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 VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-935 - Criteria for patient admission

Current through Register Vol. 40, No. 24, July 15, 2024
A. Before a
					 medication assisted opioid treatment 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 (i) meet diagnostic criteria for opioid use disorder as
					 defined within the DSM; and (ii) meet the admission criteria of Level 1.0 of
					 ASAM. The policies shall be consistent with subsections B through E of this
					 section.
B. A medication assisted
					 opioid treatment program shall maintain current procedures that are designed to
					 ensure that individuals are admitted to short-term or long-term detoxification
					 treatment by qualified personnel, such as a program physician who determines
					 that such treatment is appropriate for the specific individual by applying
					 established diagnostic criteria. An individual with two or more unsuccessful
					 detoxification episodes within a 12-month period must be assessed by the
					 medication assisted opioid treatment program physician for other forms of
					 treatment. A program shall not admit an individual for more than two
					 detoxification treatment episodes in one year.
C. A medication assisted opioid treatment
					 program shall maintain current procedures designed to ensure that individuals
					 are admitted to maintenance treatment by qualified personnel who have
					 determined, using accepted medical criteria, that the person is currently
					 addicted to an opioid drug, and that the individual became addicted at least
					 one year before admission for treatment. In addition, a program physician shall
					 ensure that each individual voluntarily chooses maintenance treatment, that all
					 relevant facts concerning the use of the opioid drug are clearly and adequately
					 explained to the individual, and that each individual provides informed written
					 consent to treatment.
D. A person
					 younger than 18 years of age is required to have had two documented
					 unsuccessful attempts at short-term detoxification or drug-free treatment
					 within a 12-month period to be eligible for maintenance treatment. No
					 individual younger than 18 years of age may be admitted to maintenance
					 treatment unless parent, legal guardian, or responsible adult designated by the
					 relevant state authority consents in writing to such treatment.
E. If clinically appropriate, the program
					 physician may waive the requirement of a one-year history of addiction under
					 subsection C of this section, for individuals released from penal institutions
					 (within six months after release), for pregnant patients (program physician
					 must certify pregnancy), and for previously treated individuals (up to two
					 years after discharge).
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.