reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.8 - Assessment and record content - ASAM

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  OTP shall document and assess all persons served for appropriateness of
				  admission taking into account the needs of the person served as identified by,
				  but not limited to:
(1) Acute intoxication
				  and/or withdrawal potential;
(2)
				  Biomedical conditions and complications;
(3) Emotional, behavioral, or cognitive
				  conditions and complications;
(4)
				  Readiness to change;
(5) Relapse,
				  continued used, or continued problem potential; and
(6) Recovery/living
				  environment.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.9 - Assessment and record content - Supportive service array

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall have a written policy and
				  procedure that shall be made available to all persons served, outlining
				  rehabilitation services. Minimum services include:
(1) Individual therapy or rehabilitation
				  services until the person served is fully stabilized and as indicated in this
				  chapter;
(2) Group and family
				  therapy or rehabilitation services for spouses, parents, or significant others
				  and as indicated in this Chapter;
(3) Individual Placement and Support
				  Services;
(4) Case management
				  services;
(5) Peer recovery support
				  services; and
(6) Referral for
				  additional services as outlined by the individualized treatment
				  plan.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.10 - Assessment and record content - Service notification

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall have written policy and
				  procedure requiring the person served to be informed of all services that are
				  available through the agency; and of all policies and procedures that may
				  impact the treatment of the person served.
(b) There shall be written verification such
				  notification was made, signed by the person served.
(c) The OTP shall have written policy and
				  procedure requiring the person served be informed of the following upon
				  admission:
(1) The progression of opioid
				  dependence and the assessed stage of opioid use disorder of the person
				  served;
(2) The goal and benefits
				  of medication assisted opioid recovery services;
(3) The signs and symptoms of overdose and
				  when to seek emergency assistance;
(4) The characteristics of opioid agonist and
				  partial agonist treatment medication, including common side-effects and
				  potential interaction effects with non-opioid agonist treatment medications
				  and/or illicit drugs;
(5) The
				  requirement for staff members to report suspected or alleged abuse or neglect
				  of a child or an incapacitated or vulnerable adult;
(6) The requirement for staff members to
				  comply with the confidentiality requirements of 42 CFR Part 2 and 45 CFR parts
				  160 and 164;
(7) Drug screening and
				  urinalysis procedures;
(8)
				  Take-home medication requirements;
(9) Testing and treatment available for HIV,
				  HCV, tuberculosis and other communicable diseases;
(10) The process for a person served to file
				  a grievance with the agency for any reason, including involuntary discharge,
				  and to have the client's grievance handled in a fair and timely manner;
				  and
(11) The process for a person
				  served to file a grievance with the ODMHSAS Consumer Advocate office for any
				  reason, including involuntary discharge.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.11 - Assessment and record content - Chronic pain

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall have written policy and
				  procedure requiring the OTP to see that an individual who requires
				  administration of opioid agonist treatment and partial agonist medication only
				  for relief of chronic pain is:
(1) Identified
				  during the physical examination or assessment;
(2) Not admitted for opioid agonist or
				  partial agonist medication treatment; and
(3) Referred to appropriate medical
				  services.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.12 - Assessment and record content - Co-occurring disorder

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall have written policy and
				  procedure requiring the facility to ensure that, if, during the assessment or
				  physical examination, a determination is made that a person served may have a
				  mental disorder, the person served is referred for assessment and treatment of
				  the mental disorder.
(b) All
				  required consents for communication and collaboration with the behavioral
				  health professional to monitor and evaluate interactions between the opioid
				  agonist or partial agonist treatment medication and any medications used to
				  treat the mental disorder of the person served are required to be completed and
				  in the chart.
(c) Compliance with
				  450:70-3-5.12 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Treatment records,
				  and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.13 - Assessment and record content - Medical

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall have written policy and
				  procedure requiring the OTP to ensure that, if, during the assessment or
				  physical examination, a determination is made that a person served may have a
				  medical condition requiring intervention, the person served is referred for
				  assessment and treatment of the medical condition.
(b) The OTP will have all required consents
				  for communication and collaboration with the health professional to monitor and
				  evaluate interactions between the opioid agonist or partial agonist treatment
				  medication and medications used to treat the medical condition of the person
				  served.
(c) Compliance with
				  450:70-3-5.13 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Treatment records,
				  and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.14 - Assessment and record content - Medical service refusal

