Section 19a-495-22-2 - Approval procedures(a) Pursuant to Section 19a-493(d) of the Connecticut General Statutes, a multicare institution may, under the terms of its existing license, provide medication or other treatments to individuals with opioid use disorder through a mobile narcotic treatment program outside of the multicare institution using a mobile narcotic treatment vehicle if approved by the commissioner. Each mobile narcotic treatment vehicle shall require a separate application and approval by the department.(b) Issuance and renewal of approval to provide services from a mobile narcotic treatment program. (1) Any multicare institution whose license is in good standing that intends to offer services through a mobile narcotic treatment program shall submit an application to the Department of Public Health for approval of the mobile narcotic treatment program.(2) Application for approval shall be made to the Department of Public Health upon forms provided by the department.(3) The application, specific to the mobile narcotic treatment program and vehicle, shall include the following: (A) A description of proposed services which shall include the maximum number of individuals to be served and the duration of services;(B) Insurance certificate or rider or both for workers compensation;(C) Insurance certificate or rider or both for general liability;(D) Directory and resume of all professional staff providing services through the mobile narcotic treatment program;(E) Affirmative evidence of ability to comply with reasonable standards and regulations prescribed under the provisions of Chapter 368v of the Connecticut General Statutes and all other applicable state and federal laws and regulations as it relates to the proposed mobile narcotic treatment program, including, but not limited to, patient confidentiality and the privacy and security of patient protected information;(F) The type of mobile narcotic treatment vehicle;(G) The proposed schedule of the location or locations where the mobile narcotic treatment vehicle will be serving, and the overnight parking location for the mobile narcotic treatment vehicle to be registered with the DEA; and(H) Any other information required by the department.(4) Following initial review and approval of complete application materials submitted pursuant to this section, the department shall schedule and conduct an on-site inspection at a time suitable to the proposed mobile narcotic treatment program and the department. Upon completion of a satisfactory inspection by the department, the department shall provide the inspection report to the multicare institution, and the multicare institution shall secure accreditation from DMHAS for the proposed mobile narcotic treatment program as follows: (A) The multicare institution shall submit the department"s inspection report to DMHAS and shall submit a copy of the application for DMHAS accreditation to the department. The multicare institution shall secure DMHAS accreditation in accordance with DMHAS procedures for the proposed mobile narcotic treatment program.(B) The multicare institution shall submit documentation of DMHAS accreditation to the department. The department shall issue an approval determination for the mobile narcotic treatment program after receipt of documentation of DMHAS accreditation.(5) Failure by the multicare institution to submit documentation of DMHAS accreditation to the department not later than forty-five days after the date the department receives a complete application for approval of the proposed mobile narcotic treatment program shall result in denial of the application.(6) A mobile narcotic treatment program"s approval may be renewed biennially at the time of the multicare institution"s biennial renewal pursuant to Section 19a-493(a) of the Connecticut General Statutes.(7) A copy of the multicare institution"s license, listing the mobile narcotic treatment program, shall be posted in a conspicuous location accessible to the public in the mobile narcotic treatment program vehicle.(8) The multicare institution shall notify the department in writing not less than thirty days prior to enacting any changes in services provided by the mobile narcotic treatment program, including, but not limited to, termination of mobile narcotic treatment program services. The multicare institution shall also notify each patient receiving services in writing not less than thirty days prior to enacting any changes in services provided by the mobile narcotic treatment program, including, but not limited to, termination of mobile narcotic treatment program services.(9) The commissioner may, in the commissioner"s discretion, deny, suspend, or revoke any approval for, or impose a civil penalty pursuant to Section 19a-494 of the General Statutes upon, a mobile narcotic treatment program for the following reasons: (A) The multicare institution has been found by the authority with jurisdiction to be noncompliant with applicable federal, state, local or administrative laws;(B) The program does not have DMHAS accreditation for the mobile narcotic treatment program;(C) The failure of the mobile narcotic treatment program to comply with these regulations; or(D) The submission of any false or misleading statements to the department in order to obtain an initial approval or renewal of the mobile narcotic treatment program"s approval.Conn. Agencies Regs. § 19a-495-22-2