Louisiana Laws

Requirements for Licensure and Operations of Medications for Opioid Use Disorder Treatment

Question:

Does law address if an OTP is permitted take home dosages of medication?

Answer:
Yes
This answer is derived from 1 section of law
Citation:
  • citation 1: see full citation
    B.  Take-Home Dose(s)1.  The provider shall ensure that:a.  determinations for take-home dose(s) and the factors considered are made by the client's treatment team and are documented in the client's record when each take-home dose is authorized;b.  date and recommended dosage are documented in the client's record; andc.  take-home dose(s) are ordered by the medical director.2.  The provider shall ensure that the following factors are considered by the medical director and treatment team before a take-home dose is authorized by the treatment team:a.  a negative drug/alcohol screen for at least 30 days;b.  documented regularity of clinic attendance relative to treatment plan;c.  absence of serious behavioral problems;d.  absence of known criminal activity;e.  absence of known drug related criminal activity during treatment;f.  stability of home environment and social relationships;g.  assurance that take-home medication can be safely stored; andh.  whether the benefit to the client outweighs the risk of diversion.3.  Standard Schedule. The provider shall abide by the following schedule of take-home, therapeutic doses when a take-home dose is authorized:a.  after the first 30 days of treatment, and during the remainder of the first 90 days of treatment, one take-home, therapeutic dose per week;b.  in the second 90 days of treatment, two doses, consisting of take-home, therapeutic doses, may be allowed per week;c.  in the third 90 days of treatment, three doses consisting of take-home, therapeutic doses may be allowed per week;d.  in the final 90 days of treatment during the first year, four doses consisting of take-home, therapeutic doses may be allowed per week;e.  after one year in treatment, a six-day dose supply consisting of take-home, therapeutic doses may be allowed once a week;f.  after two years in treatment, a 13-day dose supply consisting of take-home, therapeutic doses may be allowed once every two weeks.4.  Loss of Privilege. Positive drug screens at any time for any drug other than those prescribed shall require a new determination to be made by the treatment team regarding take-home doses.5.  Exceptions to the Standard Schedule. The provider shall request and obtain approval for an exception to the standard schedule from the state opioid authority. Any exception shall be for an emergency or severe travel hardship. see full law