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall have written policy and
				  procedure allowing the medical director to refuse the admission and/or
				  medication assisted opioid recovery services to any person served if, in the
				  reasonable clinical judgment of the medical director, the person would not
				  benefit from such treatment. Prior to such a decision, appropriate staff should
				  be consulted and the reason(s) for the decision must be documented by the
				  medical director.
(b) Compliance
				  with 450:70-3-5.14 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Treatment records,
				  and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.15

Current through Vol. 41, No. 20, July 1, 2024
Added at 30 Ok Reg 1437, eff
						7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.16 - Assessment and record content - Initial dosing

Current through Vol. 41, No. 20, July 1, 2024
(a) OTPs shall develop and maintain written
				  policies and procedures that are adequate to ensure that the following dosage
				  form and initial dosing requirements are met:
(1) Methadone shall be administered or
				  dispensed only in oral form and shall be formulated in such a way as to reduce
				  its potential for parenteral abuse.
(2) For each new person served enrolled in a
				  program, the initial dose of methadone shall not exceed thirty (30) milligrams
				  and the total dose for the first day shall not exceed forty (40) milligrams,
				  unless the program physician documents in the clinical record that forty (40)
				  milligrams did not suppress opiate abstinence symptoms.
(3) Any increase above forty (40) milligrams
				  shall be based on the physician's medical judgment and documented in the
				  chart.
(4) Buprenorphine may be
				  administered in tablet or sublingual form.
(5) Initial and later treatment dosing shall
				  be determined by the medical director and according to best medical
				  practice.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-5.17 - Assessment and record content - Service refusal

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall ensure that a refusal of a
				  particular service by a person served does not preclude the person served from
				  accessing other needed mental health or substance use disorder treatment
				  services. Should the service provider determine the needs of the person served
				  cannot be met within the facility, clinical documentation of assessments and
				  referrals for the person served shall contain, at a minimum:
(1) Date of initial contact requesting
				  services;
(2) Identification
				  information, including the name, home address and telephone number of the
				  person served;
(3) Referral
				  source;
(4) Mental status
				  examination and results;
(5)
				  History and physical;
(6) Family to
				  be notified in case of emergency;
(7) A continuing care plan;
(8) What agency was contacted; and
(9) Where and why the individual was
				  referred.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 3 - INTAKE AND ADMISSION ASSESSMENT › Section 450:70-3-6 - Assessment - Process requirements

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  Written policies and procedures governing the intake and assessment process
				  shall specify the following:
(1) The
				  information to be obtained on all applicants or referrals for
				  admission;
(2) The procedures for
				  accepting referrals from outside agencies or organizations;
(3) The records to be kept on all
				  applicants;
(4) Any prospective
				  data regarding the person served to be recorded during the intake
				  process;
(5) The procedures to be
				  followed when an applicant or a referral is found ineligible for admission;
				  and
(6) The procedures and policies
				  for the purpose of admitting and assessing persons with special needs or
				  disabilities.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 5 - BIOPSYCHSOCIAL ASSESSMENT › Section 450:70-3-7 - Biopsychsocial assessment

Current through Vol. 41, No. 20, July 1, 2024
(a) All OTPs shall
				  complete a biopsychsocial assessment which gathers sufficient information to
				  assist the person served in developing an individualized treatment plan. The
				  OTP may utilize the current edition of the Addiction Severity Index (ASI) or
				  develop a biopsychsocial assessment which contains, but not be limited to, the
				  following:
(1) Identification of the
				  strengths, needs, abilities, and preferences of the person served;
(2) Presenting problem and history of the
				  presenting problem;
(3) Previous
				  treatment history, including opioid substitution therapy:
(A) Mental health,
(B) Substance abuse, and
(4) Health history and current biomedical
				  conditions and complications;
(5)
				  Alcohol and drug use history;
(6)
				  History of trauma;
(7) Family and
				  social history, including family history of alcohol and drug use;
(8) Educational attainment, difficulties, and
				  history;
(9) Cultural and religious
				  orientation;
(10) Vocational,
				  occupational and military history;
(11) Sexual history, including HIV, AIDS and
				  STD at-risk behaviors;
(12) Marital
				  or significant other relationship history;
(13) Recreational and leisure
				  history;
(14) Legal
				  history;
(15) Present living
				  arrangement;
(16) Economic
				  resources;
(17) Level of
				  functioning;
(18) Current support
				  system;
(19) Current medications,
				  including the name of prescribing physician, name of medication, strength and
				  dosage, and length of time the consumer has been on the medication;
(20) Expectations of the person served in
				  terms of service; and
(21)
				  Assessment summary or diagnosis, and signature of the assessor and date of the
				  assessment.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 7 - SERVICE PLANNING › Section 450:70-3-8 - Individualized service planning

