reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 4 - Clinically Managed Population-Specific High Intensity Residential Services › Section 12VAC35-105-1590 - Clinically managed population-specific high-intensity residential services Level of care 3.3 program criteria

Current through Register Vol. 40, No. 24, July 15, 2024
A clinically managed, population-specific, high-intensity
						residential services program shall meet the following programmatic
						requirements. The program shall:
1.
					 Provide daily clinical services that shall include a range of cognitive,
					 behavioral, and other therapies administered on an individual and group basis,
					 medication education and management, educational groups, and occupational or
					 recreation activities as deemed appropriate by a credentialed addiction
					 treatment professional and included in an assessment and treatment
					 plan;
2. Provide daily professional
					 addiction and mental health treatment services that may include relapse
					 prevention, exploring interpersonal choices, peer recovery support, and
					 development of a social network;
3.
					 Provide services to improve the individual's ability to structure and organize
					 the tasks of daily living and recovery. Such services shall accommodate the
					 cognitive limitations within this population;
4. Make available medical, psychiatric,
					 psychological, and laboratory and toxicology services through consultation or
					 referral as indicated by the individual's condition;
5. Provide case management, including ongoing
					 transition and continuing care planning;
6. Provide motivational interventions
					 appropriate to the individual's stage of readiness to change and designed to
					 address the individual's functional limitations;
7. Have direct affiliations with other easily
					 accessible levels of care or coordinate through referral to more or less
					 intensive levels of care and other services;
8. Provide family and caregiver treatment
					 services as deemed appropriate by an assessment and treatment plan;
9. Utilize random drug screening to monitor
					 progress and reinforce treatment gains;
10. Regularly monitor the individual's
					 adherence to taking prescribed medications;
11. Make the substance use treatment program
					 available to all individuals served by the residential care service;
					 and
12. Make MAT available for all
					 individuals with opioid use disorder or alcohol use disorder. Medication
					 assisted treatment may be provided by facility staff or coordinated through
					 alternative resources.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 4 - Clinically Managed Population-Specific High Intensity Residential Services › Section 12VAC35-105-1600 - Clinically managed population-specific high-intensity residential services Level of care 3.3 admission criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Before a clinically managed, population-specific,
						high-intensity residential service program may admit an individual, the
						individual shall meet the criteria for admission as defined by the provider's
						policies. The provider's policy regarding admission shall at a minimum require
						the individual to:
1. Meet diagnostic
					 criteria for a moderate or severe substance use or addictive disorder as
					 defined by the DSM; and
2. Meet the
					 admission criteria of Level 3.3 of ASAM.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 4 - Clinically Managed Population-Specific High Intensity Residential Services › Section 12VAC35-105-1610 - Clinically managed population-specific high-intensity residential services Level of care 3.3 discharge criteria

Current through Register Vol. 40, No. 24, July 15, 2024
A. Before a
					 clinically managed, population-specific, high-intensity residential service
					 program may discharge or transfer an individual, the individual shall meet the
					 criteria for discharge or transfer as defined by the provider's policies, which
					 shall include provisions for the discharge or transfer of individuals who have:
1. Achieved the goals of the treatment
					 services and no longer require ASAM 3.3 level of care;
2. Been unable to achieve the goals of the
					 individual's treatment but could achieve the individual's goals with a
					 different type of treatment; or
3.
					 Achieved the individual's original treatment goals but have developed new
					 treatment challenges that can only be adequately addressed in a different type
					 of treatment.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 4 - Clinically Managed Population-Specific High Intensity Residential Services › Section 12VAC35-105-1620 - Clinically managed population-specific high-intensity residential services Level of care 3.3 co-occurring enhanced programs

Current through Register Vol. 40, No. 24, July 15, 2024
A.
					 Clinically managed population-specific high-intensity residential services
					 co-occurring enhanced programs shall offer psychiatric services, medication
					 evaluation, and laboratory services. Such services shall be available by
					 telephone within eight hours and onsite or closely coordinated offsite within
					 24 hours, as appropriate to the severity and urgency of the individual's mental
					 condition.
B. Clinically managed
					 population-specific high-intensity residential services co-occurring enhanced
					 programs shall be staffed by appropriately credentialed psychiatrists and
					 licensed mental health professionals who are able to assess and treat
					 co-occurring mental disorders and who have specialized training in behavior
					 management techniques. All clinical staff shall be qualified by training and
					 experience and appropriately licensed, certified, or registered by the
					 appropriate health regulatory board to serve individuals admitted to the
					 service.
C. Clinically managed
					 population-specific high-intensity residential services co-occurring enhanced
					 programs shall offer planned clinical activities designed to stabilize the
					 individual's mental health problems and psychiatric symptoms and to maintain
					 such stabilization, including medication education and management and
					 motivational and engagement strategies. Goals of therapy shall apply to both
					 the substance use disorder and any co-occurring mental health
					 disorder.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 5 - Clinically Managed Low-Intensity Residential Services › Section 12VAC35-105-1630 - Clinically managed low-intensity residential services Level of care 3.1 staff criteria

