comply with,
				a federal or state statute, rule, or regulation in the course of the operation
				of the entity.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 3 - Certification of Opioid Treatment Facilities › Section 3-8 - Penalties and appeals

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC 4-21.5; IC
				  12-23-18-5.8
Sec. 8.
(a) The
				division director may take action if any of the following occurs:
(1) A failure to comply with any local,
				state, or federal statute, rule, or regulation pertaining to the certification
				of an opioid treatment facility.
(2) A violation of a local, state, or federal
				statute, rule, or regulation in the course of the operation of an opioid
				treatment facility.
(3) A
				substantive change in the OTP's addiction services provider certification under
				440 IAC 4.4.
(4) A substantive
				change in or termination of an OTP's accreditation.
(5) A substantive change in the OTP's
				certification under this rule.
(6)
				A substantive change in or termination of an OTP's specific approval by the
				division.
(7) Permitting, aiding,
				or abetting the commission of any illegal act in an OTP facility.
(8) Conduct or practice found by the director
				to be detrimental to the welfare of an OTP patient.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-1 - Specific approval of an opioid treatment program

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18-0.5; IC
				  12-23-18-5.5
Sec. 1.
(a) In order
				to obtain and maintain specific approval to operate as an OTP, an OTP shall
				comply with the requirements of this rule.
(b) The division may not grant specific
				approval to be a new OTP unless permitted by Indiana law.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-2 - Diversion control

Current through July 10, 2024
Authority: IC 12-23-1-6; IC 12-23-18
Affected: IC 12-23-18
Sec. 2.
(a) Each OTP
				shall develop, implement, update, and submit to the division by February 28 of
				each year a diversion control plan for the following purposes:
(1) To identify individuals who divert opioid
				treatment medications from legitimate treatment use.
(2) To terminate the opioid treatment of
				those individuals.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-3 - Written program policies and procedures

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 3.
(a) An OTP
				shall maintain a policy and procedure manual (manual) that does the following:
(1) Addresses all areas of program
				operation.
(2) Contains all program
				protocols.
(3) Clearly identifies
				the staff responsible for each function.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-4 - Required services

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 4.
(a) The
				program shall establish and implement policies, procedures, and practices that
				do the following:
(1) Ensure access to a range
				of opioid addiction treatment services.
(2) Address the safety and health care needs
				of its patients.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-5 - Medical services

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 5.
Medical services include the following:
(1) An evaluation of physiological addiction
				to opioid drugs.
(2) The
				determination of the appropriate dose of treatment medication to eliminate
				symptoms of opioid withdrawal.
(3)
				The administering of treatment medication to the patient.
(4) The management of treatment medication
				reduction initiated by either the patient or clinical staff.
(5) Drug testing as required in section 22 of
				this rule.
(6) Physical examination
				services, including an annual physical examination.
(7) Consultation with other medical service
				providers to coordinate medical care.
(8) Referral for medical services not
				provided by the OTP.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-6 - Counseling services

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18-1
Sec. 6.
(a) The
				objective for opioid addiction treatment is to improve the overall functioning
				of patients through the provision of opioid treatment medication at medically
				appropriate levels. In addition, counseling services shall be provided to
				support the following:
(1) A patient's
				elimination of illicit drug use and other destructive behaviors.
(2) The elimination of a patient's opioid
				treatment medication as medically appropriate.
(3) Establishing a sound basis for a
				patient's ongoing recovery after treatment is concluded.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-7 - Educational services

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 7.
An OTP shall provide and document the education of patients
				  during program orientation and annually on at least the following:
(1) The prevention, treatment, and
				transmission of the following:
(A) HIV and
				AIDS.
(B) Hepatitis C.
(C) Tuberculosis.
(D) Other sexually transmitted and
				communicable diseases.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-8 - Referral services

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 8.
(a) An OTP
				shall have written, dated, and properly signed memoranda of understanding,
				qualified service organization agreements, or other types of formal agreements
				that assure the referral of patients to all services not provided by the OTP,
				including, but not limited to, the following:
(1) Vocational rehabilitation.
(2) Education.
(3) Employment.
(4) Housing.
(5) Other medical services not provided by
				the OTP.
(6) Prenatal care or other
				gender-specific services for pregnant patients.
(7) Testing for the following:
(A) HIV.
(B) AIDS.
(C) Hepatitis C.
(D) Tuberculosis.
(8) Mental health
				services.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-9 - Record keeping requirements

