Mich. Admin. Code R. 325.1383 - Methadone program requirements
Rule 1383.
(1)
Methadone program services must be based on a documented assessment of the
recipient 's needs and a subsequent agreement between the recipient and the
provider about the services to be offered.
(2) An applicant or licensee shall employ a
licensed counselor , LMSW , licensed psychologist , or LMFT .
(3) A licensee shall establish, maintain, and
publicly post hours for counseling services.
(4) A licensed counselor , limited licensed
counselor under the supervision of a licensed counselor , LMSW , limited LMSW
under the supervision of a LMSW , licensed psychologist , limited licensed
psychologist under the supervision of a licensed psychologist , temporary
limited licensed psychologist under the supervision of a licensed psychologist ,
post-doctoral education limited licensed psychologist under the supervision of
a licensed psychologist , LMFT , limited LMFT under the supervision of an LMFT ,
certified counselor , or limited certified counselor under the supervision of a
licensed or certified individual listed in these rules must be available to
provide counseling services as required in a recipient service plan .
(5) A licensee shall ensure that any licensed
counselor , limited licensed counselor , LMSW , limited LMSW , licensed
psychologist , limited licensed psychologist , temporary limited licensed
psychologist , post-doctoral education limited licensed psychologist , LMFT ,
limited LMFT , or certified counselor is not responsible for more than 65
recipients.
(6) A licensee shall
ensure that a limited certified counselor is not responsible for more than 32
recipients.
(7) An applicant or
licensee shall employ a medical director . If the medical director is not onsite
during all hours of operation, then the licensee shall establish specific
timeframes in which the medical director shall be onsite.
(8) During all hours that recipients are
receiving medication, a licensee shall have onsite a physician , physician's
assistant , advanced practice registered nurse , registered professional nurse ,
or licensed practical nurse under the supervision of a registered professional
nurse or physician .
(9) The medical
director , physician , physician's assistant , or advanced practice registered
nurse shall document that the recipient has been diagnosed with a substance use
disorder. The recipient shall be diagnosed with a substance use disorder and
have documented opioid use disorder for 1 year or more.
(10) Before any medications are prescribed,
the medical director , a physician , physician's assistant , or advanced practice
registered nurse shall complete and document the medical and drug history and
physical examination of the recipient . In addition, any modification to
medications or course of treatment must be documented in the recipient record
and ordered by a physician , physician's assistant , or advanced practice
registered nurse .
(11) Within 30,
60, and 90 days of treatment, and not less than every 90 days thereafter, the
medical director , a physician , physician's assistant , or advanced practice
registered nurse shall meet with the recipient to review the recipient 's
service plan , including a review of the counseling services progress notes and
drug tests, and document the medical necessity for continued treatment in the
program and any recommended adjustments to the service plan .
(13) The licensee shall document in the
service plan the phase the recipient is in, including short-term withdrawal
management, long-term withdrawal management, or maintenance .
(14) A licensee shall have a policy and
procedure for labeling take-home medications that includes all of the
following:
(a) The name of the
medication.
(b) The program 's name,
address, and phone number.
(c)
Recipient name or code number.
(d)
Medical director 's name.
(e)
Directions for use.
(f) Date to be
used by.
(g) A cautionary statement
that the drug should be kept out of the reach of children.
(15) A licensee shall have a policy and
procedure to address withdrawal of a recipient from the program that includes
all of the following:
(a) Criteria for
decreasing levels of medication and frequency of counseling.
(b) Criteria for ending treatment when
medication and counseling are no longer necessary.
(c) Criteria for when medication and
counseling is still necessary and the treatment at the program is being ended
either voluntarily or involuntarily, including both of the following:
(i) Documentation in the recipient record of
the reasons for voluntary or involuntary withdrawal from the program .
(ii) Referral options to continue treatment
at another program .
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.