Current through Register Vol. 40, No. 24, July 15, 2024
A clinically managed low-intensity residential services
						program shall meet the following staff requirements. The program shall:
1. Offer telephone or in-person consultation
					 with a physician in case of emergency related to an individual's substance use
					 disorder, available 24 hours a day, seven days a week. The program shall also
					 provide allied health professional staff onsite 24 hours a day;
2. Have clinical staff who are knowledgeable
					 about the biological and psychosocial dimensions of substance use disorder and
					 their treatment and are able to identify the signs and symptoms of acute
					 psychiatric conditions;
3. Have a
					 team comprised of appropriately trained and credentialed medical, addiction,
					 and mental health professionals; and
4. Ensure all clinical staff are qualified by
					 training and experience and appropriately licensed, certified, or registered by
					 the appropriate health regulatory board to serve individuals admitted to the
					 service.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 5 - Clinically Managed Low-Intensity Residential Services › Section 12VAC35-105-1640 - Clinically managed low-intensity residential services Level of care 3.1 program criteria

Current through Register Vol. 40, No. 24, July 15, 2024
A clinically managed low-intensity residential services
						program shall meet the following programmatic requirements. The program
						shall:
1. Offer a minimum of five
					 hours a week of professionally directed treatment in addition to other
					 treatment services offered to individuals, such as partial hospitalization or
					 intensive outpatient treatment the focus of which is stabilizing the
					 individual's substance use disorder. Services shall be designed to improve the
					 individual's ability to structure and organize the tasks of daily living and
					 recovery;
2. Ensure collaboration
					 with care providers to develop an individual treatment plan for each individual
					 with time-specific goals and objectives;
3. Provide counseling and clinical monitoring
					 to support successful initial involvement in regular, productive daily
					 activity;
4. Provide case
					 management services;
5. Provide
					 motivational interventions appropriate to the individual's stage of readiness
					 to change and level of comprehension;
6. Have direct affiliations with other easily
					 accessible levels of care or coordinate through referral to more or less
					 intensive levels of care and other services;
7. Include the ability to arrange for needed
					 procedures as appropriate to the severity and urgency of the individual's
					 condition;
8. Provide family and
					 caregiver treatment and peer recovery support services as deemed appropriate by
					 a licensed professional and included in an assessment and treatment
					 plan;
9. Provide addiction
					 pharmacotherapy and the ability to arrange for pharmacotherapy for psychiatric
					 medications;
10. Utilize random
					 drug screening to monitor progress and reinforce treatment gains;
11. Make a substance abuse treatment program
					 available to all individuals; and
12. Make MAT available for all individuals
					 with opioid use disorder and alcohol use disorder. Medication assisted
					 treatment may be provided by facility staff or coordinated through alternative
					 resources.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 5 - Clinically Managed Low-Intensity Residential Services › Section 12VAC35-105-1650 - Clinically managed low-intensity residential services Level of care 3.1 admission criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Before a clinically managed low-intensity residential
						service program may admit an individual, the individual shall meet the criteria
						for admission as defined by the provider's policies. The provider's policy
						regarding admission shall at a minimum require the individual to:
1. Meet diagnostic criteria for a moderate or
					 severe substance use or addictive disorder as defined by the DSM; and
2. Meet the admission criteria of Level 3.1
					 of ASAM.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 5 - Clinically Managed Low-Intensity Residential Services › Section 12VAC35-105-1660 - Clinically managed low-intensity residential services Level of care 3.1 discharge criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Before a clinically managed low-intensity residential
						services program may discharge or transfer an individual, the individual shall
						meet the criteria for discharge or transfer as defined by the provider's
						policies, which shall include provisions for the discharge or transfer of
						individuals who have:
1. Achieved the
					 goals of the treatment services and no longer require ASAM 3.1 level of
					 care;
2. Been unable to achieve the
					 goals of the individual's treatment but could achieve the individual's goals
					 with a different type of treatment; or
3. Achieved the individual's original
					 treatment goals but have developed new treatment challenges that can only be
					 adequately addressed in a different type of treatment.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 5 - Clinically Managed Low-Intensity Residential Services › Section 12VAC35-105-1670 - Clinically managed low-intensity residential services Level of care 3.1 co-occurring enhanced programs