Current through Vol. 41, No. 20, July 1, 2024
(a) Upon
				  completion of the admission evaluation, an individualized service plan shall be
				  developed by a LBHP or licensure candidate in collaboration with the person
				  served.
(b) The service plan shall
				  be based on the presenting problems or diagnosis, intake assessment,
				  biopsychsocial assessment, and expectations of recovery of the person
				  served.
(c) Frequency of services
				  shall be determined by mutual agreement between the facility treatment team and
				  the person served.
(d) Service
				  plans shall be completed by the fourth visit after admission.
(e) The service plan review should occur
				  according to the time frame required by the agency but, no less often than
				  every six (6) months; and further, is required by any of the following
				  situations:
(1) Change in goals and
				  objectives based upon documented progress, or identification of any new
				  problem;
(2) Change in primary
				  therapist or rehabilitation service provider assignment;
(3) Change in frequency and types of services
				  provided;
(4) Critical incident
				  reports; or
(5) Sentinel
				  events.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 9 - PROGRESS NOTES › Section 450:70-3-9 - Progress notes

Current through Vol. 41, No. 20, July 1, 2024
(a) Unless defined
				  otherwise by level of care, medication assisted opioid treatment services and
				  any issues related to treatment shall be reflected by written documentation in
				  the clinical record that shall chronologically describe the services provided
				  by date and, for timed treatment sessions, time of service, and the consumer's
				  progress in treatment.
(b) Progress
				  notes must be signed by the service provider and include the service provider's
				  credentials.
(c) Compliance with
				  450:70-3-8 may be determined by:
(1) A review of policies and
				  procedures,
(2) Treatment records,
				  and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 11 - DISCHARGE › Section 450:70-3-10 - Discharge assessment

Current through Vol. 41, No. 20, July 1, 2024
(a) All consumers
				  shall be assessed for biopsychsocial appropriateness of discharge from each
				  level of care using ASAM criteria that includes a list of symptoms for all six
				  dimensions and each of the levels of care, to determine a clinically
				  appropriate placement in the least restrictive level of care. This organized
				  process involves a professional determination for appropriate placement to a
				  specific level of care based on the consumer's severity of symptoms and current
				  situations.
(1) Acute intoxication and/or
				  withdrawal potential;
(2)
				  Biomedical conditions and complications;
(3) Emotional, behavioral or cognitive
				  conditions and complications;
(4)
				  Readiness to change;
(5) Relapse,
				  continued use or continued problem potential; and
(6) Recovery/living environment.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 3 - Facility Record System › Part 11 - DISCHARGE › Section 450:70-3-10.1

Current through Vol. 41, No. 20, July 1, 2024
Added at 30 Ok Reg 1440, eff
						7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 1 - STAFF SUPPORT › Section 450:70-4-1 - Purpose [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2634, eff 7-12-07 ; Revoked at 30 Ok
						Reg 1440, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 1 - STAFF SUPPORT › Section 450:70-4-2

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2634, eff 7-12-07 ; Amended at 30 Ok
						Reg 1440, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 1 - STAFF SUPPORT › Section 450:70-4-3

Current through Vol. 41, No. 20, July 1, 2024
Added at 24 Ok Reg 2634, eff 7-12-07 ; Amended at 30 Ok
						Reg 1441, eff 7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 1 - STAFF SUPPORT › Section 450:70-4-4 - Staffing - Dosing coverage

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall
				  have written policy and procedure requiring at least two (2) staff members be
				  present on the premises during dispensing hours. At least one (1) of the staff
				  members shall be appropriately licensed to dispense FDA-approved opioid agonist
				  or partial agonist medications. It is recommended that physicianshave, or be in
				  the process of obtaining, specialty certification and/or licensure related to
				  opioid treatment.
(b) Compliance
				  with 450:70-4-4 may be determined by:
(1) a review of policies and
				  procedures,
(2) staff
				  schedules,
(3) treatment records,
				  and
(4) other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 1 - STAFF SUPPORT › Section 450:70-4-4.1 - Staffing - Transportation, dispensing and responsibility

