14 CRR-NY 817.2NY-CRR
14 CRR-NY 817.2
14 CRR-NY 817.2
817.2 General program standards.
(a) Policies and procedures.
The program sponsor must approve written policies, procedures and methods governing the provision of services to patients in compliance with office regulations including a description of each service provided and the overall approach to service delivery and a description of evidence-based practices employed in group, individual and family treatment. Such policies and procedures shall address, at a minimum, the following:
(1) procedures and specific criteria for admission, retention, transfer, referrals and discharge;
(2) level of care determinations utilizing the OASAS level of care determination protocol, treatment/recovery plans, and placement services;
(3) staffing, including but not limited to, training, supervision, and use of student interns, peers, and volunteers;
(4) the provision of medical and psychiatric services, including screening and referral for associated physical or mental health conditions;
(5) a schedule of fees for services rendered;
(6) infection control procedures;
(7) cooperative agreements with other substance use disorder services providers and other providers of services that the patient may need;
(8) compliance with other requirements of applicable local, State and Federal laws and regulations, OASAS guidance documents and standards of care regarding, but not limited to:
(i) education, counseling, prevention and treatment of communicable diseases, including viral hepatitis, sexually transmitted diseases and HIV/AIDS; regarding HIV, such education, counseling, prevention and treatment shall include condom use, testing, pre- and post-exposure prophylaxis and treatment;
(ii) the use of alcohol and other drug screening and toxicology tests; and
(iii) medication and the use of medication assisted treatment;
(iv) if acupuncture is provided it must be provided in accordance with Part 830 of this Title;
(v) the use of a problem gambling screen approved by OASAS;
(9) recordkeeping procedures which ensure that documentation is accurate, timely, prepared by appropriate staff, and in conformance with the Federal confidentiality regulations contained in 42 Code of Federal Regulations, part 2; and
(10) utilization review and quality improvement. All programs must have a utilization review process, a quality improvement committee, and a written plan that identifies key performance measures;
(11) providers must comply with all applicable laws regarding the use of restraint and seclusion.
(b) Program goals.
The program shall have as its goals:
(1) the improvement of functioning and development of coping skills necessary to enable the patient to be safely, adequately and responsibly treated in the least intensive environment; and
(2) the development of individualized plans to support the maintenance of recovery, attain self-sufficiency, and improve the patient’s quality of life.
(c) Minimum services.
An array of services shall be provided including, but not limited to, those listed below. The services must be clinically indicated and specified in the individualized treatment/recovery plan.
(1) Clinical services including:
(i) counseling services: trauma-informed individual, group and family counseling as appropriate; group counseling sessions must be structured in size and duration to maximize therapeutic benefit for each participant. Program policies must include a process for determining group size, group purpose, monitoring patient experience, and assessing group efficacy; activities therapy;
(ii) assessment and referral services for patients and significant others;
(iii) medical and psychiatric consultation;
(iv) HIV and AIDS, hepatitis C, tuberculosis, and other communicable diseases education, risk assessment, supportive counseling and referral.
(2) Recovery support services including:
(i) chemical dependence awareness and re-occurrance prevention;
(ii) education about, orientation to, and the opportunity for participation in, available and relevant self-help and sober/peer support groups including alternative peer groups;
(iii) holistic health practices; socialization skills.
(3) Educational assessment and educational services, as appropriate and as required by law, either directly or by arrangement with local school districts including:
(i) vocational assessment and vocational services;
(ii) life skills training.
(d) Medication assisted treatment.
A program must provide services to an individual who is receiving approved opiate full agonist maintenance or detoxification. Opiate maintenance or detoxification services must be provided through a written agreement with an appropriately certified outpatient provider of opioid full agonist treatment in accordance with applicable Federal and State requirements including, but not limited to, regulations of the Federal Center for Substance Abuse Treatment, the United States Drug Enforcement Administration, the New York State Department of Health, and Part 822 of this Title.
(e) Emergency medical kit.
Pursuant to Part 800 of this Title, all programs must maintain an emergency medical kit at each certified or funded location; such kit must include basic first aid and at least one naloxone emergency overdose prevention kit. Programs must develop and implement a plan to have staff trained in the prescribed use of a naloxone overdose prevention kit such that it is available for use during all program hours of operation.
(1) All staff and patients should be notified of the existence of the naloxone overdose prevention kit and the authorized administering staff.
(2) Nothing in this regulation shall preclude patients from becoming authorized in the administration of the naloxone emergency overdose prevention kit, provided however, the program director must be notified of the availability of any additional authorized users.
(f) Food and nutrition.
(1) Each facility shall provide to each patient three nutritious meals each day which furnish sufficient nutrients and calories to meet normal needs as well as the special needs of persons in recovery.
(2) The facility shall have available snacks and beverages between meals.
(3) A dietician or dietetic technician acting within their scope of practice shall provide menu planning services. Other suitable staff shall be responsible for the procurement of food supplies and the training and directing of food preparation and serving personnel.
(g) Certified capacity.
The certified bed capacity of each RRSY program shall not be exceeded at any time except with the written approval of the office.
(h) Medicaid.
Providers seeking Medicaid reimbursement must comply with the requirements of Part 841 of this Title.
(i) Segregation.
All patients must at all times be kept physically separated from patients of non-Part 817 services. In accordance with a provider-specific plan approved by the office prior to implementation, certain groups of patients shall be kept physically separated within the facility based upon clinically appropriate age, gender and developmental grouping.
(j) Telepractice.
Services may be delivered using telepractice consistent with Part 830 of this Title.
14 CRR-NY 817.2
Current through May 31, 2021
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IMPORTANT NOTE REGARDING CONTENT CURRENCY: JULY 31, 2023, is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Admisnistrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of the NYS Rules.