Current through Register Vol. 40, No. 24, July 15, 2024
A. Clinically
					 managed low-intensity residential services co-occurring enhanced programs shall
					 offer psychiatric services, including medication evaluation and laboratory
					 services. Such services shall be provided onsite or closely coordinated
					 offsite, as appropriate to the severity and urgency of the individual's mental
					 condition.
B. Clinically managed
					 low-intensity residential services co-occurring enhanced programs shall be
					 staffed by appropriately credentialed licensed mental health professionals who
					 are able to assess and treat co-occurring disorders with the capacity to
					 involve addiction-trained psychiatrists. All clinical staff shall be qualified
					 by training and experience and appropriately licensed, certified, or registered
					 by the appropriate health regulatory board to serve individuals admitted to the
					 service.
C. Clinically managed
					 low-intensity residential services co-occurring enhanced programs shall offer
					 planned clinical activities that are designed to stabilize the individual's
					 mental health problems and psychiatric symptoms and to maintain such
					 stabilization, including medication education and management and motivational
					 and engagement strategies. Goals of therapy shall apply to both the substance
					 use disorder and any co-occurring mental disorder.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 6 - Partial Hospitalization › Section 12VAC35-105-1680 - Substance abuse partial hospitalization services Level of care 2.5 staff criteria

Current through Register Vol. 40, No. 24, July 15, 2024
A substance abuse partial hospitalization program shall
						meet the following staff requirements. The program shall:
1. Have an interdisciplinary team of
					 addiction treatment professionals, which may include counselors, psychologists,
					 social workers, and addiction-credentialed physicians. Physicians treating
					 individuals in this level shall have specialty training or experience in
					 addiction medicine;
2. Have staff
					 able to obtain and interpret information regarding the individual's
					 biopsychosocial needs;
3. Have
					 staff trained to understand the signs and symptoms of mental disorders and to
					 understand and be able to explain the uses of psychotropic medications and
					 their interactions with substance-related disorders; and
4. Ensure all clinical staff are qualified by
					 training and experience and appropriately licensed, certified, or registered by
					 the appropriate health regulatory board to serve individuals admitted to the
					 service.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 6 - Partial Hospitalization › Section 12VAC35-105-1690 - Substance abuse partial hospitalization services Level of care 2.5 program criteria

Current through Register Vol. 40, No. 24, July 15, 2024
A substance abuse partial hospitalization program shall
						meet the following programmatic requirements. The program shall:
1. Offer no fewer than 20 hours of skilled
					 treatment services per week in a structured program. Services may include
					 individual and group counseling, medication management, family therapy, peer
					 recovery support services, educational groups, or occupational and recreational
					 therapy;
2. Provide a combination
					 of individual and group therapy as deemed appropriate by a licensed
					 professional and included in an assessment and treatment plan;
3. Provide medical and nursing services as
					 deemed appropriate by a licensed professional and included in an assessment and
					 treatment plan;
4. Provide
					 motivational enhancement and engagement strategies appropriate to an
					 individual's stage of readiness to change and level of comprehension;
5. Have direct affiliations with other easily
					 accessible levels of care or coordinate through referral to more or less
					 intensive levels of care and other services;
6. Provide family and caregiver treatment
					 services as deemed appropriate by a licensed professional and included in an
					 assessment and treatment plan;
7.
					 Provide educational and informational programming adaptable to individual
					 needs;
8. Ensure and document that
					 the length of service shall be determined by the individual's condition and
					 functioning;
9. Make emergency
					 services available by telephone 24 hours a day, seven days a week when the
					 program is not in session; and
10.
					 Make MAT available for all individuals with opioid use disorder or alcohol use
					 disorder. MAT may be provided by facility staff or coordinated through
					 alternative resources.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 6 - Partial Hospitalization › Section 12VAC35-105-1700 - Substance abuse partial hospitalization Level of care 2.5 admission criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Before a substance abuse partial hospitalization program
						may admit an individual, the individual shall meet the criteria for admission
						as defined by the provider's policies. The provider's policy regarding
						admission shall at a minimum require the individual to:
1. Meet diagnostic criteria for a substance
					 use disorder or addictive disorder as defined by the DSM; and
2. Meet the admission criteria of Level 2.5
					 of ASAM, including the specific criteria for adult and adolescent
					 populations.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 6 - Partial Hospitalization › Section 12VAC35-105-1710 - Substance abuse partial hospitalization Level of care 2.5 discharge criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Before a substance abuse partial hospitalization program
						may discharge or transfer an individual, the individual shall meet the criteria
						for discharge or transfer as defined by the provider's policies, which shall
						include provisions for the discharge or transfer of individuals who
						have:
1. Achieved the goals of the
					 treatment services and no longer require ASAM 2.5 level of care;
2. Been unable to achieve the goals of the
					 individual's treatment but could achieve the individual's goals with a
					 different type of treatment; or
3.
					 Achieved the individual's original treatment goals but have developed new
					 treatment challenges that can only be adequately addressed in a different type
					 of treatment.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 6 - Partial Hospitalization › Section 12VAC35-105-1720 - Substance abuse partial hospitalization Level of care 2.5 co-occurring enhanced programs

