La. Admin. Code tit. 48 § I-5731

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-5731 - Client Records

A. In addition to the general requirements for client records, each client record shall contain:

1. recording of medication administration and dispensing in accordance with federal and state requirements;

2. results of five most recent drug screen tests with action taken for positive results;

3. physical status and use of additional prescription medication;

4. monthly or more frequently, as indicated by needs of client, contact notes and progress notes which include employment/vocational needs, legal and social status, and overall individual stability;

5. documentation and confirmation of the factors to be considered in determining whether a take-home dose is appropriate;

6. documentation of approval of any exception to the dispensing restrictions of take-home doses and the OTP practitioner's justification for such exception; and

7. any other pertinent information.

La. Admin. Code tit. 48, § I-5731

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 411723 (9/1/2015), Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 411723 (9/1/2015), Amended by the Department of Health, Health Standards Section, LR 51 (EMERGENCY).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2151-2161.