Section 2060.425  Withdrawal Management

a)         The medical director shall develop protocols and authorize procedures for patients experiencing withdrawal symptoms or in need of medically-managed services in any level of care authorized by the DHS/SUPR license.  The protocols shall be inclusive of the staff qualifications specified in Section 2060.320(c).

b)         The medical director shall develop a standing order for the treatment plan for any medical services that may be required during withdrawal management.  The standing order for withdrawal management treatment shall be designed to assist patients in achieving stability in a safe environment, with access to medical intervention, if necessary, for the length of time the patient is receiving withdrawal management.

c)         An ASAM assessment shall begin as soon as the patient is physically and emotionally stable enough to participate and shall determine the diagnosis and if the patient will be transferred to a higher or lower level of care.

d)         The length of services or time spent receiving withdrawal management services is dependent on the patient's emotional and physical stability and a determination of when they are ready to begin or resume participation in the recommended level of care.  This determination shall be made through a continuing service review every 24 hours after confirmation of the initial diagnosis and level of care and in accordance with the requirements specified in Section 2060.475.

e)         The organization shall ensure that information about medication assisted treatment and referral, if applicable, is provided to every patient requesting or receiving withdrawal management.