Current through Register Vol. 40, No. 24, July 15, 2024
A. Substance
					 abuse partial hospitalization co-occurring enhanced programs shall offer
					 psychiatric services appropriate to the individual's mental health condition.
					 Such services shall be available by telephone and onsite or closely coordinated
					 offsite, within a shorter time than in a co-occurring capable
					 program.
B. Substance abuse partial
					 hospitalization co-occurring enhanced programs shall be staffed by
					 appropriately credentialed mental health professionals who assess and treat
					 co-occurring mental disorders. Intensive case management shall be delivered by
					 cross-trained, interdisciplinary staff through mobile outreach and shall
					 involve engagement-oriented addiction treatment and psychiatric programming.
					 All clinical staff shall be qualified by training and experience and
					 appropriately licensed, certified, or registered by the appropriate health
					 regulatory board to serve individuals admitted to the service.
C. Substance abuse partial hospitalization
					 co-occurring enhanced programs shall offer intensive case management, assertive
					 community treatment, medication management, and psychotherapy.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 7 - Intensive Outpatient Services › Section 12VAC35-105-1730 - Substance abuse intensive outpatient services Level of care 2.1 staff criteria

Current through Register Vol. 40, No. 24, July 15, 2024
A substance abuse intensive outpatient services program
						shall meet the following staff requirements. The program shall:
1. Be staffed by interdisciplinary team of
					 appropriately credentialed addiction treatment professionals, which may include
					 counselors, psychologists, social workers, and addiction-credentialed
					 physicians. Physicians shall have specialty training or experience in addiction
					 medicine or addiction psychiatry;
2. Have program staff that are able to obtain
					 and interpret information regarding the individual's biopsychosocial
					 needs;
3. Have program staff
					 trained to understand the signs and symptoms of mental disorders and to
					 understand and be able to explain the uses of psychotropic medications and
					 their interactions with substance use and other addictive disorders;
					 and
4. Ensure all clinical staff
					 are qualified by training and experience and appropriately licensed, certified,
					 or registered by the appropriate health regulatory board to serve individuals
					 admitted to the service.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 7 - Intensive Outpatient Services › Section 12VAC35-105-1740 - Substance abuse intensive outpatient services Level of care 2.1 program criteria

