14 PROPOSED ADMINISTRATIVE RULES

 

SOAHR 2005-045 DEPARTMENT OF COMMUNITY HEALTH

MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES ADMINISTRATION METHADONE TREATMENT AND OTHER CHEMOTHERAPY

Filed with the Secretary of State on

These rules take effect immediately after filing with the Secretary of State unless adopted under sections 33, 44, 45a(6), or 48 of 1969 PA 306. Rules adopted under these sections become effective 7 days after filing with the Secretary of State.

 

(By authority conferred on the director of the department of community health by section 6231 of 1978 PA 368, MCL 333.6231 and Executive Reorganization Order Nos. 1991-3, 1996-1, and 1997-4, MCL

333.36321, 330.3101, and 333.26324)

 

Draft November 4, 2005

R 325.14419 of the Michigan Administrative Code is amended as follows: R 325.14419  Client records.

Rule 419. (1) A client record shall be maintained by a program for a period of 3 years after services are terminated.

(2)  A client record shall contain, at a minimum, all of the following information:

(a)    A signed consent form (use federal food and drug administration form FD 2635).

(b)    The date of each visit for medication or counseling, or both.

(c)    The amount of methadone dispensed for take-out or administered on-site.

(d)    The results of each urinalysis.

(e)    A detailed account of any adverse reactions to medication (use federal food and drug administration form 1639, "Drug Experience Report").

(f)    Any significant physical or psychological disability and plans for referral or on-site treatment.

(g)    Twice monthly progress reports by the counselor, signed and dated so long as if the treatment plan identifies a need for and includes required counseling services.

(h)    The termination and readmission evaluation written or endorsed and dated by the program physician.

(i)    Monthly medical progress notes by the dispensing nurse.

(j)    Monthly renewal of the methadone order.

(k)    Documentation of a physician-client encounter every 60 days.

(l)    Documentation of methadone authority approval of any exceptions to the applicable rules and regulations.

(m)    The initial, and any subsequent, treatment plan.

(n)    The periodic treatment plan evaluation by the program physician or counselor at least once every 60 days.

 

 

(o)    The annual treatment plan review by the program physician.

(3)  Deaths which may be methadone related shall be reported to the federal food and drug administration on form FD 1639, "Drug Experience Report" within 2 weeks of the death. Births to clients that are premature or show signs of adverse reaction to methadone shall also be reported on form FD 1639.