West Virginia Code of State Rules › Agency 69 - Health And Human Resources › Title 69 - LEGISLATIVE RULE DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 69-12 - Medication-Assisted Treatment - Office-Based Medication-Assisted Treatment › Section 69-12-25 - Individualized Plan of Care or Treatment Strategy

Current through Register Vol. XLI, No. 28, July 12, 2024
25.1. Delivery of patient care and treatment
				interventions shall be based on the needs identified in the individualized plan
				of care or treatment strategy.
25.2. Within 30 days after admission of a
				patient, the OBMAT program shall develop an individualized plan of care or
				treatment strategy and attach it to the patient's chart. The individualized
				plan of care or treatment strategy shall be developed pursuant to the
				guidelines and protocols established by the American Society of Addiction
				Medicine (ASAM), the Center for Substance Abuse Treatment (CSAT) and the
				National Institute on Drug Abuse (NIDA), the American Association for the
				Treatment of Opioid Dependence (AATOD), or such other nationally recognized
				authority approved by the Secretary. The individualized plan of care or
				treatment strategy shall include a recovery model based upon the generally
				approved guidelines and protocols.
25.3. The individualized plan of care or
				treatment strategy shall be reviewed by the program physician, primary
				counselor, and patient at least every 90 days and documented in the patient
				record. A revised plan of care or treatment strategy may be implemented with
				each review. After one year of successful treatment, the individualized plan of
				care or treatment strategy shall be reviewed annually, or more often based on
				the program physician and primary counselor's discretion and updated as
				appropriate.
25.4. The
				individualized plans of care or treatment strategies shall be developed by the
				patient, the program physician or physician extender and primary counselor,
				with input as appropriate from other health care providers.
25.5. All individualized plans of care or
				treatment strategies may include, but are not limited to:
25.5.1. Documentation of the patient's
				diagnoses; the proposed medical treatment and counseling; medication dosages
				and administration;
25.5.2. A
				requirement that the patient regularly attend and participate in the OBMAT
				program, both medical and counseling aspects, as determined necessary by the
				staff and patient;
25.5.3. The
				identification of triggers for misuse of substances;
25.5.4. The development and use of coping
				strategies for each trigger;
25.5.5. The development of a detailed relapse
				prevention plan;
25.5.6. Meaningful
				follow-up on any identified behavioral health issues;
25.5.7. Follow-up medical or physical issues
				as necessary;
25.5.8. Referral for
				a vocational evaluation, formal or informal, as appropriate;
25.5.9. A plan to achieve financial stability
				and independence, where appropriate;
25.5.10. A requirement that the patient
				abstain from use of illicit substances, abuse of prescription substances, or
				other substances of abuse;
25.5.11.
				Documentation of other patient or familial issues as relevant and appropriate
				and the proposed means of addressing such issues;
25.5.12. The success of the patient's
				treatment, initiatives and goals;
25.5.13. A description of services and their
				frequency to be provided for the patient and primarily directed to achieve the
				expected goals and outcomes;
25.5.14. The results from drug tests;
				and
25.5.15. Such other information
				as recommended by the guidelines and recovery model utilized for the
				patient.