Current through Register Vol. 40, No. 24, July 15, 2024
A substance abuse intensive outpatient services program
						shall meet the following programmatic requirements. The program shall:
1. Offer a minimum of three service hours per
					 service day to achieve no fewer than nine hours and no more than 19 hours of
					 programming per week in a structured environment;
2. Ensure psychiatric and other medical
					 consultation shall be available within 24 hours by telephone and within 72
					 hours in person;
3. Offer
					 consultation in case of emergency related to an individual's substance use
					 disorder by telephone 24 hours a day, seven days a week when the treatment
					 program is not in session;
4.
					 Provide a combination of individual and group therapy as deemed appropriate by
					 a licensed professional and included in an assessment and treatment
					 plan;
5. Have direct affiliations
					 with other easily accessible levels of care or coordinate through referral to
					 more or less intensive levels of care and other services;
6. Provide family and caregiver treatment and
					 peer recovery support services as deemed appropriate by a licensed professional
					 and included in an assessment and treatment plan;
7. Provide education and informational
					 programming adaptable to individual needs and developmental status;
8. Ensure and document that the length of
					 service shall be determined by the individual's condition and functioning;
					 and
9. Make MAT available for all
					 individuals with opioid use disorder and alcohol use disorder. MAT may be
					 provided by facility staff or coordinated through alternative
					 resources.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 7 - Intensive Outpatient Services › Section 12VAC35-105-1750 - Substance abuse intensive outpatient services Level of care 2.1 admission criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Before a substance abuse intensive outpatient services
						program may admit an individual, the individual shall meet the criteria for
						admission as defined by the provider's policies. The provider's policy
						regarding admission shall at a minimum require the individual to:
1. Meet diagnostic criteria for a substance
					 use disorder or addictive disorder as defined by the DSM; and
2. Meet the admission criteria of Level 2.1
					 of ASAM, including the specific criteria for adult and adolescent
					 populations.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 7 - Intensive Outpatient Services › Section 12VAC35-105-1760 - Substance abuse intensive outpatient services Level of care 2.1 discharge criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Before a substance abuse intensive outpatient services
						program may discharge or transfer an individual, the individual shall meet the
						criteria for discharge or transfer as defined by the provider's policies, which
						shall include provisions for the discharge or transfer of individuals who
						have:
1. Achieved the goals of the
					 treatment services and no longer require ASAM 2.1 level of care;
2. Been unable to achieve the goals of the
					 individual's treatment but could achieve the individual's goals with a
					 different type of treatment; or
3.
					 Achieved the individual's original treatment goals but have developed new
					 treatment challenges that can only be adequately addressed in a different type
					 of treatment.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 7 - Intensive Outpatient Services › Section 12VAC35-105-1770 - Substance abuse intensive outpatient services Level of care 2.1 co-occurring enhanced programs

Current through Register Vol. 40, No. 24, July 15, 2024
A. Substance
					 abuse intensive outpatient services co-occurring enhanced programs shall offer
					 psychiatric services appropriate to the individual's mental health condition.
					 Such services shall be available by telephone and onsite or closely coordinated
					 offsite, within a shorter time than in a co-occurring capable
					 program.
B. Substance abuse
					 intensive outpatient services co-occurring enhanced programs shall be staffed
					 by appropriately credential mental health professionals who assess and treat
					 co-occurring mental disorders. Capacity to consult with an addiction
					 psychiatrist shall be available. All clinical staff shall be qualified by
					 training and experience and appropriately licensed, certified, or registered by
					 the appropriate health regulatory board to serve individuals admitted to the
					 service.
C. Substance abuse
					 intensive outpatient services co-occurring enhanced programs shall offer
					 intensive case management, assertive community treatment, medication
					 management, and psychotherapy.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 8 - Substance Abuse Outpatient Services › Section 12VAC35-105-1780 - Substance abuse outpatient services Level of care 1.0 staff criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Substance abuse outpatient services programs shall meet
						the following staff requirements. The program shall:
1. Have appropriately credentialed or
					 licensed treatment professionals who assess and treat substance-related mental
					 and addictive disorders;
2. Have
					 program staff who are capable of monitoring stabilized mental health problems
					 and recognizing any instability of individuals with co-occurring mental health
					 conditions;
3. Provide medication
					 management services by a licensed independent practitioner with prescribing
					 authority; and
4. Ensure all
					 clinical staff are qualified by training and experience and appropriately
					 licensed, certified, or registered by the appropriate health regulatory board
					 to serve individuals admitted to the service.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 8 - Substance Abuse Outpatient Services › Section 12VAC35-105-1790 - Substance abuse outpatient services Level of care 1.0 program criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Substance abuse outpatient services programs shall meet
						the following programmatic requirements. The program shall:
1. Offer no more than nine hours of
					 programming a week;
2. Ensure
					 emergency services shall be available by telephone 24 hours a day, seven days a
					 week;
3. Provide individual or
					 group counseling, motivational enhancement, family therapy, educational groups,
					 occupational and recreational therapy, psychotherapy, addiction, and
					 pharmacotherapy as indicated by each individual's needs;
4. For individuals with mental illness,
					 ensure the use of psychotropic medication, mental health treatment and that the
					 individual's relationship to substance abuse disorders shall be addressed as
					 the need arises;
5. Provide
					 medical, psychiatric, psychological, laboratory, and toxicology services onsite
					 or through consultation or referral. Medical and psychiatric consultation shall
					 be available within 24 hours by telephone, or if in person, within a timeframe
					 appropriate to the severity and urgency of the consultation
					 requested;
6. Have direct
					 affiliations with other easily accessible levels of care or coordinate through
					 referral to more or less intensive levels of care and other services;
					 and
7. Ensure through documentation
					 that the duration of treatment varies with the severity of the individual's
					 illness and response to treatment.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 8 - Substance Abuse Outpatient Services › Section 12VAC35-105-1800 - Substance abuse outpatient services Level of care 1.0 admission criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Before a substance abuse outpatient services program may
						admit an individual, the individual shall meet the criteria for admission as
						defined by the provider's policies. The provider's policy regarding admission
						shall at a minimum require the individual to:
1. Meet diagnostic criteria for a substance
					 use disorder or addictive disorder as defined by the DSM; and
2. Meet the admission criteria of Level 1.0
					 of ASAM, including the specific criteria for adult and adolescent
					 populations.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 8 - Substance Abuse Outpatient Services › Section 12VAC35-105-1810 - Substance abuse outpatient services Level of care 1.0 discharge criteria

