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(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.
(12) A licensee shall comply with all requirements set forth in 42 CFR 8.
(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: