reglab/statecodes huggingface dataset:
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 11 - JOINT RULE REGARDING TELEHEALTH STANDARDS OF PRACTICE › Section 383-11-3 - PRACTICE GUIDELINES

Current through 2024-29, July 17, 2024
1. A licensee who
				uses telehealth shall utilize evidence-based telehealth practice guidelines and
				standards of practice, to the degree they are available, to ensure patient
				safety, quality of care, and positive outcomes. The Board acknowledges that
				some nationally recognized medical specialty and nursing specialty
				organizations have established comprehensive telehealth practice guidelines
				that address the clinical and technological aspects of telehealth for many
				health care specialties.
2. MAINE
				LICENSE REQUIRED
A. Physicians, physician
				assistants and advanced practice registered nurses who use telehealth in the
				examination, diagnosis, consultation or treatment of a patient located in Maine
				shall hold an active Maine license or shall hold an active registration in
				Maine to provide interstate consultative telemedicine services.
B. Licensed practical nurses and registered
				professional nurses who use telehealth to provide nursing care services to a
				patient located in Maine shall hold an active Maine nursing license or an
				active multistate license in a nurse compact state.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 12 - JOINT RULE REGARDING OFFICE BASED TREATMENT OF OPIOID USE DISORDER › Section 383-12-2 - PURPOSE

Current through 2024-29, July 17, 2024
The Board is obligated under the laws of the State of Maine
				  to protect the public health and safety. The Board recognizes that medical and
				  advanced nursing practice dictate that the people of the State of Maine have
				  access to appropriate, empathetic and effective treatment of opioid use
				  disorder (OUD). This rule establishes minimum requirements for qualified Office
				  Based Opioid Treatment (OBOT) clinicians to prescribe, and in limited
				  circumstances, dispense approved medications to individuals requiring and
				  seeking treatment for OUD.
The Board recognizes the body of evidence regarding the
				  effectiveness of Approved Medications in the office based treatment of OUD,
				  when such treatment is delivered in accordance with current standards of care,
				  the requirements of the Drug Addiction Treatment Act of 2000 (DATA 2000), and
				  this joint rule. Overdoses and deaths due to approved medications can occur and
				  have been reported. Most overdoses, especially fatal ones, involve the
				  concurrent use of another central nervous system (CNS) depressant such as
				  benzodiazepines, other opioids, or alcohol. Approved Medications such as
				  buprenorphine also pose a significant risk to non-tolerant individuals,
				  especially children. The goal is to provide appropriate treatment of the
				  patient's OUD (either directly or through referral), while adequately
				  addressing other aspects of the patient's functioning, including co-occurring
				  medical and psychiatric conditions and psychosocial issues.
The Board also recognizes the importance of appropriate
				  training and education for clinicians providing OBOT. Clinicians providing OBOT
				  are strongly encouraged to complete continuing education in OBOT and to review
				  the published guidelines of SAMHSA and ASAM that are referenced in this rule,
				  as the Board may use these guidelines, as well as other sources and outside
				  expert reviews, as the standard of care when evaluating OBOT provided by
				  clinicians.
The Board will evaluate allegations of inappropriate OBOT by
				  referring to the rules, current clinical practice guidelines, and standards of
				  care. Clinicians should not fear disciplinary action by the Board for providing
				  OBOT if they are following standards of care, established guidelines and the
				  requirements of this rule. Judgment regarding the propriety of any specific
				  course of action must be based on all of the circumstances presented, and
				  thoroughly documented in the patient's medical record.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 12 - JOINT RULE REGARDING OFFICE BASED TREATMENT OF OPIOID USE DISORDER › Section 383-12-3 - QUALIFICATIONS

Current through 2024-29, July 17, 2024
1. Clinicians who wish to provide Approved
				Medications for OUD in an OBOT must:
A. Hold a
				current license issued by the Board;
B. Hold a current controlled substance
				registration issued by the DEA;
C.
				Obtain a DATA 2000 Waiver and complete buprenorphine training in accordance
				with applicable State and federal laws, rules, and regulations;
D. When required by State law, physician
				assistants must work in collaboration with a licensed physician when
				prescribing medications for the treatment of opioid use disorder; and
E. Comply with this joint
				rule.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 12 - JOINT RULE REGARDING OFFICE BASED TREATMENT OF OPIOID USE DISORDER › Section 383-12-4 - PRESCRIPTION REQUIREMENTS

Current through 2024-29, July 17, 2024
Prescriptions for Approved Medications to treat OUD must
				  include:
1. The full identifying
				information for the patient, including the patient's name and address;
2. The drug name, strength, dosage
				form, and quantity;
3. Directions
				for use;
4. The date on which the
				prescription is signed, which must be the same day it is issued;
5. If the date the medication is to be filled
				is different from the date it is written, it must be indicated on the
				prescription;
6. Both the
				clinician's regular DEA registration number and the clinician's DATA 2000
				identification number (which begins with the prefix X) so long as the DEA
				requires and issues DATA 2000 identification numbers;
7. The appropriate ICD code; and
8. The specific DHHS exemption code for
				dosage limits (if applicable).
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 12 - JOINT RULE REGARDING OFFICE BASED TREATMENT OF OPIOID USE DISORDER › Section 383-12-5 - PRINCIPLES OF PROPER OBOT