Current through Register Vol. 40, No. 24, July 15, 2024
Before a substance abuse outpatient services program may
						discharge or transfer an individual, the individual shall meet the criteria for
						discharge or transfer as defined by the provider's policies, which shall
						include provisions for the discharge or transfer of individuals who
						have:
1. Achieved the goals of the
					 treatment services and no longer require ASAM 1.0 level of care;
2. Been unable to achieve the goals of the
					 individual's treatment but could achieve the individual's goals with a
					 different type of treatment; or
3.
					 Achieved the individual's original treatment goals but have developed new
					 treatment challenges that can only be adequately addressed in a different type
					 of treatment.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 8 - Substance Abuse Outpatient Services › Section 12VAC35-105-1820 - Substance abuse outpatient services Level of care 1.0 co-occurring enhanced programs

Current through Register Vol. 40, No. 24, July 15, 2024
A. Substance
					 abuse outpatient services co-occurring enhanced programs shall offer ongoing
					 intensive case management for highly crisis-prone individuals with co-occurring
					 disorders.
B. Substance abuse
					 outpatient services co-occurring enhanced programs shall include credentialed
					 mental health trained personnel who are able to assess, monitor, and manage the
					 types of severe and chronic mental disorders seen in a level 1 setting as well
					 as other psychiatric disorders that are mildly unstable. Staff shall be
					 knowledgeable about management of co-occurring mental and substance-related
					 disorders, including assessment of the individual's stage of readiness to
					 change and engagement of individuals who have co-occurring mental disorders.
					 All clinical staff shall be qualified by training and experience and
					 appropriately licensed, certified, or registered by the appropriate health
					 regulatory board to serve individuals admitted to the service.
C. Substance abuse outpatient services
					 co-occurring enhanced programs shall offer therapies to actively address,
					 monitor, and manage psychotropic medication, mental health treatment, and
					 interaction with substance-related and addictive disorders.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VII - Addition Medicine Service Requirements › Article 9 - Medication Assisted Opioid Treatment Program › Section - DOCUMENTS INCORPORATED BY REFERENCE (12VAC35-105)

Current through Register Vol. 40, No. 24, July 15, 2024
The ASAM: Treatment for Addictive, Substance-Related and
						Co-Occurring Conditions, Third Edition, American Society of Addiction Medicine,
						Address, asam.org.
Diagnostic and Statistical Manual of Mental Disorders,
						5th Edition. DSM-5, American Psychiatric Association, 800 Maine Avenue, S.W.,
						Suite 900 Washington, DC 20024, psychiatry.org
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VIII - Crisis Services › Section 12VAC35-105-1830 - Applicability of part

Current through Register Vol. 40, No. 24, July 15, 2024
All crisis receiving centers, community-based crisis
					 stabilization, crisis stabilization units, and REACH providers shall comply
					 with the provisions of this part.
Statutory Authority: §§
												37.2-302 and
						37.2-400 of the Code of
						Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VIII - Crisis Services › Section 12VAC35-105-1840 - Staffing

