Section He-A 304.20 - Client Eligibility, Admission, and Denial of Services(a) An OTP shall determine eligibility for admission in accordance with 42 CFR 8.12(e) and ASAM Criteria (2013), available as noted in Appendix A.(b) When an OTP's service capacity has been reached, the OTP shall maintain a waiting list of clients screened but not offered services.(c) Regardless of service capacity, an OTP shall admit pregnant women for treatment within 2 business days of initial contact, and if the OTP is unable to admit within 2 business days, such a client shall be referred to the department for assistance.(d) Clients shall be admitted for services from a waiting list in the following order of priority:(e) OTPs shall admit clients for services according to the order of priority described below: (1) Pregnant women shall be admitted for treatment within 2 business days of initial contact, and if the OTP is unable to admit within 2 business days, such a client shall be referred to the department for assistance;(2) Individuals who have been administered Narcan to reverse the effects of an opioid overdose either in the 14 days prior to screening or in the period between screening and admission to the OTP;(3) Individuals with a history of injection drug use;(4) Individuals with substance use and co-occurring mental health disorders;(5) Veterans with substance use disorders; and(6) Individuals with substance use disorders who are involved with the criminal justice system or child protection system.(f) For any client who is denied services, the OTP shall: (1) Inform the client of the reason for denial;(2) Assist the client in identifying and accessing appropriate available services.(g) The OTP shall not deny services to a client solely because the client evidences one or more of the following: (1) Previously left services against the advice of staff;(2) Relapsed from an earlier service episode;(3) Is on any class of medications, including but not limited to opiates or benzodiazepines, unless treatment with methadone/buprenorphine is contraindicated; or(4) Has been diagnosed with a mental health disorder.(h) A client who meets the criteria in (a) shall only be denied services if: (1) The client was previously administratively discharged from services for abusive, violent, or illegal behavior; or(2) The client is unable to demonstrate an ability to pay for services.(i) The OTP shall report on (c) - (e) above at the request of the department.N.H. Admin. Code § He-A 304.20
Derived From Volume XXXVIII Number 10, Filed March 8, 2018, Proposed by #12476, Effective 2/16/2018, Expires 2/16/2028.