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall have written policy and
				  procedure to ensure that only appropriately trained and licensed medical
				  personnel shall be allowed access to, transportation of, dispensing of,
				  administration of, or responsibility for approved opioid agonist or partial
				  agonist medications.
(1) Access to medication
				  deliveries to an OTP shall be received, secured and inventoried by program
				  personnel specifically designated for this task.
(2) Acceptance of delivery of scheduled
				  medications must be made only by a licensed practitioner employed at the OTP or
				  other authorized individuals designated in writing who must sign for all
				  scheduled medications. Staff who are currently or previously experience a
				  significant opioid use disorder are not allowed to perform this
				  function.
(3) The OTP shall have
				  one staff member to have primary responsibility for receiving, securing and
				  inventorying medications.
(4) The
				  OTP also shall identify additional program personnel who have authority to
				  receive, store and inventory the medication at times when the individual
				  designated to have primary responsibility is not available.
(5) The OTP shall maintain a written list of
				  all designated personnel who have been authorized to receive, store and
				  inventory the medication. This list shall be updated whenever a change in
				  designated personnel occurs.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 1 - STAFF SUPPORT › Section 450:70-4-4.2 - Staffing - Medical Director coverage

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall
				  have written policy and procedure requiring the medical director be present, on
				  site for two hours each week during normal dispensing hours for every one
				  hundred (100) active persons served in an OTP.
(b) With the exception of short-term, ad hoc
				  absences, a designee cannot substitute for the medical director. For
				  short-term, ad hoc absences such as those due to illness or planned time off, a
				  physician or physician assistant may temporarily serve as a substitute for the
				  medical director.
(c) Compliance
				  with 450:70-4-4.2 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Staff
				  schedules,
(3) Privileging
				  documents,
(4) Employee
				  contracts,
(5) Interviews with
				  staff, and
(6) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 1 - STAFF SUPPORT › Section 450:70-4-4.3 - Staffing - Training

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall
				  have written policy and procedure requiring each person engaged in the
				  medication assisted recovery services for a significant opioid use disorder to
				  have sufficient education, training, and/or experience to enable that person to
				  perform the assigned duties and functions. This includes specific training in
				  opioid related treatment service options. All physicians, nurses, and other
				  licensed professional care providers, including therapists and rehabilitation
				  service providers, must comply with the credentialing requirements of their
				  respective professions. Hiring preference should be given to staff with
				  substance use disorder and/or opioid use disorder treatment specific licenses
				  and certifications.
(1) All direct service
				  and medical staff shall receive training relevant to service delivery in a
				  medication assisted opioid treatment setting. There shall be seven (7) clock
				  hours of such training during each year.
(2) All direct service staff shall receive
				  initial training and ongoing training updates for all personnel employed by the
				  treatment facility covers at a minimum:
(A)
				  Rights of persons served served;
(B) Person and family centered
				  services;
(C) The prevention of
				  violence in the workplace;
(D)
				  Confidentiality requirements;
(E)
				  Cultural competency; and
(F)
				  Expectations regarding professional conduct.
(3) All physicians working in an OTP should
				  have, or be in the process of obtaining, specialty certification and/or
				  licensure related to medication assisted opioid and/or substance use disorder
				  treatment.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 1 - STAFF SUPPORT › Section 450:70-4-4.4 - Staffing - Qualifications

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall
				  have written policy and procedure requiring FDA-approved medications for opioid
				  use disorder be administered or dispensed only by a practitioner licensed and
				  registered under the appropriate State and Federal laws to administer or
				  dispense such medications, or by an agent of such practitioner if the agent is
				  supervised by and under the order of the licensed practitioner, if the agent is
				  authorized by Federal and State law to administer or dispense medications for
				  opioid use disorder.
(b) The
				  facility shall maintain documentation verifying the qualifications for the
				  service providers.
(c) Staff shall
				  be at leasttwenty-one (21) years old (excluding student interns).
(d) Compliance with
				  450:70-4-4.4 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Credentialing and
				  privileging documents,
(3)
				  Interviews with staff, and
(4)
				  Other facility documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-5 - Service support and enhancement