Current through 2024-29, July 17, 2024
1.
Develop and
				Maintain Competency
A. The diagnosis
				and medical management of OUD should be based on current knowledge and
				research, and should encompass the use of both pharmacologic and
				nonpharmacologic treatment modalities. Thus, before beginning to treat patients
				for opioid addiction, clinicians must be knowledgeable about OUD and its
				treatment, including the use of approved pharmacologic therapies and
				evidence-based nonpharmacologic therapies. Clinicians should consult the DEA
				regulations and the resources available on the DEA's website. Clinicians are
				encouraged to complete continuing education in OBOT and to access the following
				published guidelines on the use of medications for OUD:
1. SAMHSA - TIP 63 - Medication for Opioid
				Use Disorder; and
2. ASAM National
				Practice Guidelines For the Use of Medications in the Treatment of Addiction
				Involving Opioid Use.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 12 - JOINT RULE REGARDING OFFICE BASED TREATMENT OF OPIOID USE DISORDER › Section 383-12-6 - Telehealth Practice

Current through 2024-29, July 17, 2024
1. Telehealth is a
				useful tool that, if applied appropriately, can provide important benefits to
				patients, including increased access to health care, expanded utilization of
				specialty expertise, rapid availability of patient records, and potential cost
				savings.
2. Clinicians using
				telehealth in providing health care will be held to the same standards of care
				and professional ethics as clinicians providing traditional in-person health
				care.
3. Failure to conform to the
				appropriate standards of care or professional ethics while using telehealth in
				providing health care may subject the clinician to potential discipline by the
				Board.
4. Clinicians shall follow
				all applicable rules regarding Telehealth, including the Chapter 11 Joint Rule
				Regarding Telehealth Standards of Practice.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 14 - CONTINUING MEDICAL EDUCATION › Section 383-14-1 - DEFINITIONS

Current through 2024-29, July 17, 2024
1. "AOA" is the American Osteopathic
				Association.
2. "ACGME" is the
				American College of Graduate Medical Education.
3. "AMA" is the American Medical
				Association.
4. "Board" is the
				Board of Osteopathic Licensure.
5.
				"CME" is continuing medical education.
6. "Continuing medical education" is any
				educational activity that is designated as Category 1 and 2 by the AOA or by
				the ACGME or the AMA.
7.
				"Osteopathic medical education" for primary care physicians is CME designated
				by the AOA as Category 1. For osteopathic specialists, osteopathic medical
				education is considered CME designated as Category 1 by the AOA or the ACGME or
				the AMA..
8. "Osteopathic
				specialists", for the purpose of these rules, means any doctor of osteopathy
				not considered a primary care physician as defined below.
9. "Primary care physicians" means family or
				general practitioners, general internists, and general pediatricians.
10. "Satisfactory evidence" means a print out
				from the AOA, sponsor generated documentation evidencing attendance or
				completion of a CME program, completed and scored CME quiz, or other
				appropriate documentation acceptable to the Board.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 14 - CONTINUING MEDICAL EDUCATION › Section 383-14-3 - RANDOM AUDITS

Current through 2024-29, July 17, 2024
1. In each odd
				numbered year, the Board will conduct a random audit of 10% of the licensed
				physicians to verify the information regarding continuing medical education
				contained on the reporting form submitted pursuant to Section
				2, sub-section
				1, of these rules.
2. When the renewal application is sent to
				the physician, the Board will inform physicians of the requirement of the
				random audit and the necessity of retaining satisfactory evidence to verify the
				information reported to the Board regarding continuing medical
				education.
3. Within 30 days of the
				receipt of the request from the Board, each physician selected to participate
				in the random audit is required to produce satisfactory evidence of having
				obtained the hours reported to the Board at the time of the previous
				renewal.
4. If the physician is not
				able to produce satisfactory evidence of compliance with
				 32
				M.R.S.A. §2581, the Board will notify
				the physician of the deficiency. The procedures in Section 2, sub-sections
				3 through 5, are applicable, except
				that a new application and a new renewal fee will be required prior to any
				reinstatement.
5. The Board may
				also take any other disciplinary action authorized by law, as
				appropriate.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 16 - PRESCRIBING AND TREATMENT FOR SELF AND FAMILY MEMBERS › Section 383-16-1 - DEFINITIONS

Current through 2024-29, July 17, 2024
1. "Acute problem" is one expected to persist
				no longer than one month but which requires intervention on an immediate
				basis.
2. "Board" is the Board of
				Osteopathic Licensure.
3. "Chronic
				problem" is one previously diagnosed and treated by another which by
				circumstance requires interim adjustment or continuation of
				treatment.
4. "Emergency" is a
				condition threatening a person's life or limb when left untreated.
5. "Immediate family members" are spouse,
				significant other(s), child(ren), parent(s), person(s) living in the home of
				the physician or physician assistant, or others for whom the physician or
				physician assistant is legally responsible.
6. "Isolated setting" is one removed from
				access to routine or alternate sources of care due to the unreasonable distance
				or time needed to obtain these services.
7. "Physician", for the purposes of these
				rules, means any physician licensed by the Board to practice osteopathic
				medicine.
8. "Physician Assistant"
				means any physician assistant licensed by the Board to perform delegated
				medical activities under the supervision of a physician licensed to practice
				osteopathic medicine.
9. "Treat" or
				"Treatment" includes, but is not limited to:
A. diagnosis of a physical or psychological
				condition;
B. prescribing various
				therapies to resolve, ameliorate or rehabilitate a diagnosed
				condition;
C. dispensing of
				non-controlled or controlled substances;
D. writing a prescription for controlled or
				non-controlled substances;
E.
				radiological procedures;
F.
				surgical therapies, and
G.
				psychotherapy.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 16 - PRESCRIBING AND TREATMENT FOR SELF AND FAMILY MEMBERS › Section 383-16-2 - PRESCRIBING AND TREATMENT FOR SELF AND FAMILY MEMBERS

Current through 2024-29, July 17, 2024
Physicians may treat themselves or immediate family members,
				  under the following circumstances:
A.
				Physicians may treat themselves or immediate family members in emergency
				situations when there are no other qualified physicians that are reasonably
				available to address the emergency.
B. Physicians may treat themselves and
				immediate family members for acute problems.
C. Physicians may treat their own chronic
				problems or those of immediate family members for a period no longer than two
				months when in an isolated setting or when regular care is not otherwise
				reasonably available and the delay involved in obtaining treatment from a
				routine or alternate source of medical care may result in an emergency or acute
				exacerbation of the chronic problem.
D. Physicians may also treat themselves and
				family members for seasonal problems.
E. Following the provision of care under A.,
				B., C., the physician must promptly seek treatment from another physician or
				promptly refer the immediate family member to another qualified physician for
				follow-up.
F. Under the
				circumstances described in A., B. & C., the physician is held to the same
				standard of care applicable to physicians providing treatment for patients who
				are not immediate family members, and the physician must only treat within the
				physician's expertise and training.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 16 - PRESCRIBING AND TREATMENT FOR SELF AND FAMILY MEMBERS › Section 383-16-3 - PHYSICIAN ASSISTANTS

Current through 2024-29, July 17, 2024
Physician assistants must not treat themselves or immediate
				  family members, except in an emergency situation, unless under the direction of
				  the supervising physician.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 16 - PRESCRIBING AND TREATMENT FOR SELF AND FAMILY MEMBERS › Section 383-16-4 - RECORD KEEPING

Current through 2024-29, July 17, 2024
When physicians or physician assistants treat themselves or
				  immediate family members pursuant to these rules, the physician and physician
				  assistant must maintain the same standard of record-keeping applicable to a
				  patient who is a non-family member under the same circumstances.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 17 - PHYSICIAN / PHYSICIAN ASSISTANT - PATIENT BOUNDARIES - GIFTS › Section 383-17-1 - DEFINITIONS

Current through 2024-29, July 17, 2024
1. "Board" is the Board of Osteopathic
				Licensure.
2. "Immediate family
				members" are spouse/partner, dependent children, persons living in the home of
				the physician or physician assistant, or persons for whom the physician or
				physician assistant is legally responsible.
3. "Physician" is an individual who is
				qualified and licensed according to the provisions of
				 32 M.R.S.A.
				§2571
et seq
.
4. "Physician assistant' is an individual who
				is qualified and licensed or certified according to the provisions of
				 32 M.R.S.A.
				§§2594-A and
				2594-B.
5. "Significant monetary value"
				means a value of Fifty Dollars ($50.00) or over.
6. "Slight monetary value" means a value
				under Fifty Dollars ($50.00).
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 17 - PHYSICIAN / PHYSICIAN ASSISTANT - PATIENT BOUNDARIES - GIFTS › Section 383-17-2 - GIFTS

