DHS 75.59(6)(i)4.4. Identifies all substances being used. To the extent possible, service staff shall obtain information on all substances used, route of administration, length of time used and amount and frequency of use.

DHS 75.59(6)(i)5.5. Obtains information about past treatment. To the extent possible, service staff shall obtain information on a patient’s treatment history, use of secondary substances while in the treatment, dates and length of time in treatment and reasons for discharge.

DHS 75.59(6)(i)6.6. Obtains personal information about the patient. Personal information includes history and current status regarding employment, education, legal status (including arrests and conviction history), military service, family and psychiatric and medical information.

DHS 75.59(6)(i)7.7. Identifies the patient’s reasons for seeking treatment. Reasons shall include why the patient chose the service and whether they fully understand the treatment options and the nature and requirements of medication assisted treatment are fully understood.

DHS 75.59(6)(i)8.8. Completes an initial drug screening or analysis to detect the use of opiates, methadone, buprenorphine, synthetic opioids, amphetamines, methamphetamine, benzodiazepines, cocaine, alcohol, and THC. The analysis shall show positive for narcotics, or an adequate explanation for negative results shall be provided and noted in the prospective patient’s record.

DHS 75.59(6)(i)9.9. Refers a patient who also has a physical health problem that cannot be treated within the service to an appropriate agency for appropriate treatment.

DHS 75.59(6)(i)10.10. Obtains the patient’s written consent for the service to secure records from other agencies that may assist the service with treatment planning.

DHS 75.59(6)(i)11.11. Refers prospective patients who are physiologically dependent on alcohol, sedatives, or to anxiolytics to hospital detoxification before initiating treatment. If prospective patient refuses hospital detoxification, the medical director shall determine if the risk of treating a patient with a history of use of alcohol, sedatives, or anxiolytics outweighs the risk of non-admission to the service.

DHS 75.59(6)(j)(j) First priority for services. A service shall offer priority admission either through immediate admission or priority placement on a waiting list in the following order:

DHS 75.59(6)(j)1.1. Pregnant women who inject drugs. Pregnant women are to be assessed for appropriateness for admission by a physician within 24 hours of contacting the service.

DHS 75.59(6)(j)2.2. Pregnant women who are drug or alcohol dependent and need treatment.

DHS 75.59(6)(j)3.3. Other individuals who inject drugs.

DHS 75.59(6)(j)4.4. Others individuals who are drug or alcohol dependent and need treatment.

DHS 75.59(6)(k)1.1. ‘Capacity management.’ An OTP must notify the SOTA within seven days of the program reaching both 90 and 100 percent of the program’s capacity to care for clients. Each week, the service must report its capacity, currently enrolled dosing clients, and any waiting list. A service reporting 90 percent of capacity must also notify the SOTA when the program’s census increases or decreases from the 90 percent level.

DHS 75.59(6)(k)2.2. ‘Waiting list.’ If the service is at capacity, it shall immediately advise a prospective patient of the service’s waiting list and provide that person with a referral to another treatment service that can serve the person’s treatment needs. The OTP shall provide the SOTA documentation of any waiting list and where prospective patients were referred for treatment upon request. An OTP must have a waiting list system. If the prospective patient seeking admission cannot be admitted within 14 days of the date of application, each person seeking admission must be placed on the waiting list, unless the person seeking admission is assessed by the service and found ineligible for admission according to this chapter, 42 CFR parts 2 to 11, or 45 CFR parts 160 to 164. The waiting list must assign a unique client identifier for each person seeking treatment while awaiting admission.

DHS 75.59(6)(L)(L) Appropriate and un-coerced treatment. Service staff shall determine through a screening process that an OTP is the most appropriate treatment modality for the prospective patient and that treatment is not coerced.

DHS 75.59(6)(m)(m) Non-admissions. The service shall maintain written logs that identify persons who were considered for admission or initially screened for admission but were not admitted. Such logs shall identify the reasons why the person was not admitted and what referrals were made for them by the service. These logs will be provided to the department upon request.