N.Y. Comp. Codes R. & Regs. tit. 14 § 816.6

Current through Register Vol. 46, No. 45, November 2, 2024

Section 816.6 - Additional requirements for medically managed withdrawal and stabilization services

(a) Unless otherwise authorized medically managed withdrawal and stabilization services, as defined in this Part, shall only be provided in facilities certified by the Office and licensed by the Department of Health as a general hospital pursuant to Article 28 of the Public Health Law.

(b)Required services. Medically managed services must provide, at a minimum, all of the following services:

(1) medical management of acute intoxication and withdrawal conditions;

(2) an observation period for up to forty-eight (48) hours of admission. Patients found to be stable and able to step-down to a lower level of care shall be transferred within or to another facility, with specific discharge instructions, as soon as possible;

(3) medically supervised inpatient withdrawal services.

(c) Staffing.

(1) The medical director of a medically managed withdrawal and stabilization service, whether full or part time, may also serve as director of another service provided by the same program governing authority.

(2) A physician must be on duty or on call at all times.

(3) There must be a physician, nurse practitioner and/or physician assistant under the supervision of a physician, on-site sufficient hours to perform the initial medical history and physical examination of all patients and to prescribe any and all necessary medications necessary to ensure safe withdrawal.

(4) There shall be registered nursing personnel immediately available to all patients at all times. Nursing services shall be under the direction of a registered nurse who has at least one year of experience in the nursing care and treatment of substance use disorders and related medical and psychiatric illnesses.

(5) There shall be sufficient hours of psychiatric provider time to meet the assessment and treatment needs of those patients with other psychiatric disorders in addition to substance use disorders.

(6) There shall be sufficient clinical staff both to maintain a ratio of one counselor for each 10 beds and be scheduled to be available for one and one-half shifts, seven (7) days per week.

(7) One of the full time equivalent qualified health professionals employed by the service shall be designated to provide discharge and treatment/recovery planning to persons admitted to the service.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 816.6

Adopted New York State Register March 27, 2019/Volume XLI, Issue 13, eff. 3/27/2019

Amended New York State Register September 14, 2022/Volume XLIV, Issue 37, eff. 10/1/2022