Current through 2024-29, July 17, 2024
1. It is considered unprofessional conduct as
				defined by
				 32 M.R.S.A.
				§2591-A(2)(F) if a
				physician or physician assistant:
A. accepts
				from a patient a gift of significant monetary value, frequent gifts of any
				monetary value, or a gift of a highly personal or intimate nature when the
				receipt of such gifts interferes with or has a reasonable likelihood of
				interfering with an appropriate patient-physician relationship;
B. gives a patient a gift of significant
				monetary value, frequent gifts of any value, a gift of a highly personal or
				intimate nature, or refrains from charging a fee when this is not necessitated
				by the patient's financial condition;
C. permits immediate family members to accept
				or to give gifts to patients when this interferes with or has the reasonable
				likelihood of interfering with an appropriate patient-physician
				relationship;
D. encourages a
				patient to bequeath or otherwise give money or anything of significant monetary
				value to the physician or physician assistant after the patient's death, or
				does not actively discourage the patient when the physician or physician
				assistant is informed of the patient's intent to do so, or
E. encourages a patient to donate money or
				anything of significant monetary value or does not actively discourage the
				patient when the physician or physician assistant is informed of the patient's
				intent to do so and the donation has the potential for creating a conflict of
				interest which interferes with or has a reasonable likelihood of interfering
				with appropriate care of the patient.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 19 - PHYSICIAN - SCHEDULE FOR LICENSE RENEWAL › Section 383-19-1 - DEFINITIONS

Current through 2024-29, July 17, 2024
1.
Board.
"Board" is the Board
				of Osteopathic Licensure.
2.
Physician
. "Physician" is an individual who is qualified and
				licensed according to the provisions of
				 32 M.R.S.A.
				§2571
et seq.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 19 - PHYSICIAN - SCHEDULE FOR LICENSE RENEWAL › Section 383-19-2 - EXPIRATION OF PREVIOUS LICENSE

Current through 2024-29, July 17, 2024
Beginning with licenses expiring after December 31, 2003,
				  regardless of the date of initial licensure or last license renewal,
1. the license of every physician born in an
				even-numbered year expires at midnight in 2004 on the last day of the month of
				the physician birth; and
2. the
				license of every physician born in an odd-numbered year expires at midnight in
				2005 on the last day of the month of the physician birth.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 19 - PHYSICIAN - SCHEDULE FOR LICENSE RENEWAL › Section 383-19-3 - SCHEDULE FOR RENEWAL

Current through 2024-29, July 17, 2024
1. Upon expiration
				of the license as stated in Section
				2, a physician must file a timely and
				sufficient application with the Board to renew the license issued pursuant to
				 32
				M.R.S.A. §2581 every two years by the
				last day of the month of birth of the physician seeking license renewal, on
				forms prescribed and supplied by the Board.
Example A
: Physician A's birth date is February
				  29, 1966. After December 31, 2003, Physician A must submit a signed and
				  completed application, on forms prescribed and supplied by the Board, by
				  midnight on February 29, 2004 and must be renewed again by February 28, 2006
				  and each and every even- numbered year thereafter by the last day of Physician
				  A's birth month.
Example B
: Physician B's birth date is July 5,
				  1957. After December 31, 2003, Physician B must submit a signed and completed
				  application, on forms prescribed and supplied by the Board, by midnight on July
				  31, 2005 and must be renewed again by July 31, 2007 and every odd numbered year
				  thereafter by the last day of Physician B's birth month.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 21 - USE OF CONTROLLED SUBSTANCES FOR TREATMENT OF PAIN › Section 383-21-3 - APPLICABILITY OF RULE

Current through 2024-29, July 17, 2024
1.
Custodial
				Care Facilities
This rule does not apply to the treatment of patients who
				  are in-patients of any medical facility or to the treatment of patients in any
				  custodial care facilities (including nursing homes, rehabilitation facilities,
				  and assisted living facilities) where the patients do not have possession or
				  control of their medications and where the medications are dispensed or
				  administered by a licensed, certified or registered health care provider.
2.
Hospice
				Care
This rule does not apply to the treatment of patients who are
				  terminally ill and who are receiving hospice services as defined by this
				  rule.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 21 - USE OF CONTROLLED SUBSTANCES FOR TREATMENT OF PAIN › Section 383-21-4 - PRINCIPLES OF PROPER PAIN MANAGEMENT

Current through 2024-29, July 17, 2024
1.
Develop and Maintain Competence
Clinicians must achieve and maintain competence to assess and
				  treat pain to improve function.This includes understanding current,
				  evidence-based practices and using other resources and tools related to opioid
				  prescribing. In some situations, consultation with a specialist is appropriate.
				  Not all pain requires opioid treatment, and clinicians should not prescribe
				  opioids when non-opioid medication is both effective and appropriate for the
				  level of pain and function of the patient.
2.
Universal Precautions
Because of the potential harmful effects of controlled
				  substances, all clinicians prescribing them must employ Universal
				  Precautionsunless unable to do so as a result of a genuine "medical emergency"
				  as defined in Section 2 of this rule.Universal Precautionsis a standardized
				  approach to the assessment and ongoing management of all patients whose pain is
				  being treated with controlled substances. The Boards recognizethe fact that
				  prescribing controlled substances carries with it the risk of physical and/or
				  psychological dependency in patients, regardless of a pre-existing substance
				  use disorderand that certain combinations of controlled substances and certain
				  drug dosages further increase the risk of patient overdoses. The use of
				  Universal Precautions is designed to mitigate the risk posed by prescribing
				  controlled substances while simultaneously managing patient pain and any
				  possible co-occurring medical issues. The elements of Universal Precautions are
				  detailed below.
A.
Evaluation of
				the Patient
(1)
Medical History
				and Physical
Before prescribing any controlled substancesto a patient for
				  acute or chronic pain, a clinician shall perform an initial medical history and
				  appropriate physical examination and evaluation of the patient,which must be
				  documented in the patient's medical record.The documentation shall
				  include:
(a) Duration, location,
				nature and intensity of pain.
(b)
				The effect of pain on physical and psychological function, such as
				work,relationships, sleep, mood.
(c) Coexisting diseases or
				conditions.
(d) Allergies or
				intolerances.
(e) Current substance
				use.
(f) Any available diagnostic,
				therapeutic or laboratory results.
(g) Current and past treatments of pain
				including consultation reports.
(h)
				Documentation of the presence of at least one recognized medical indication for
				the use of controlled substances if one is to be prescribed.
(i) All medications with date,dosage and
				quantity.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 21 - USE OF CONTROLLED SUBSTANCES FOR TREATMENT OF PAIN › Section 383-21-5 - CONTINUING EDUCATION