Current through Vol. 41, No. 20, July 1, 2024
(a) Each OTP shall
				  have written policies and procedures describing operational methods,
				  administration and organization adequate to ensure quality care, ability to
				  operate in accordance with all approved accreditation elements and to meet the
				  requirements of all pertinent Federal, State and local laws and regulations. In
				  addition, an OTP will operate in accordance with all approved accreditation
				  elements; including the OBNDD, DEA and SAMHSA.
(b) OTPs will produce evidence of a current
				  and valid certification from SAMHSA to be considered qualified to dispense
				  opioid medications in the treatment of significant opioid use disorders and
				  dependence. Prior to beginning the delivery of medication-assisted opioid
				  recovery services, an OTP must apply for and receive a permit for temporary
				  operations from ODMHSAS.
(c) An OTP
				  must produce evidence that the program has been determined under the Controlled
				  Substances Act to be qualified and registered to dispense opioid agonist
				  treatment medications to individuals for treatment of significant opioid use
				  disorders and opioid dependence.
(d) In order to retain ODMHSAS certification
				  an OTP shall produce within twelve (12) months of opening, a current, valid
				  accreditation by an accreditation body or other entity designated by SAMHSA
				  such as CARF, JC, or COA including a written description of the current
				  accreditation status of the OTP and must comply with any additional conditions
				  for certification established by SAMHSA.
(e) Compliance with
				  450:70-4-5 may be determined by:
(1) A review of policies and
				  procedures,
(2) Current
				  certifications, accreditations, registrations, and licenses, and
(3) Other facility documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-5.1 - Organizational - Staffing

Current through Vol. 41, No. 20, July 1, 2024
(a) An OTP shall
				  have an accurate and current description of organizational structure including;
(1) The names and contact information of all
				  persons responsible for the OTP.
(2) The current addresses of the OTP and of
				  each additional facility, medication unit or additional site under the control
				  of the OTP providing opioid agonist treatment services, and
(3) The sources of any funding other than
				  fees from persons served for the OTP including the name and address of any
				  governmental entity that provides such funding.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-5.2

Current through Vol. 41, No. 20, July 1, 2024
Added at 30 Ok Reg 1444, eff
						7-1-13
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-5.3 - Organizational - Notification of ODMHSAS

Current through Vol. 41, No. 20, July 1, 2024
(a) An
				  OTP shall notify the SOTA within one (1) work day of any vacancy or replacement
				  or other change in the status of the program sponsor or medical
				  director.
(b) An OTP, medication
				  unit, or any part thereof including any related facility or individual shall
				  allow inspections and surveys by duly authorized employees of ODMHSAS, SAMHSA,
				  the accreditation body providing national accreditation, the DEA, and by
				  authorized employees of any other relevant State or Federal governmental
				  authority.
(c) OTPs shall notify
				  the SOTA of plans to either close, or relocate the program not less than thirty
				  (30) days prior to said closure, or relocation. Relocation shall be contingent
				  upon ODMHSAS certification of any new treatment location.
(d) Each OTP must notify the SOTA in writing
				  of clinic closure due to holidays, training prior to the date, and as soon
				  after the event as possible in the case of emergencies.
(e) Compliance with 450:70-4-5.3 may be
				  determined by:
(1) A review of policies and
				  procedures,
(2) Interviews with
				  staff, and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-5.4 - Organizational - Fee structure and exceptions

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall have written policy and
				  procedure establishing a standard fee for persons served receiving methadone as
				  part of a medication assisted treatment program that shall be inclusive of all
				  regular and normal, clinical, administrative and medical services and
				  procedures and be no more than $65.00 per week, unless an exception is approved
				  by ODMHSAS.
(b) Unless otherwise
				  specified in this chapter, requirements, and exceptions, for each type of
				  opioid treatment services shall apply, as required by 42 CFR, Chapter 1, Part
				  8.
(c) The fee for persons served
				  receiving buprenorphine as part of a medication assisted treatment program
				  shall be set by the OTP medical director.
(d) Compliance with
				  450:70-4-5.4 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Interviews with
				  staff, and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-5.5 - Organizational - Cooperative agreements

