West Virginia Code of State Rules › Agency 69 - Health And Human Resources › Title 69 - LEGISLATIVE RULE DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 69-11 - Medication-Assisted Treatment - Opioid Treatment Programs › Section 69-11-25 - Required Services

Current through Register Vol. XLI, No. 28, July 12, 2024
25.1.
				Each MAT program shall provide adequate medical, counseling, vocational,
				educational, recovery and other assessment and treatment services. These
				services must be available onsite at the facility or on a referral basis to
				outside providers and the program sponsor or administrator must be able to
				document that these services are fully and reasonably available to patients and
				comply with all federal and state laws, rules and regulations.
25.2. Each MAT program shall require every
				patient to undergo a documented physical assessment by a program physician or a
				physician extender under the supervision of a program physician, before
				admission to the MAT program. The medical assessment shall be completed at the
				time of admission and prior to the first dose of medication-assisted treatment
				medication. The results of serology, drug screens and other tests must be
				completed within 14 days following admission.
25.3. Each MAT program shall require every
				patient to undergo a documented biopsychosocial assessment by a program
				counselor before admission to the MAT program. The biopsychosocial assessment
				shall be completed at the time of admission and prior to the first dose of
				medication-assisted treatment medication.
25.4. Each patient accepted for treatment at
				a MAT program shall be assessed initially and at least every 90 days following
				the initial assessment by qualified personnel who shall determine the most
				appropriate combination of recovery-oriented services and treatment for the
				patient.
25.5. Within seven days of
				the admission of a patient, the MAT program shall complete a post-admission
				initial assessment, an initial individualized treatment plan of care and a
				coordination of care agreement.
25.6. Random drug testing of all patients
				shall be conducted during the course of treatment as required in paragraph
				34.2.d.1. Each MAT program must provide adequate testing or analysis for drugs
				of abuse in accordance with generally accepted clinical practice.
25.7. Each MAT program must provide adequate
				substance use disorder counseling to each patient as clinically necessary and
				at the minimum levels as required by subsection 26.8 of this rule. Counseling
				shall be provided by a program counselor, qualified by education, training or
				experience to assess the psychological and sociological background of patients,
				to contribute to the appropriate individualized treatment plan of care for the
				patient and to monitor patient progress.
25.8. Each MAT program shall maintain current
				policies and procedures that reflect the special needs of patients who are
				pregnant. Prenatal care and other gender-specific services of pregnant patients
				must be provided either by the MAT program or by referral to appropriate health
				care providers. Services rendered to pregnant patients shall comply with the
				requirements of subsection 35.5 of this rule.
25.9. Each MAT program shall provide
				counseling on preventing exposure to, and the transmission of, HIV and
				hepatitis C for each patient admitted or re-admitted to maintenance or
				detoxification treatment. Services rendered to patients with HIV disease shall
				comply with the requirements of subsection 35.3 of this rule.
25.10. Each MAT program that provides
				required services by referral or other agreement at offsite facilities or
				providers shall:
25.10.a. Establish a strong
				working relationship with several treatment providers offering different levels
				of treatment;
25.10.b. Be able to
				document a referral or other agreement with a local hospital, health care
				facility or other provider offsite services for the MAT program;
25.10.c. Review psychosocial treatment
				expectations and responsibilities with the patient;
25.10.d. Obtain signed consent form from each
				patient to approve open communication with the offsite provider and the MAT
				program; and
25.10.e. Routinely
				provide and obtain updates from offsite providers to consistently monitor
				treatment attendance and progress.