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Rule Title: INPATIENT SERVICE REQUIREMENTS
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Department: PUBLIC HEALTH AND HUMAN SERVICES
Chapter: HEALTH CARE FACILITIES
Subchapter: Minimum Standards for Chemical Dependency Facilities
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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37.106.1475    INPATIENT SERVICE REQUIREMENTS

(1) To be licensed to provide freestanding adult and adolescent medically monitored intensive inpatient ASAM Level III.7 substance related disorders treatment services, a provider must meet the following:

(a) staffing requirements include but are not limited to the following:

(i) a physician, nurse practitioner, or physician assistant licensed under Title 37, MCA, to conduct a physical examination and screening of a client within 24 hours of the person's admission to a service to identify health problems and screen for communicable diseases;

(ii) a nurse licensed under Title 37, MCA, on-site or on call 24 hours a day, seven days a week; and

(iii) a physician licensed under Title 37, MCA, available to provide medical consultation either as an employee of the service or through written agreement.

(b) service requirements include but are not limited to the following:

(i) family services are made available;

(ii) direct affiliation with an acute care hospital; and

(iii) daily scheduled professional services; such services must include and are not limited to medical services and medication management, individual, group, family, and educational services.

(c) if community-based day treatment services as defined in ASAM are provided, there must be access to services provided under ASAM Level III.7.

(2) To be licensed to provide community-based residential program for adults and adolescents with ASAM Level III.5 substance use disorders, a provider must meet the following:

(a) staffing requirements include but are not limited to the following:

(i) a licensed physician, physician assistant, nurse practitioner, or registered nurse as defined as a licensed health care professional in 50-5-101, MCA, to conduct an assessment and evaluation of a client within 72 hours of admission to service; and

(ii) a nurse licensed under Title 37, MCA, on-site, on call, or access to medical services 24 hours a day, seven days a week.

(b) service requirements including the following program policies must address:

(i) how the programs treat persons with substance use disorders and related problems;

(ii) admission criteria to include service limitations; and

(iii) daily scheduled professional services, such services may include but not be limited to medical services, nursing services, individual and group counseling, psychotherapy, family therapy, educational groups, occupational and recreational therapies, art, music, or movement therapies, physical therapy, and vocational rehabilitation activities.

History: 50-5-103, 53-24-208, MCA; IMP, 50-5-101, 50-5-103, 53-24-208, 53-24-209, 76-2-411, MCA; NEW, 2010 MAR p. 2975, Eff. 12/24/10.


 

 
MAR Notices Effective From Effective To History Notes
37-517 12/24/2010 Current History: 50-5-103, 53-24-208, MCA; IMP, 50-5-101, 50-5-103, 53-24-208, 53-24-209, 76-2-411, MCA; NEW, 2010 MAR p. 2975, Eff. 12/24/10.
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