24 Miss. Code. R. 2-53.3 - Admissions to Opioid Treatment Programs
A. The OTP must
have written policies and procedures to describe the total process utilized for
admission to the service and must at a minimum include:
1. A face-to-face with each person requesting
treatment services.
2.
Documentation and identification of the person's immediate/urgent
need(s).
3. Admission criteria must
include, but not be limited to, the following:
(a) Current diagnosis of opioid dependence in
accordance with the Diagnostic and Statistical Manual of Mental Disorders
(Current Edition).
(b) Person is at
least 18 years old, as evidenced by:
(1)
Driver's license; or
(2) Birth
certificate.
(c) Person
meets the federal requirements, including exceptions, regarding determination
that the person is currently addicted to opioids.
(d) Person is not currently enrolled in
another OTP.
(e) Person has signed
a statement to evidence their understanding of the risks and side effects of
available treatments.
(f) Person
has signed a statement to evidence their understanding of the options
concerning all treatment procedures in Opioid Replacement Management.
(g) Person has signed a statement evidencing
that admission is voluntary.
(h)
Person has been informed of and received a copy of rights of people receiving
services, including confidentiality (a signed copy must be maintained in the
person's record) as outlined in Chapter 14.
(i) Person has been informed of and received
a copy of service rules (signed documentation of receipt of service rules must
be maintained in the person's record).
(j)
Person has received counseling, testing, and education regarding
HIV, Hepatitis B, Hepatitis C, TB, and sexually transmitted diseases
(documentation must be maintained in the person's record).
(k) Person must have signed documentation
that they understand the fee schedule and tapering process due to inability to
pay for services.
4.
Criteria for waiting list (a plan must be documented).
5. Any specific conditions/situations that
would exclude a person from being eligible for admission. Provisions for and
documentation of recommendations for alternate services must be
included.
B. Each person
must be provided an orientation prior to administration of any medication. The
orientation must be documented by a signed statement that is maintained in the
person's record which proves the person acknowledges receipt of a service
handbook. The service handbook must include, but is not limited to the
following:
1. Signs and symptoms of overdose,
and conditions for seeking emergency assistance;
2. Description of the medications to be
administered by the service, including potential risks, benefits, side effects,
and drug interactions;
3. The
nature of addictive disorders;
4.
The goals and benefits of medication-assisted treatment and the process of
recovery;
5. Voluntary and
involuntary discharge procedures;
6. Toxicology urine drug screen (UDS) testing
procedures;
7. Medication
dispensing procedures;
8. Hours of
operations;
9. Medication fee
schedule; and
10. Counseling
services offered during treatment.
C. Each person must be reviewed prior to
admission and annually thereafter from the date of admission on the
Prescription Drug Monitoring Program (PDMP) in Mississippi and nearby states
for which access is available to assess for appropriateness of Opioid Treatment
Services. No person is eligible for admission or continued services/treatment
whose review indicates the potential for diversion. Each PDMP access shall
confirm the person is not seeking prescription medication from multiple
sources. The service shall access the PDMP:
1.
Upon admission;
2. Before initial
administration of methadone or other treatment in an OTP;
3. Prior to requesting any take-home dosing
exceptions and shall submit the resulting report to the State Opioid Treatment
Authority (SOTA) with the exception request;
4. After any positive drug test for
prescription medication;
5. Every
six (6) months to determine if controlled substances other than methadone are
being prescribed for the person. The person's record shall include
documentation of the results of the PDMP database check and the date upon which
it occurred; and
6. In accordance
with any other applicable requirements set forth by state or federal laws,
regulations, or licensing authorities.
D. No service shall provide any form of
consideration, including, but not limited to, free or discounted services or
medication, for referral of potential people to the service.
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.