La. Admin. Code tit. 48 § VII-501

Current through Register Vol. 50, No. 9, September 20, 2024

Section VII-501 - State Methadone Authority

A. OPRADA is the designated State Methadone Authority (SMA). Approval to operate by the SMA is required of all methadone maintenance programs in Louisiana.

B. SMA requirements include, but are not limited to:

1. State licensure as a substance abuse facility.

2. Evidence of need/community support for methadone maintenance program, including letters of support from medical community (medical society), law enforcement agencies, and other substance abuse treatment facilities.

3. Once in operation, SMA approval is required for medication exceptions whereby frequency of clinic visits is reduced and a take home supply of medication is dispensed. The request for medication exception shall be submitted in writing to the SMA and shall be co-signed by the patient's primary counselor, the physician, the clinic administrator and include the following information:

a. The specific reduction in frequency of clinic visits requested for this patient.

b. Reason given by clinic for requesting a decrease in frequency of patient's clinic visits.

c. The patient's chemical dependency/narcotics addiction history.

d. Date of most recent admission to clinic and cumulative treatment history.

e. Addiction indicators exhibited at time of most recent admission for treatment.

f. Past detoxification or withdrawal attempts and clinic's assessment of reason(s) for failure of these attempts.

g. Reason detoxification and drug free treatment is not recommended at this time.

h. Current medication dosage level.

i. The physician's eight point clinical evaluation of the patient's responsibility for handling methadone.

j. Date of the most recent treatment plan revision.

k. The current short and long term treatment plan goals for the patient.

La. Admin. Code tit. 48, § VII-501

Promulgated by the Department of Health and Human Resources, Office of Prevention and Recovery from Alcohol and Drug Abuse, LR 13:246 (April 1987).

AUTHORITY NOTE: Promulgated in accordance with 21 CFR, Part 291, Volume 45, No. 184, pages 62694-62718, September 19, 1980.