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18; IC
				  16-39-7-1
Sec. 9.
(a) An OTP
				shall maintain a master patient record for each current patient at the OTP
				medication administering site.
(b)
				If any OTP patient services are provided at a certified addiction treatment
				facility, the OTP shall have written policies and procedures requiring the
				inclusion of, and time frame for inclusion of, copies of all chart notes and
				records of patient services in the master patient record at the OTP medication
				administering site.
(c) The content
				and format of patient records shall be uniform. Entries shall be signed and
				dated by the staff member making the entry.
(d) Patient records shall be:
(1) kept confidential; and
(2) protected against:
(A) loss;
(B) tampering; or
(C) unauthorized
				disclosure.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-10 - OTP days of operation

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 10.
(a) An OTP
				shall offer opioid treatment services sufficient to meet the needs of patients
				seven (7) days per week.
(b)
				Service provision on Sundays and on federal and state holidays shall, at a
				minimum, include opioid medication administration services for patients not
				eligible to receive unsupervised medication; provided, however, if all patients
				of an OTP are eligible to receive unsupervised medication, the OTP may be
				closed for business on that Sunday or federal or state holiday.
(c) An OTP may provide services on Sundays
				and on federal and state holidays through a contract with a qualified service
				provider if the contract assures that all the provisions of this rule will be
				met.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-11 - Security of medications

Current through July 10, 2024
Authority: IC 12-23-1-6; IC 12-23-18
Affected: IC 12-23-18
Sec. 11.
An OTP shall do the following:
(1) Ensure the security of its treatment
				medication supply.
(2) Account for
				all treatment medication in the facility.
(3) Meet the requirements of
				440 IAC
				10-3-2(b)(7).
(4) Meet the requirements of the federal Drug
				Enforcement Agency (DEA), including securing and retaining a valid DEA
				registration.
(5) Maintain a DEA
				acceptable security system that meets the requirements of
				21 CFR §
										1301.71 through §
									1301.76 as applicable. The system
				shall be checked on a quarterly basis to ensure its continued safe
				operation.
(6) Physically separate
				the areas for the storage of, and administration of, treatment medication from
				other parts of the facility where patients are present.
(7) Implement written policies and procedures
				to ensure the positive identification of a patient before treatment medication
				is administered.
(8) Implement
				written policies and procedures regarding the recording of the following:
(A) Patient medication intake.
(B) A daily treatment medication
				inventory.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-12 - OTP administrative structure; general staff requirements

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 12.
(a) An OTP
				shall have an administrative structure that includes the following:
(1) A program sponsor identified in the
				application for certification under 42 CFR Part 8 as responsible for the
				operation of the program and who assumes responsibility for all its employees,
				including any practitioners, agents, or other persons providing medical,
				counseling, educational, or referral services at the program or by contract
				with the program.
(2) A medical
				director who assumes responsibility for administering all medical services
				performed by the program, either by:
(A)
				performing the services directly; or
(B) delegating specific responsibility to
				authorized program physicians and health care professionals functioning under
				the medical director's direct supervision.
(3) A program director who is responsible for
				the following:
(A) Managing the day-to-day
				operation of the program.
(B)
				Assuming responsibilities delegated by the program sponsor.
(4) A clinical supervisor who is responsible
				for overseeing the work of the counseling staff at the proportionate equivalent
				of one (1) full-time clinical supervisor for every ten (10) counselors or
				portion thereof.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-13 - OTP staff positions