Current through Vol. 41, No. 20, July 1, 2024
(a)
				  Each OTP shall have written policy and procedure stating that programs in the
				  same geographical area shall develop policy and procedure designed to work
				  together to maximize hours of operation and treatment accessibility.
(b) Compliance with 450:70-4-5.5 may be
				  determined by:
(1) A review of policies and
				  procedures,
(2) Interviews with
				  staff, and
(3) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-5.6 - Organizational - Consultation

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP
				  shall have available specialized professional consultation or professional
				  supervision.
(b) Compliance with
				  450:70-4-6
				  may be determined by:
(1) A review of
				  policies and procedures,
(2)
				  Interviews with staff, and
(3)
				  Other facility documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-6 - New program approval

Current through Vol. 41, No. 20, July 1, 2024
(a) Determination of
				  the need for new services shall be at the sole discretion of ODMHSAS as the
				  designated state authority responsible for medication assisted opioid recovery
				  services through information provided by the proposed new agency including:
(1) Copies of all planned promotional
				  materials, advertisements, and marketing strategies to publicize the proposed
				  program;
(2) Policies and
				  procedures that will be used to identify if a person served is enrolled in
				  another clinic;
(3) The source and
				  adequacy of financial assets necessary to operate the program;
(4) If applicable, the compliance history of
				  the applicant, including any issues reported to ODMHSAS by SAMHSA, DEA or any
				  other regulatory agency;
(5)
				  Adequate planning and organizational structure demonstrated by full and
				  complete answers submitted to all questions in the application
				  materials;
(6) A written statement
				  that the applicant has read, understood and agreed to follow all federal and
				  state regulations concerning operation of an OTP signed by the program sponsor
				  and the medical director;
(7)
				  Documentation of the need for new services in the area as demonstrated by
				  providing ODMHSAS with waiting lists, numbers of opioid related emergency room
				  visits, opioid related arrest data, and federal drug use forecasting data;
(8) Demonstration of the general
				  community acceptance by providing ODMHSAS with copies of letters of support
				  from local authorities and local residents living near the site;
(9) Additional information and documentation
				  for medication units in accordance with SAMHSA guidelines and as requested by
				  ODMHSAS, if applicable; and
(10)
				  Written documentation that ODMHSAS has received and accepted all the
				  requirements listed above.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-7 - Operations - Hours

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall
				  have policy and procedure to define operations for a minimum of forty (40)
				  hours per week, (excluding holidays and emergency closure) in outpatient
				  settings and twenty-four (24) hours per day in inpatient and residential
				  program settings.
(b) The OTP shall
				  have written policy and procedure for medication dispensing available at least
				  six (6) days per week in outpatient settings; and seven (7) days per week in
				  inpatient and residential settings with approval from SAMHSA.
(c) The facility shall be publicly accessible
				  and accommodate office space, individual and group therapy/rehabilitation
				  service space, secure record storage, and protect consumer
				  confidentiality.
(d) Hours of
				  operation shall be during regularly scheduled times in which services are
				  accessible to consumers and the general public, including those employed
				  between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday. To
				  accomplish this, the OTP shall have written policy and procedure providing at
				  least two (2) hours per day either prior to 9:00 a.m. or after 5:00 p.m. for
				  dispensing medication and therapy/rehabilitation services.
(e) For facilities that do not provide
				  twenty-four (24) hour services, the facility's hours of operation shall be
				  conspicuously displayed on the outside of the building. For facilities in
				  multi-office buildings, the hours shall be posted either on the building
				  directory or the facility's office door.
(f) Clinical services shall be organized with
				  scheduled treatment sessions that accommodate schedules of persons served who
				  are employed and parenting, and offer treatment services during the day,
				  evening, or weekends.
(g)
				  Compliance with
				  450:70-4-7 may be determined by:
(1) A review of policies and
				  procedures,
(2) Personnel
				  records,
(3) On-site
				  verification,
(4) Interviews with
				  staff, and
(5) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-7.1 - Operations - Medication security

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  OTP shall develop written policy and procedures to maintain security over all
				  stocks of medication, the manner in which it is received, stored and
				  distributed consistent with the regulations of the DEA, state and federal
				  law.
(b) OTPs must maintain written
				  policies and procedures adequate to identify the theft or diversion of
				  take-home medications to the illicit market, including labeling containers with
				  the OTP's name, address, and telephone number. Programs also must ensure that
				  take-home supplies are packaged in a manner that is designed to reduce the risk
				  of accidental ingestion, including child-resistant containers.
(c) An OTP must maintain a written, active
				  "Diversion Control Plan" or "DCP" as part of its quality assurance program that
				  contains specific measures to reduce the possibility of diversion of controlled
				  substances from legitimate treatment use and that assigns specific
				  responsibility to the medical and administrative staff of the OTP for carrying
				  out the diversion control measures and functions described in the DCP. The DCP
				  shall include:
(1) Written policy and
				  procedure stating a requirement that treatment and administrative activities be
				  continuously monitored to reduce the risk of diversion,
(2) Written policy and procedure for stopping
				  identified diversion and for preventing future diversion, and
(3) Written policies and procedures for how
				  staff members who diverts medication are held accountable for the medication
				  diversion.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-7.2 - Operations - Dual enrollments

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall
				  have written policy and procedure stating FDA-approved medications shall not be
				  provided to a person served who is known to be currently receiving medications
				  from another OTP. Persons Served who are known to be enrolled in more than one
				  OTP at a time shall be required to choose one OTP for treatment. The person
				  served must also be reported to the SOTA.
(b) Compliance with
				  450:70-4-7.2 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Treatment
				  records,
(3) Interviews with staff,
				  and
(4) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-7.3 - Operations - Dosing considerations

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				  OTP shall have written policy and procedure stating that methadone shall be
				  dispensed orally and in liquid form only. Non-oral forms and tablet form
				  methadone are prohibited from use. Tablet and sublingual forms of buprenorphine
				  are allowed.
(b) Each OTP shall
				  develop written policies and procedures giving preference to the use of liquid
				  and diskette forms of methadone. Diskettes shall be dissolved in liquid prior
				  to being dispensed, or dissolved in liquid by the patient in full and clear
				  view of OTP staff.
(c) OTPs shall
				  have written policies and procedures adequate to ensure that each opioid
				  agonist and partial agonist treatment medication used by the program is
				  administered and dispensed in accordance with its approved product
				  labeling.
(d) Written policy and
				  procedure shall reflect that dosing and administration decisions shall be made
				  by a program physician familiar with the most up-to-date product labeling.
				  These procedures must ensure that any significant deviations from the approved
				  labeling, including deviations with regard to dose, frequency, or the
				  conditions of use described in the approved labeling, are specifically
				  documented in the clinical record.
(e) The OTP shall have written policy and
				  procedure stating the OTP shall use only those opioid agonist treatment
				  medications that are approved by the Food and Drug Administration for use in
				  the treatment of significant opioid use disorders and opioid
				  dependence.
(f) The OTP shall be
				  fully compliant with the protocol of any investigational use of a drug and
				  other conditions set forth in the application may administer a drug that has
				  been authorized under an investigational new drug application through all
				  applicable Federal law for investigational use in the treatment of significant
				  opioid use disorders and opioid dependence.
(g) Compliance with
				  450:70-4-7.3 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Treatment
				  records,
(3) Interviews with staff,
				  and
(4) Other facility
				  documentation.
Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 70 - Standards and Criteria for Opioid Treatment Programs › Subchapter 4 - Services Support and Enhancement › Part 3 - ORGANIZATIONAL AND FACILITY MANAGEMENT › Section 450:70-4-7.4 - Operations - Emergencies and exception for weekend dosing

Current through Vol. 41, No. 20, July 1, 2024
(a) The OTP shall maintain written policy and
				  procedures for handling medical emergencies; and an emergency medical number
				  shall be posted for use by staff.
(b) Crisis intervention and
				  therapy/rehabilitation services shall be available when indicated.
(c) If the OTP is closed on Sunday or for
				  holidays, there shall be written policy and procedure describing the process
				  for providing services to and dosing for those persons served who are not
				  assessed as appropriate to receive a single take home dose. The medical
				  director shall be responsible for determining whether a person served can
				  safely be dispensed medications for unsupervised use. The basis for the
				  decision shall be, at a minimum, the nine criteria listed in
				  450:70-4-8(g), (1) through
				  (9).
(d) Compliance with
				  450:70-4-7.4 may be determined
				  by:
(1) A review of policies and
				  procedures,
(2) Treatment
				  records,
(3) Interviews with staff,
				  and
(4) Other facility
				  documentation.