Current through 2024-29, July 17, 2024
1.
Board of
				Licensure in Medicine
By December 31, 2017 and thereafter, clinicians must complete
				  3 hours of Category 1 credit Continuing Medical Education (CME) every two years
				  on the prescribing of opioid medication as a condition of prescribing opioid
				  medication. By December 31, 2018 and thereafter, all clinicians must complete 3
				  hours of Category 1 credit Continuing Medical Education every two years on the
				  prescribing of opioid medication regardless of whether or not they prescribe
				  opioid medication.Category 1 credits will be accepted for CME regarding opioid
				  prescribing from any of the following: the American Academy of Physician
				  Assistants (AAPA); the American Medical Association Council on Medical
				  Education (AMA); the Accreditation Council for Continuing Medical Education
				  (ACCME); the American Academy of Family Physicians (AAFP); the Committee on
				  Continuing Medical Education of the Maine Medical Association (MMA); the
				  American Osteopathic Association (AOA); or the Maine Osteopathic Association
				  (MOA).
2.
State Board
				of Nursing
By December 31, 2017 and thereafter, advanced practice
				  registered nurses with prescriptive authority must complete 3 contact hours of
				  Category 1 continuing education every two (2) years on the prescribing of
				  opioid medication as a condition of prescribing opioid medication.
3.
Board of Osteopathic
				Licensure
By December 31, 2017 and thereafter, clinicians must complete
				  3 hours of Category 1 credit ContinuingMedical Education (CME) every two years
				  on the prescribing of opioid medication as a condition of prescribing opioid
				  medication. Category 1 credits will be accepted for CME regarding opioid
				  prescribing from any of the following: the American Academy of Physician
				  Assistants (AAPA); the American Medical Association Council on Medical
				  Education (AMA); the Accreditation Council for Continuing Medical Education
				  (ACCME); the American Academy of Family Physicians (AAFP); the Committee on
				  Continuing Medical Education of the Maine Medical Association (MMA); the
				  American Osteopathic Association (AOA); or the Maine Osteopathic Association
				  (MOA).
4.
Board of
				Licensure of Podiatric Medicine
By December 31, 2017 and thereafter, clinicians must complete
				  3 contact hours of Category 1 continuing education every two (2) years on the
				  prescribing of opioid medication as a condition of prescribing opioid
				  medication.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 383 - BOARD OF OSTEOPATHIC LICENSURE › Chapter 21 - USE OF CONTROLLED SUBSTANCES FOR TREATMENT OF PAIN › RESOURCES

Current through 2024-29, July 17, 2024
(a) Chronic pain management resources such as
				tools for Risk Assessment, Functional Assessment, Depression Screening,
				Treatment agreements, Informed Consent Forms, MME calculator, Opioid Taper
				Plan, Pain Tool Kit and much more are all available at:
https://www.mainequalitycounts.org/page/2-1224/chronic-pain-collaborative-2
(b) Interagency Guideline on
				Prescribing Opioids for Pain, 2015. A comprehensive resource for opioid
				prescribing. Includes opioid taper guide:
http://www.agencymeddirectors.wa.gov/Files/2015AMDGOpioidGuideline.pdf
(c) CDC Guideline for Prescribing
				Opioids for Chronic Pain:
				http://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm
(d) Withdrawal Symptoms Assessment: "Clinical
				Opiate Withdrawal Scale." The national Alliance for Advocates for Buprenorphine
				Treatment: www.naabt.org
(f) Drug
				Abuse resources. Substance Abuse and Mental Health Services Administration:
www.samhsa.gov
(g) Maine Prescription Monitoring Program:
http://www.maine.gov/dhhs/samhs/osa/data/pmp/index.htm
(h) A Data Resource for Medical
				Professionals and Law Enforcement: www.diversionalert.org
(i) FSMB Model Policy on the Use of Opioid
				Analgesics in the Treatment of Chronic Pain:
				http://www.fsmb.org/Media/Default/PDF/FSMB/Advocacy/pain_policy_july2013.pdf
(j) Responsible Opioid Prescribing: A
				Clinician's Guide. Scott M. Fishman, M.D. 2014
				http://www.fsmb.org/books
(k) ER/LA
				Opioids: Assessing Risks, Safe Prescribing Free Online CME from the Federation
				of State Medical Boards (FSMB Provider's Clinical Support System for Opioid
				Therapies): http://www.fsmb.org/policy/education-meetings/er-la-opioids
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 1 - DEFINITIONS › Section 384-1-1 - Definitions

