DHS 75.59(13)(h)2.b.b. For patient time in treatment starting day 61 through day 90, the patient shall be allowed no more than 2 take-home doses of medication per week. DHS 75.59(13)(h)2.c.c. For patient time in treatment starting day 91 through day 120, the patient shall be allowed no more than 3 take-home doses of medication per week. DHS 75.59(13)(h)2.d.d. For patient time in treatment starting day 121 through day 240, the patient shall be allowed no more than 4 take-home doses of medication per week. DHS 75.59(13)(h)2.e.e. For patient time in treatment starting day 241 through day 365, the patient shall be allowed no more than 6 take-home doses of medication per week. DHS 75.59(13)(h)2.f.f. For patient time in treatment starting day 366 through completion of treatment, the patient shall be allowed no more than 13 take-home doses every 2 weeks. DHS 75.59(13)(i)(i) Denial or rescinding of approval. A service shall deny or rescind approval for take-home privileges for any of the following reasons: DHS 75.59(13)(i)3.3. The absence of laboratory evidence of FDA-approved narcotic treatment in test samples, including serum levels. DHS 75.59(13)(j)1.1. The service physician shall review the status of every patient provided with take-home medication at least every 90 days and more frequently if clinically indicated. DHS 75.59(13)(j)2.2. The service treatment team shall review the merits and detriments of continuing a patient’s take-home privilege and shall make appropriate recommendations to the service physician as part of the service physician’s 90-day review. DHS 75.59(13)(j)3.3. Service staff shall use biochemical monitoring to ensure that a patient with take-home privileges is not using illicit substances and is consuming the FDA-approved narcotic provided. DHS 75.59(13)(j)4.4. Service staff may not recommend denial or rescinding of a patient’s take-home privilege to punish the patient for an action not related to meeting requirements for take-home privileges. DHS 75.59(13)(k)(k) Reduction of take-home privileges or requirement of more frequent visits to the service. DHS 75.59(13)(k)1.1. A service may reduce a patient’s take-home privileges or may require more frequent visits to the service if the patient inexcusably misses a scheduled appointment with the service, including an appointment for dosing, counseling, a medical review or a psychosocial review or for an annual physical or an evaluation. DHS 75.59(13)(k)2.2. A service shall reduce a patient’s take-home privileges or may require more frequent visits to the service if the patient shows positive results in drug test analysis for morphine-like substances or substances of abuse or if the patient tests negative for the narcotic drug administered or dispensed by the service. DHS 75.59(13)(L)(L) Reinstatement. A service shall not reinstate take-home privileges that have been revoked until: DHS 75.59(13)(L)1.1. The patient has had at least 3 consecutive tests or analyses that are neither positive for morphine-like substances or substances of abuse, or negative for the narcotic drug administered or dispensed by the service. The tests must be at least one week apart. DHS 75.59(13)(L)2.2. The service physician determines that the patient can responsibly handle narcotic drugs. DHS 75.59(13)(m)1.1. A patient receiving a 6-day supply of take-home medication or more who has a test or analysis that is confirmed to be positive for a substance of abuse or negative for the narcotic drug dispensed by the service shall be placed on clinical probation for 3 months. DHS 75.59(13)(m)2.2. A patient on 3-month clinical probation who has a test or analysis that is confirmed to be positive for a substance of abuse or negative for the narcotic drug administered or dispensed by the service shall be required to attend the service at least twice weekly for observation of the ingestion of medication, and may receive no more than a 3-day take-home supply of medication. DHS 75.59(13)(n)(n) Employment-related exception to 6-day supply. A patient who is employed and working on Saturdays may apply for an exception to the dosing requirements if dosing schedules of the service conflict with working hours of the patient. A service may give the patient an additional take-home dose after verification of work hours through pay slips or other reliable means, and following approval for the exception from the SOTA and the designated federal agency. DHS 75.59(14)(a)(a) Exception requests. A service may submit a request to the designated federal authority and the SOTA for an exception to certain take-home requirements for a particular patient if, in the reasonable clinical judgment of the service physician, any of the following conditions is met: