Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-9 - Prescriptive Authority › Section 4723-9-13 - Medication-assisted treatment

Current through all regulations passed and filed through July 1, 2024
(A) Definitions; for purposes of this rule
			 and interpretation of the formulary set forth in rule
			 4723-9-10
			 of the Administrative Code:
(1) "Community
			 addiction services provider" has the same meaning as in section
			 5119.01 of the Revised
			 Code.
(2) "Community mental health
			 services provider" has the same meaning as in section
			 5119.01 of the Revised
			 Code.
(3) "Controlled substance,"
			 "schedule III," "schedule IV," and "schedule V" have the same meanings as in
			 section 3719.01 of the Revised
			 Code.
(4) "FDA" means the United
			 States food and drug administration.
(5) "Induction phase" means the phase of
			 opioid treatment during which maintenance medication dosage levels are adjusted
			 until a patient attains stabilization.
(6) "Medication-assisted treatment" means
			 alcohol or drug addiction services that are accompanied by medication that has
			 been approved by the United States food and drug administration for the
			 treatment of substance use disorder, prevention of relapse of substance use
			 disorder, or both.
(7)
			 "Office-based opioid treatment" or "OBOT" means medication-assisted treatment
			 of opioid dependence or addiction utilizing controlled substances, in a private
			 office or public sector clinic that is not otherwise regulated, by
			 practitioners who are authorized to prescribe outpatient supplies of
			 medications approved by the FDA for the treatment of opioid addiction or
			 prevention of relapse. OBOT includes treatment with all controlled substance
			 medications approved by the FDA for such treatment. OBOT does not include
			 treatment that occurs in the following settings:
(a) A state or local correctional facility,
			 as defined in section
			 5163.45 of the Revised
			 Code;
(b) A hospital, as defined in
			 section 3727.01 of the Revised
			 Code;
(c) A provider certified to
			 provide residential and inpatient substance use disorder services, including
			 withdrawal management, by the Ohio department of mental health and addiction
			 services;
(d) An opioid treatment
			 program certified by SAMHSA and accredited by an independent, SAMHSA-approved
			 accrediting body; or
(e) A youth
			 services facility, as defined in section
			 103.75 of the Revised
			 Code.
(8) "OARRS" means
			 the "Ohio Automated RX Reporting System" drug database established and
			 maintained pursuant to section
			 4729.75 of the Revised
			 Code.
(9) "Qualified behavioral
			 healthcare provider" means the following who is practicing within the scope of
			 professional licensure:
(a) A medical doctor
			 or doctor of osteopathic medicine and surgery who holds board certification in
			 addiction medicine or addiction psychiatry, or a psychiatrist, licensed under
			 Chapter 4731. of the Revised Code;
(b) A licensed independent chemical
			 dependency counselor-clinical supervisor, licensed independent chemical
			 dependency counselor, licensed chemical dependency counselor III, licensed
			 chemical dependency counselor II, or licensed chemical dependency counselor
			 assistant licensed under Chapter 4758. of the Revised Code;
(c) A professional clinical counselor,
			 licensed professional counselor, licensed independent social worker, licensed
			 social worker, or marriage and family therapist, licensed under Chapter 4757.
			 of the Revised Code;
(d) An
			 advanced practice registered nurse licensed as a clinical nurse specialist or
			 certified nurse practitioner licensed by the board, who holds national
			 certification in psychiatric mental health, or clinical nurse specialist who
			 was not required to obtain national certification according to section
			 4723.41 of the Revised Code, and
			 whose specialty is psychiatric mental health; or
(e) A psychologist, as defined in division
			 (A) of section 4732.01 of the Revised Code,
			 licensed under Chapter 4732. of the Revised Code; or
(f) An advanced practice registered nurse
			 licensed by the board who holds additional certification as a certified
			 addictions registered nurse-advanced practice issued by the addictions nursing
			 certification board.
Nothing in paragraph (A)(9) of this rule shall be construed to
				prohibit an advanced practice registered nurse who collaborates with a
				physician licensed under Chapter 4731. of the Revised Code and certified as an
				addiction psychiatrist, addictionologist, or psychiatrist, from providing
				services within the normal course of practice and expertise of the
				collaborating physician, including addiction services, other mental health
				services, and prescriptive services in compliance with Ohio and federal law and
				rules.
(10)
			 "SAMHSA" means the United States substance abuse and mental health services
			 administration.
(11) "Stabilization
			 phase" means the medical and psychosocial process of assisting the patient
			 through acute intoxication and withdrawal management to the attainment of a
			 medically stable, fully supported substance-free state, which may include the
			 use of medications.