Current through 2024-29, July 17, 2024
As used in the board's rules, unless the context otherwise
				  indicates, the following terms have the following meanings:
1.
Contact Hour
A "contact hour" is 60 minutes of participation in a
				  continuing education activity described in Chapter
				  7.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 2 - ADVISORY RULINGS › Section 384-2-1 - Request and Consideration

Current through 2024-29, July 17, 2024
Upon written request of any interested person, the board may
				  issue an advisory ruling pursuant to
				   5 M.R.S.A.
				  §9001 with respect to the applicability
				  of any statute or rule it administers. Requests for advisory rulings must set
				  forth in detail all facts pertinent to the question. The board may decline to
				  issue an advisory ruling if the question is hypothetical, if there is
				  insufficient information upon which to base a ruling, or for any other reason
				  the board deems proper.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 2 - ADVISORY RULINGS › Section 384-2-2 - Response

Current through 2024-29, July 17, 2024
The board shall acknowledge receipt of a request for an
				  advisory ruling within 15 days after receipt. The board shall respond to every
				  written request for an advisory ruling within 90 days of its receipt of the
				  request, indicating whether or not a ruling will be issued by the board.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 3 - REQUIREMENTS FOR REGISTRATION AS AN ALCOHOL AND DRUG COUNSELING AIDE (ADCA) › Section 384-3-1 - Application

Current through 2024-29, July 17, 2024
An applicant shall apply for registration on forms provided
				  by the board. The board will not act on an application until the application is
				  complete. Incomplete applications will be returned to the applicant for
				  completion.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 3 - REQUIREMENTS FOR REGISTRATION AS AN ALCOHOL AND DRUG COUNSELING AIDE (ADCA) › Section 384-3-2 - Change of Employment

Current through 2024-29, July 17, 2024
an alcohol and drug counseling aide shall file with the
				  board, on forms provided by the board, either an application for inactive
				  status pursuant to
				   32 M.R.S.A.
				  §§6203(5-A) and
				  6219-B or
				  notice of new employment. A licensee on inactive status shall file a notice of
				  new employment with the board when applying for reinstatement to active status
				  pursuant to
				   32 M.R.S.A.
				  §6219-B(2).
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 4 - REQUIREMENTS FOR LICENSURE AS A CERTIFIED ALCOHOL AND DRUG COUNSELOR (CADC) › Section 384-4-1 - Application

Current through 2024-29, July 17, 2024
An applicant shall apply for licensure on forms provided by
				  the board. The board will not act on an application until the application is
				  complete. Incomplete applications will be returned to the applicant for
				  completion.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 4 - REQUIREMENTS FOR LICENSURE AS A CERTIFIED ALCOHOL AND DRUG COUNSELOR (CADC) › Section 384-4-2 - Higher Education

Current through 2024-29, July 17, 2024
An applicant who applies for licensure on the basis of higher
				  education pursuant to
				  
				  32 M.R.S.A.
				  §6214-C(1)(D)(2) shall
				  meet the requirements of either subsection
				  1 or subsection
				  2 below:
1.
Associate Degree From Accredited
				Institution
The applicant shall submit evidence of an associate degree or
				  higher from an institution of higher education that has been accredited by a
				  regional institutional accrediting agency or a national institutional or
				  specialized accrediting body recognized by the U.S. Secretary of Education. The
				  degree shall be in clinically based behavioral sciences or addiction
				  counseling, or in one of the following related fields: social and behavioral
				  sciences; social work; counseling; childhood development; education and human
				  development; mental health and human services; nursing; psychology;
				  psychology/educational psychology; or rehabilitation services.
2.
Approved Coursework From
				Accredited Institution
As an alternative to a degree from an accredited institution
				  as described in Section
				  2(1) of this chapter,
				  the applicant may submit evidence of a minimum of 30 credit hours from one or
				  more accredited institutions drawn from the following areas:
Psychology
Crisis Identification and
							 Intervention
Group Process
Introduction to Social
							 Service Systems
Chemical Dependency
Chemical Dependency
							 Counseling
Career Experience in Social & Rehabilitative
							 Services
Models of Addiction
Addiction and the
							 Family
Substance Abuse Counseling for Special
							 Populations
Case Management
Introduction to Community Mental Health
Psychosocial Rehabilitation
Interviewing and Counseling
Crisis Identification and Resolution
Substance Abuse with a Dual
							 Diagnosis Component
Sexual Abuse, Trauma and Recovery
Mental Health and Aging
Cultural Competency/Diversity
Vocational Aspects of Disability
An applicant who has received a Substance Abuse
				  Rehabilitation Technician Certificate from the University of Maine at Augusta
				  or a Mental Health Rehabilitation Technician Certificate (MHRT/Community) from
				  the University of Maine at Augusta or the University of Southern Maine shall be
				  deemed to have met the requirements of this subsection.
[NOTE: For further information about the MHRT/Community
				  Certificate, see Procedural Guidelines for Mental Health Rehabilitation
				  Technician (MHRT/Community) Certification, Maine Department of Behavioral and
				  Development Services (August 2002; updated December 2002). A copy of this
				  document is available on line at-
http://muskie.usm.maine.edu/cfl/MHRT/communityguidelines.htm
]
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 4 - REQUIREMENTS FOR LICENSURE AS A CERTIFIED ALCOHOL AND DRUG COUNSELOR (CADC) › Section 384-4-4 - Work Experience