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18; IC
				  25-22.5-2; IC
				  25-23-1; IC 25-23.6; IC 25-27.5;
				  IC 25-33
Sec. 13.
(a) Each
				OTP shall employ qualified individuals to fill the staff functions in this
				section.
(b) An OTP shall have a
				medical director who shall meet the following requirements:
(1) The medical director shall have the
				following qualifications:
(A) Be licensed as a
				physician in Indiana.
(B) Meet at
				least one (1) of the following requirements:
(i) Have a minimum of one (1) year's
				experience as a physician in an OTP.
(ii) Be employed as a medical director of an
				OTP as of the effective date of this article.
(iii) Within one (1) year of the date of
				hiring, obtain ten (10) hours of training in opioid addiction
				treatment.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-14 - Continuing education of OTP staff

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 14.
(a) Each
				OTP shall designate a staff person to serve as the staff training
				coordinator.
(b) All clinical and
				medical staff shall annually receive a minimum of one (1) two-hour training
				session relevant to service delivery in an opioid treatment setting.
(c) In addition to subsection (b), each OTP
				shall establish an in-service training curriculum for counselors for at least
				ten (10) hours annually. The training curriculum shall:
(1) be based on an annual evaluation of staff
				training needs; and
(2) include a
				refresher course on the program's diversion control plan as part of the
				training curriculum each year.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-15 - Patient admission criteria

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 15.
(a) An
				individual applying for admission to an OTP shall:
(1) present a government-issued photographic
				identification card to assure that the individual is providing accurate
				identity information;
(2) be
				addicted to an opioid drug;
(3)
				have become addicted at least one (1) year before admission;
(4) voluntarily choose treatment;
				and
(5) provide written informed
				consent to treatment.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-16 - Initial assessment

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 16.
(a) An
				initial assessment shall be made upon admission to an OTP and shall meet the
				following requirements:
(1) Be fully
				documented in the patient's record.
(2) Be conducted by a program
				physician.
(3) Include all measures
				and procedures necessary to determine opioid addiction. Only a program
				physician shall perform an initial assessment.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-17 - Individuals not meeting admission criteria

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 17.
(a) All
				individuals not meeting admission criteria shall be counseled regarding a need
				for a referral to another:
(1) service
				provider; or
(2) level of
				care.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-18 - Patient admission procedures

Current through July 10, 2024
Authority: IC 12-23-1-6; IC 12-23-18
Affected: IC 12-23-18
Sec. 18.
(a) An OTP
				shall maintain current written policies, procedures, and protocols designed to
				ensure that patients are admitted to opioid treatment by qualified
				personnel.
(b) To admit a patient
				to an OTP, qualified OTP personnel shall make a determination, using accepted
				medical criteria, that the patient meets the following criteria:
(1) The individual is currently addicted to
				an opioid drug.
(2) Based on
				available evidence documented in the patient record, the individual has been
				addicted for a minimum of one
(1) year before
				admission for treatment.
(3) The
				admission criteria in 42 CFR
				§
												8.12(e) have been
				met.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-19 - Initial opioid treatment medication

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC 12-23-18
Sec. 19.
(a) An OTP
				shall use only opioid treatment medications approved by the Food and Drug
				Administration under Section 505 of the Federal Food, Drug, and Cosmetic Act
				(21 U.S.C.
				355) for use in the treatment of opioid
				addiction.
(b) An OTP may use any
				of the following medications as an alternative for methadone for opioid
				treatment:
(1) Buprenorphine.
(2) Buprenorphine combination products
				containing naloxone.
(3) Any other
				medication that has been approved by the federal Food and Drug Administration
				for use in the treatment of opioid addiction.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-20 - Medical history and physical examination

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 20.
(a) An OTP
				shall conduct a physical examination of each patient at the following times:
(1) Prior to admission to an OTP.
(2) Annually thereafter.
Indiana Administrative Code › Title 440 - DIVISION OF MENTAL HEALTH AND ADDICTION › Article 10 - MINIMUM STANDARDS FOR THE PROVISION OF SERVICES BY OPIOID TREATMENT FACILITIES AND PROGRAMS › Rule 4 - Specific Approval of Opioid Treatment Programs › Section 4-21 - Substance abuse assessment

Current through July 10, 2024
Authority: IC
				  12-23-1-6; IC
				  12-23-18
Affected: IC
				  12-23-18
Sec. 21.
(a) A
				comprehensive substance abuse assessment shall be:
(1) conducted with each admitted patient;
				and
(2) documented in the patient's
				record.