DHS 75.59(7)(a)8.8. The OTP’s treatment philosophy and service structure.
DHS 75.59(7)(a)9.9. How to attain self-administered dose privileges and requirements to maintain those privileges.
DHS 75.59(7)(a)10.10. Referral to services not provided by the OTP.
DHS 75.59(7)(a)11.11. Rules governing patient conduct and infractions that can lead to disciplinary action or discharge from the OTP.
DHS 75.59(7)(a)12.12. Information about initiating a discontinuation of medication.
DHS 75.59(7)(b)(b) Written materials. Information provided in the orientation shall be accompanied by the provision of written materials on all covered topics.
DHS 75.59(7)(c)(c) Proof of orientation. The OTP shall require a new patient to acknowledge in writing that the patient has received a full orientation to all requirements and responsibilities associated with service enrollment.
DHS 75.59(7)(d)(d) Additional orientation requirements for pregnant patients. For pregnant patients, the OTP shall explain the following:
DHS 75.59(7)(d)1.1. The risks and benefits of opioid treatment medication during pregnancy.
DHS 75.59(7)(d)2.2. The program requirement for prenatal medical care.
DHS 75.59(7)(e)(e) Documentation. Documentation of the provision of the above information shall be included in the patient’s record.
DHS 75.59(8)(8)Hours of operation.
DHS 75.59(8)(a)(a) Accommodation of all patients. A service’s hours of operation shall accommodate patients involved in activities such as school, homemaking, child care and employment.
DHS 75.59(8)(b)(b) Availability of dosing and counseling. Dosing and counseling shall be available at a medically appropriate level to meet patient needs and shall offer non-traditional hours of operation that meet the majority of patient’s schedule needs.
DHS 75.59(8)(c)(c) Daily operations. All clinics must be open for dosing and counseling at least 6 days per week and shall be open 7 days a week if they have any patients that do not meet criteria for take home medication if those patients cannot be served via guest dosing at other nearby clinics. Facilities shall notify the SOTA and patients of the date of any holiday when the service will be closed at least 7 days in advance of the holiday. Clinics may only close for a holiday if all patients are eligible for take-home medication. In the event that all patients are not eligible for take-home medication, the service may request to offer modified hours for the holiday.
DHS 75.59(8)(d)(d) Training day. Any service may also be closed for one mandatory training day, if required by the SOTA.
DHS 75.59(8)(e)(e) Comprehensive services. Facilities shall offer comprehensive services, including individual and group counseling, and referral services, at least six days per week. Medical exams shall be provided on days when new admissions are scheduled and as needed for current patients.
DHS 75.59(9)(9)Research.
DHS 75.59(9)(a)(a) Human subjects. An OTP conducting or permitting research involving human subjects shall establish a research and human rights committee in accordance with s. 51.61 (4), Stats., and 45 CFR part 46.
DHS 75.59(9)(b)(b) Proposed research. All proposed research involving patients shall meet the requirements of s. 51.61 (1) (j), Stats., 45 CFR part 46 and this subsection.
DHS 75.59(9)(c)(c) Written consent. No patient may be subjected to any experimental diagnostic or treatment technique or to any other experimental intervention unless the patient gives written informed consent and the research and human rights committee established under s. 51.61 (4), Stats., has determined that adequate provisions are made to do all of the following:
DHS 75.59(9)(c)1.1. Protect the privacy of the patient.
DHS 75.59(9)(c)2.2. Protect the confidentiality of treatment records in accordance with s. 51.30, Stats., and ch. DHS 92.
DHS 75.59(9)(c)3.3. Ensure that no patient may be approached to participate in the research unless the patient’s participation is approved by the person responsible for the patient’s treatment plan.
DHS 75.59(10)(10)Medical services.
DHS 75.59(10)(a)(a) Primary medical services. An OTP may provide primary medical services for patients. The OTPs may use all FDA-approved medications and formulations for use in treating the patient with a substance use disorder.
DHS 75.59(10)(b)(b) Coordination with medical providers. For medical needs of a patient that exceed the scope of the service under this chapter, the service shall coordinate with appropriate medical providers.
DHS 75.59(10)(c)(c) Medical director responsibilities. The medical director of a service is responsible for all of the following:
DHS 75.59(10)(c)1.1. Overseeing all medical services provided by the service.