Current through Register Vol. 40, No. 24, July 15, 2024
A. Crisis
				  receiving centers shall meet the following staffing requirements:
1. A licensed psychiatrist or nurse
				  practitioner shall be available to the program, either in person or via
				  telemedicine, 24 hours per day, seven days per week;
2. An LMHP, LMHP-R, LMHP-RP, or LMHP-S shall
				  be available for conducting assessments;
3. Nursing services shall be provided by a
				  registered nurse (RN) or a licensed practical nurse (LPN). Nursing staff shall
				  be available 24 hours per day, in person. LPNs shall work directly under the
				  supervision of a physician, nurse practitioner, or RN; and
4. Medical, psychological, psychiatric,
				  laboratory, and toxicology services shall be available by consult or
				  referral.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VIII - Crisis Services › Section 12VAC35-105-1860 - Safety plans and crisis individualized services plans

Current through Register Vol. 40, No. 24, July 15, 2024
A. The provider
				  shall actively involve the individual and the individual's authorized
				  representative, as appropriate, in the development, review, and revision of a
				  person-centered safety plan and, if appropriate, crisis individualized services
				  plan (crisis ISP). The individualized safety and services planning process
				  shall be consistent with laws protecting confidentiality, privacy, human rights
				  of individuals receiving services, and rights of minors. To the extent
				  possible, the provider shall collaborate with the individual's crisis planning
				  team to develop, review, revise, and implement, as appropriate, the
				  individual's safety plan or crisis ISP.
B. Providers of developmental services shall
				  collaborate with the individual's support coordinator to develop or review,
				  revise, and implement, as appropriate, a person-centered CEPP. A provisional
				  CEPP shall be completed within 15 days of admission. An updated CEPP shall be
				  completed within 45 days of admission. Developmental services providers may
				  utilize a CEPP as an individual's safety plan, if appropriate. If a CEPP is to
				  be used as a safety plan, the provider shall meet the deadline listed in
				  subsection C of this section.
C.
				  Providers of mental health and substance abuse services shall develop or
				  review, revise, and implement, as appropriate, a person-centered safety plan
				  immediately after admission that shall continue in effect until discharge from
				  the provider's crisis service.
D.
				  Providers of crisis services shall develop or review, revise, and implement a
				  crisis ISP as soon as possible after admission but no later than 48 hours after
				  admission and prior to discharge from the provider's crisis service. This
				  provision does not apply to the initial mobile crisis contact or to crisis
				  receiving centers.
E. The safety
				  plan and crisis ISP shall be developed based on the crisis assessment with the
				  participation and informed choice of the individual receiving services.
1. To ensure the individual's participation
				  and informed choice, the following shall be explained to the individual or the
				  individual's authorized representative, as applicable, in a reasonable and
				  comprehensible manner:
a. The proposed
				  services to be delivered;
b. Any
				  alternative services that might be advantageous for the individual;
				  and
c. Any accompanying risks or
				  benefits of the proposed alternative services.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VIII - Crisis Services › Section 12VAC35-105-1870 - Safety plan and crisis ISP requirements

Current through Register Vol. 40, No. 24, July 15, 2024
A. All
				  individuals receiving crisis services shall have a safety plan.
1. The safety plan shall be based on the
				  individual's immediate service, health, and safety needs identified in the
				  crisis assessment. The safety planning process shall be an ongoing activity.
				  The safety plan shall include:
a. Warning
				  signs that a crisis may be developing, such as thoughts, images, mood,
				  situation, and behavior or stressors that may trigger the individual;
b. Internal coping strategies and things the
				  individual can do without contacting another person, such as relaxation
				  techniques or physical activities;
c. People and social settings that the
				  individual may turn to for distraction or support;
d. People the individual may ask for
				  help;
e. Professionals or agencies
				  the individual can contact during a crisis; and
f. Things the individual can do to make the
				  individual's environment safe.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VIII - Crisis Services › Section 12VAC35-105-1900 - Vital signs for crisis services

Current through Register Vol. 40, No. 24, July 15, 2024
A. This section
				  applies to all crisis receiving centers, crisis stabilization units, and REACH
				  CTH providers.
B. Unless the
				  individual refuses, the provider shall take vital signs upon admission, during
				  the provision of services as per the medical provider's orders, and at
				  discharge.
C. The provider shall
				  implement written procedures regarding the collection of vital signs, including
				  documentation of vital signs, all refusals, and all follow-up actions
				  taken.
Statutory Authority: §§
												37.2-302 and
						37.2-400 of the Code of
						Virginia.