Current through 2024-29, July 17, 2024
An applicant who applies for certification on the basis of
				  documented clinically supervised work experience pursuant to
				  
				  32 M.R.S.A.
				  §6214-C(1)(D)(1) shall
				  submit evidence of 1 hour of supervision for each 20 hours of direct client
				  contact. Work experience and supervision shall be verified by an affidavit
				  signed by the applicant and the clinical supervisor under whose supervision the
				  work was performed, or a successor. The affidavit shall include the dates of
				  employment and the duties and responsibilities of the position.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 4 - REQUIREMENTS FOR LICENSURE AS A CERTIFIED ALCOHOL AND DRUG COUNSELOR (CADC) › Section 384-4-5 - Written Examination

Current through 2024-29, July 17, 2024
1.
Passing
				Score Required
The applicant shall achieve a passing score on the written
				  examination for certification designated by the board.
2.
Applications With Incomplete
				Examination Scores
For applications submitted on or after the effective date of
				  this chapter, all passing examination scores must be achieved and submitted to
				  the board within 1 year after initial submission of the application.
				  Applications with incomplete examination scores at the conclusion of this
				  1-year period will be discarded.
For applications submitted prior to the effective date of
				  this chapter, all passing examination scores must be achieved and submitted to
				  the board no later than November 1, 2005. Applications with incomplete
				  examination scores after this date will be discarded. Upon adoption of this
				  chapter, the board shall notify pending applicants of this requirement via
				  first-class mail sent to the last known address of the applicant on file with
				  the board.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 5 - REQUIREMENTS FOR LICENSURE AS A LICENSED ALCOHOL AN DRUG COUNSELOR (LADC) › Section 384-5-1 - Application

Current through 2024-29, July 17, 2024
An applicant shall apply for licensure on forms provided by
				  the board. The board will not act on an application until the application is
				  complete. Incomplete applications will be returned to the applicant for
				  completion.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 5 - REQUIREMENTS FOR LICENSURE AS A LICENSED ALCOHOL AN DRUG COUNSELOR (LADC) › Section 384-5-2 - Higher Education

Current through 2024-29, July 17, 2024
pursuant to
				  
				  32 M.R.S.A. §6214-D(1)(D)(2) or
				  (3) shall submit evidence of an associate
				  degree, bachelor degree or higher from an institution of higher education that
				  has been accredited by a regional institutional accrediting agency or a
				  national institutional or specialized accrediting body recognized by the U.S.
				  Secretary of Education. The degree shall be in clinically based behavioral
				  sciences or addiction counseling, or in one of the following related fields:
				  social and behavioral sciences; social work; childhood development; education
				  and human development; mental health and human services; nursing, psychology;
				  psychology/educational psychology; or rehabilitation
				  services.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 5 - REQUIREMENTS FOR LICENSURE AS A LICENSED ALCOHOL AN DRUG COUNSELOR (LADC) › Section 384-5-3 - Work Experience

Current through 2024-29, July 17, 2024
The applicant shall submit evidence of 1 hour of supervision
				  for each 20 hours of direct client contact in connection with the documented
				  supervised practice in alcohol and drug counseling required by
				  
				  32 M.R.S.A.
				  §6214-D(1)(D). Work
				  experience and supervision shall be verified by an affidavit signed by the
				  applicant and the clinical supervisor under whose supervision the work was
				  performed, or a successor. The affidavit shall include the dates of employment
				  and the duties and responsibilities of the position.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 5 - REQUIREMENTS FOR LICENSURE AS A LICENSED ALCOHOL AN DRUG COUNSELOR (LADC) › Section 384-5-4 - Written and Oral Examination

