(g)  Staff Requirements.1.  Each Level 3.7-D and 3.7-D NTP shall, at a minimum, maintain the following positions as part of its staff:(i)  Medical Director. The medical director shall be a physician licensed to practice in the State of Alabama, who has a minimum of one (1) year experience treating substance related disorders. The medical director shall be responsible for admission, diagnosis, medication management, patient care, and for ensuring that the program is in compliance with all Federal, State, and local laws and regulations.(ii)  Each Program shall be coordinated by a full-time employee who is an Alabama licensed Registered Nurse, Nurse Practitioner, Physician, or Physician's Assistant, with two (2) years direct care experience treating substance related disorders.(iii)  Nursing Services Director. Program shall have a nursing services director who shall be a Registered Nurse licensed according to Alabama law, with training and work experience in behavioral health.(iv)  There shall be a Registered Nurse (RN) or Licensed Practical Nurse (LPN) on site during all hours of the Program's operation.(v)  Direct Care Personnel. All direct care personnel must have sufficient education, training, and experience, or a combination thereof, to enable that person to perform the assigned job responsibilities. All physicians, nurses, and other licensed professional care providers, including certified addiction counselors, must comply with the credentialing requirements of their respective professions.(vi)  The entity shall maintain an adequate number of personnel, including physicians, nurses, counselors and case managers to sustain the Program as delineated in its operational plan.(vii)  Administrative Support Personnel. The entity shall maintain an adequate number of support personnel to sustain the Program's administrative functions. see full law

(ii)  Program Coordinator: The Level I-O Program shall have a full-time program coordinator.(I)  The Opioid Maintenance Therapy Program coordinator shall be:I.  An Alabama licensed Registered Nurse, Nurse Practitioner, Physician, or Physician's Assistant, who has two(2)  years direct care substance related disorders treatment experience, orII.  An individual with a master's degree in a behavioral health related field and at least two (2) years direct care substance use disorders treatment experience.(II)  The entity shall provide written documentation of the program coordinator's responsibilities and the processes through which they are implemented, which shall include, at a minimum:I.  Manage the day to day operation of the program as according to duties delegated by the program sponsor.II.  Maintain regular office hours, which coordinate with the operation of the program.III.  Be readily accessible to the State Opioid Treatment Authority. see full law

(iii)  Medical Director: The Level I-O Program shall have a medical director who shall be a physician who is licensed to practice in the State of Alabama and who has a minimum of one (1) year experience in the treatment of Opioid dependency.(I)  The entity shall provide written documentation of the medical director's responsibilities and the processes through which they are implemented, which shall, at a minimum, include:I.  Administration of all Level 1-0 medical services performed by the program.II.  Ensure that the Level I-O Program complies with all applicable federal, state and local laws and regulations relative to medical care.III.  Attend weekly staffing with counselors, or document in the client record alternative and equivalent supervisory contact on a weekly basis.A.  When the medical director is unable to attend a weekly staffing, the entity must date the occurrence and provide written documentation of how equivalent supervisory contact was accomplished, e.g. by phone, electronic correspondence, etc.IV.  Maintain ongoing communication with clients' physicians regarding the prescription of psychoactive and/or control medication during Opioid Maintenance Therapy, and to coordinate client care in regard to other medical needs.V.  Maintain ongoing communication with Obstetrics and Gynecology physicians when providing Opioid Maintenance Therapy services to pregnant women.VI.  Perform client physical examinations prior to dosing and provide thorough documentation of each client's Opioid dependency at the time of admission.VII.  Perform annual client physical examinations.VIII.  Authorize:A.  All initial dose orders.B.  All dose and phase changes.C.  All take-home medications.D.  All changes in frequency of take-home medications.E.  Opioid withdrawal protocols.IX.  Delegate responsibility for medical care and procedures to other Opioid Maintenance Therapy Program physicians and physician extenders.(II)  The entity shall provide written documentation that the Level I-O Program's medical director, or a staff physician supervised and assigned by the medical director, is physically present in the clinic a minimum of two (2) hours per week for each fifty (50) clients enrolled in the program. see full law

(iv)  Pharmacist: The level I-O Program shall have an Alabama licensed pharmacist on its staff.(I)  The entity shall provide written documentation of the pharmacist's responsibilities and the processes through which they are implemented, which shall, at a minimum, include:I.  Prepare all take-home medication.II.  Conduct, at a minimum, an annual physical drug inventory.III.  Assist in the development of program policies and procedures governing medication administration, dispensing, use and security. see full law

(v)  Nursing Personnel: The entity shall have an adequate number of Alabama licensed nurses to assure that all medications utilized during Opioid Maintenance and Withdrawal Therapy are administered in compliance with Alabama Board of Nursing regulations.(i)  Supervise and delegate responsibilities to the Licensed Practical Nurses (LPNs) on staff.(ii)  There shall be a Registered Nurse (RN) or Licensed Practical Nurse (LPN) on site during all hours of the Level 1-0 Program's operation. see full law