Clinical and Operational Standards for Medication-Assisted Treatment for Opioid Use Disorders  

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    DEPARTMENT OF CHILDREN AND FAMILIES

    Substance Abuse Program

    RULE NO.:RULE TITLE:

    65D-30.0142Clinical and Operational Standards for Medication-Assisted Treatment for Opioid Use Disorders

    NOTICE OF CHANGE

    Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 48 No. 5, January 7, 2022 issue of the Florida Administrative Register.

    65D-30.0142 Clinical and Operational Standards for Medication-Assisted Treatment for Opioid Use Disorders.

    (1) General Requirements.

    (a) through (d) No change.

    (e) Minimum Responsibilities of the Physician. Physicians must adhere to best practice standards for an individual receiving methadone medication-assisted treatment. Best practices are evidence-based practices which are subject to scientific evaluation for effectiveness and efficacy. Best practice standards may be established by entities such as the Substance Abuse and Mental Health Services Administration, national trade associations, accrediting organizations recognized by the Department, or comparable authorities in substance use treatment. In addition, the responsibilities of the physician include the following:

    1. through 4. No change.

    5. The initial assessment for methadone medication-assisted treatment shall be conducted in person. Each subsequent To ensure that an assessment shall be is conducted, either in-person or via telehealth, with each individual at least annually, including evaluation of the individual’s physical/medical status, progress in treatment, and justification for continued maintenance or medical clearance for voluntary withdrawal or a dosage reduction protocol. The initial assessment for methadone medication-assisted treatment shall be conducted face-to-face. The assessment shall be conducted by a physician or a P.A. or A.P.R.N. under the supervision of a physician. The protocol shall include criteria and the conditions under which the assessment would be conducted more frequently.

    (f) through (h) No change.

    (2) through (6) No change.

    Rulemaking Authority 397.321(5) FS. Law Implemented 397.311(26), 397.321, 397.410, 397.427 FS. History–New 8-10-20. Amended ______