Current through 2024-29, July 17, 2024
1.
Passing
				Scores Required
The applicant shall achieve passing scores as determined by
				  the board on the written examination for certification and the oral examination
				  for licensure designated by the board. A case presentation submitted by the
				  applicant for use at oral examination is valid for up to 2 years after the case
				  presentation has been approved by the board.
2.
Applications With Incomplete
				Examination Scores
For applications submitted on or after the effective date of
				  this chapter, all passing examination scores must be achieved and submitted to
				  the board within 2 years after initial submission of the application.
				  Applications with incomplete examination scores at the conclusion of this
				  2-year period will be discarded.
For applications submitted prior to the effective date of
				  this chapter, all passing examination scores must be achieved and submitted to
				  the board no later than November 1, 2006. Applications with incomplete
				  examination scores after this date will be discarded. Upon adoption of this
				  chapter, the board shall notify pending applicants of this requirement via
				  first-class mail sent to the last known address of the applicant on file with
				  the board.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 6 - STANDARDS FOR CERTIFICATION OF CLINICAL SUPERVISORS › Section 384-6-1 - Application

Current through 2024-29, July 17, 2024
An applicant shall apply for certification on forms provided
				  by the board. The board will not act on an application until the application is
				  complete. Incomplete applications will be returned to the applicant for
				  completion.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 6 - STANDARDS FOR CERTIFICATION OF CLINICAL SUPERVISORS › Section 384-6-2 - Certain Licensed Mental Health Professionals

Current through 2024-29, July 17, 2024
A psychologist, physician, registered clinical nurse
				  specialist, clinical professional counselor or clinical social worker who is
				  licensed in Maine, and any other licensed or certified mental health
				  professionals who are qualified to provide alcohol and drug counseling services
				  at the independent practice level by virtue of the requirements for that
				  profession, may be certified to provide clinical supervision upon meeting the
				  qualifications set forth in this section and achieving a passing score on the
				  examination described in Section
				  4 of this chapter.
1.
Practice Experience
Documented proof of 1000 hours of practice in alcohol and
				  drug counseling under the applicant's qualifying license.
2.
Training in Clinical
				Supervision
Documented proof of 30 hours of didactic training in clinical
				  supervision, which includes at least 6 hours of training in each of the
				  following areas: skills assessment/evaluation; counselor development;
				  management/administration; and professional responsibility.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 6 - STANDARDS FOR CERTIFICATION OF CLINICAL SUPERVISORS › Section 384-6-3 - Licensed Alcohol and Drug Counselors

Current through 2024-29, July 17, 2024
A licensed alcohol and drug counselor may be certified to
				  provide clinical supervision upon meeting the qualifications set forth in this
				  section and achieving a passing score on the examination described in Section
				  4 of this chapter.
1.
Practice Experience
A LADC with a high school diploma or its equivalent shall
				  submit evidence of 4000 hours of documented clinically supervised work
				  experience as a LADC. A LADC with an associate or bachelor degree shall submit
				  evidence of 2000 hours of documented clinically supervised work experience as a
				  LADC. A LADC with a master degree or higher shall demonstrate 1000 hours of
				  documented clinically supervised work experience as a LADC.
2.
Training in Clinical
				Supervision
Documented proof of 30 hours of didactic training in clinical
				  supervision, which includes at least 6 hours of training in each of the
				  following areas: skills assessment/evaluation, counselor development,
				  management/administration, and professional responsibility.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 6 - STANDARDS FOR CERTIFICATION OF CLINICAL SUPERVISORS › Section 384-6-4 - Examination

Current through 2024-29, July 17, 2024
The applicant shall achieve a passing score as determined by
				  the board on the examination for clinical supervision designated by the
				  board.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 6 - STANDARDS FOR CERTIFICATION OF CLINICAL SUPERVISORS › Section 384-6-5 - Code of Ethics

Current through 2024-29, July 17, 2024
All certified clinical supervisors must comply with the
				  ICRC/AODA Code of Ethics for Substance Abuse Clinical Supervisors attached to
				  this chapter as Appendix A. In the event of any conflict or inconsistency
				  between the ICRC/AODA Code of Ethics for Substance Abuse Clinical Supervisors
				  and any provision of the board's rules, the board's rules shall prevail.
[NOTE: The ICRC/AODA Code of Ethics for Substance Abuse
				  Clinical Supervisors attached to this chapter as Appendix A has been revised
				  for clarity of obligation and consistency with Maine law and the board's
				  rules.]
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 384 - STATE BOARD OF ALCOHOL AND DRUG COUNSELORS › Chapter 6 - STANDARDS FOR CERTIFICATION OF CLINICAL SUPERVISORS › Section 384-6-6 - Transition Clause

Current through 2024-29, July 17, 2024
A LADC, or a mental health professional described in Section
				  2 of this chapter, who has regularly
				  served as a clinical supervisor of alcohol and drug counselors for 3 of the 5
				  years preceding November 1, 2004 may, until November 1, 2005, apply for
				  certification without the proof of practice experience or passing examination
				  score otherwise required by this chapter. The applicant must show the training
				  in clinical supervision required by Section
				  2(2) or
				  3(2) of this chapter in
				  order to qualify for certification under this section.