Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 6 - INPATIENT PSYCHIATRIC AND SUBSTANCE USE DISORDER SERVICES › Section 317:30-5-95.47 - Residential substance use disorder (SUD) - Individualized service plan requirements

Current through Vol. 41, No. 20, July 1, 2024
All SUD services provided in residential treatment
					 facilities are rendered as a result of an individual assessment of the member's
					 needs and documented in the service plan.
(1)
Assessment.
A
				  biopsychosocial assessment shall be completed for members receiving ASAM Level
				  3.1, 3.3, or 3.5 services, including dependent children receiving services from
				  the residential SUD provider, to gather sufficient information to assist the
				  member in developing an individualized service plan. The assessment must also
				  list a diagnosis that corresponds to current Diagnostic and Statistical Manual
				  of Mental Disorders (DSM) standards and the member's past and current
				  psychiatric medications. The assessment must be completed by an LBHP or
				  licensure candidate. Licensure candidate signatures must be co-signed by a
				  fully-licensed LBHP in good standing. Assessments for ASAM Level 3.7 services
				  shall be completed in accordance with (E) below.
(A)
Assessments for adolescents.
A biopsychosocial assessment using the Teen Addiction Severity Index (T-ASI)
				  shall be completed. A physical examination shall be conducted by a licensed
				  physician to include, at a minimum, a physical assessment, health history,
				  immunization status, and evaluation of motor development and function, speech,
				  hearing, visual, and language functioning.
(B)
Assessments for adults.
A
				  biopsychosocial assessment using the Addiction Severity Index (ASI) shall be
				  completed.
(C)
Assessments
				  for dependent children.
Assessment of children (including infants)
				  accompanying their parent into treatment and receiving services from the
				  residential SUD provider shall include the following items:
(i) Parent-child relationship;
(ii) Physical and psychological development;
(iii) Educational needs;
(iv) Parent related issues; and
(v) Family issues related to the
				  child.
(D)
Assessments for parents/pregnant women.
Assessment of the parent
				  and/or pregnant women bringing their children into treatment shall include the
				  following items:
(i) Parenting
				  skills;
(ii) Knowledge of age
				  appropriate behaviors;
(iii)
				  Parental coping skills;
(iv)
				  Personal issues related to parenting; and
(v) Family issues as related to the
				  child.
(E)
Assessments for medically supervised withdrawal management.
In
				  accordance with OAC
				  450:18-13-61, a medical
				  assessment for the appropriateness of placement shall be completed and
				  documented by a licensed physician during the admission process. The assessment
				  shall provide a diagnosis that corresponds to current DSM standards.
(F)
Assessment timeframes.
Biopsychosocial assessments shall be completed within two (2) days of admission
				  or during the admission process for medically supervised withdrawal
				  management.