(1) admission and discharge, including specific criteria relating thereto, as well as transfer and referral procedures;

(2) treatment/recovery plans;

(3) services to be provided by contract or subcontract including methods for coordinating service delivery and a description of core groups offered and procedures for coordinating group, individual, and family treatment;

(4) a schedule of fees for services rendered;

(5) 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:

(6) infection control procedures;

(7) staffing, including but not limited to, training and use of student interns, peers and volunteers;

(8) waiting lists.

Programs must maintain a waiting list of eligible prospective patients. When an opening is available programs must make at last one good faith attempt to contact the next prospective patient on the waiting list;

(9) certified capacity.

In determining certified capacity for an OTP, such programs may:

(10) Each program must maintain a policy on toxicology.

(1) All programs must maintain an emergency medical kit at each certified 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.

(2) All staff and patients should be notified of the existence of the naloxone overdose prevention kit and the authorized administering staff.

(3) 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.

(1) admission assessment, including, if clinically indicated, a screen for problem gambling;

(2) treatment/recovery planning and review;

(3) trauma-informed individual and group counseling;

(4) medication assisted treatment;

(5) toxicology testing (not required for significant others unless clinically indicated):

(6) post-treatment planning;

(7) medication administration and observation;

(8) medication management;

(9) brief intervention and brief treatment;

(10) collateral visits;

(11) complex care coordination;

(12) outreach; and

(13) peer support services.

(1) intensive outpatient services (IOS);

(2) ancillary withdrawal (requires office approved designation); or

(3) other services which may be identified by the office from time to time.

(1) Clinical director.

Each program must have a qualified health professional designated as the clinical director who is responsible for the daily activities and supervision of services provided. Such person must have at least three years of full-time clinical work experience in the chemical dependence field, at least one year of which must be supervisory, prior to appointment as clinical director. A program which is part of a provider comprised of multiple health, mental health or substance use disorder treatment programs may share this position provided clinical director responsibilities have been delegated to another qualified staff member and shared to the extent such assignment is sufficient to meet patient need.

(2) Medical director.

Each program must have a medical director as defined in Part 800 of this Title.

(3) Medical staff, as defined in Part 800 of this Title.

(4) Health coordinator.

Each program must designate a health coordinator to assure the provision of education, risk reduction, counseling and referral services to all patients regarding HIV/AIDS (including pre- and post-exposure prophylaxis), tuberculosis, viral hepatitis, sexually transmitted diseases, and other communicable diseases.

(5) Counselors.

In every program there must be an adequate number of counselors sufficient to carry out the objectives of the program and to assure the outcomes of the program are addressed. The office will review factors in determining whether the program's outcomes are being addressed, which may include but shall not be limited to:

(6) Full-time staffing requirements.

There must be at least one full-time credentialed alcoholism and substance abuse counselor (CASAC); and there must be at least one full-time qualified health professional, as defined in Part 800 of this Title, qualified in a discipline other than substance use disorder counseling.

(7) Qualified health professional requirements.

At least 50 percent of all clinical staff must be qualified health professionals. CASAC trainees (CASAC-T) may be counted towards satisfying the 50 percent requirement; however such individuals may not be considered qualified health professionals for any other purpose under this Part. Clinical staff members who are not qualified health professionals must have qualifications appropriate to their assigned responsibilities as set forth in the personnel policies of the program and must be subject to appropriate staff supervision and continuing education and training.

(8) Each program must notify the office of any change in medical director, on-site physician(s), or program sponsors (pursuant to Part 810 of this Title).

(1) If other specialized services are directly provided by the program, staff must be appropriately qualified to provide such services.

(2) Volunteers and student interns.

In addition to staffing requirements of this Part, a program may utilize unpaid volunteers and unpaid student interns. Such volunteers or student interns must receive supervision, training, or didactic education consistent with their assigned tasks and the services they are expected to provide.

(3) Certified recovery peer advocates (CRPA).

CRPAs, as defined in Part 800 of this Title, must be supervised by a clinical staff member who is credentialed or licensed and participate in a training plan appropriate to their needs. CRPAs may provide peer support services based on clinical needs as identified in the patient’s treatment/recovery plan.

(4) Security staff.

Programs may employ security staff who are not clinical staff and may not be involved in clinical services and must receive training on confidentiality of patient information and adhere to such Federal laws.

(5) All clinical staff should be provided training related to, including but not limited to, crisis interventions, dealing with special populations, quality improvement, agency policies and procedures. Additional subject areas appropriate for training may from time to time be identified by the office.

(6) A clinical or non-clinical staff person shall be identified to serve as the program’s Lesbian, Gay, Bisexual, Transgender, Questioning/Queer (LGBTQ) liaison.