Section 0940-05-42-.19 - DIVERSION CONTROL PLAN(1) Each clinic shall prepare a Diversion Control Plan that contains specific measures to reduce the possibility of diversion of controlled substances from legitimate medical treatment use and that assigns specific responsibility to the medical and administrative staff of the OTP for carrying out the diversion control functions described in the Diversion Control Plan. The Diversion Control Plan shall contain, at a minimum, a random call-back program with mandatory compliance.
(a) This call-back shall be in addition to the regular schedule of clinic visits.(b) Each service recipient receiving three or more consecutive take-home medications shall be called back randomly within the three-month period immediately following the previous call-back.(c) Upon call back a service recipient shall report to the clinic within 24 hours of notification, with all take-home medications. The quantity and integrity of packaging shall be verified for all doses. If a take-home dose shows evidence of tampering, the clinic shall impose uniform sanctions for violating take-home policies, including sanctions for a service recipient's tampering with a take-home dose.(d) Service recipients shall be informed of consequences for violating the take-home policy.(e) The Facility shall maintain individual call-back results in the service recipient record.(2) Diversion control plans shall minimize the diversion of methadone or other opioid treatment medications to illicit use. The plan shall include:(a) Clinical and administrative continuous monitoring of the potential for and actual diversion including an investigation, tracking and monitoring system of incidents of diversion; and(b) Proactive planning and procedures for problem identification, correction and prevention signed by the Facility medical staff and the service recipient.Tenn. Comp. R. & Regs. 0940-05-42-.19
Original rule filed September 20, 2012; effective December 19, 2012.Authority: T.C.A. §§ 4-3-1601, 4-4-103, 33-1-302, 33-1-305, 33-1-309, 33-2-301, 33-2-302, and 33-2-404.