Maine Laws

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

Question:

Are OTPs required to perform routine drug screening?

Answer:
Yes
This answer is derived from 1 section of law
Citation:
  • citation 1: see full citation
    19.8.7.2    Drug Testing Services. The OTP shall develop and follow policies and procedures, consistent with best practices and applicable law and rule, governing drug testing practices. The policy and procedure shall be approved by OSA. At minimum, drug testing policies shall include the following:19.8.7.2.1    Prompt Testing.  All drug testing samples shall be tested promptly.  Testing facilities shall be qualified to conduct testing.19.8.7.2.2    Drug Testing at Admission.  All clients will have a drug test at admission.  A positive test is not a requirement for admission to the OTP.19.8.7.2.3    Required Screens.  All required drug tests shall include screening for opiates, methadone, cocaine, benzodiazepines and other substances of abuse prevalent in the community.19.8.7.2.3.1    Additionally, the drug test at admission shall include screening for cannabis.19.8.7.2.3.2    Random drug samples shall be collected no less frequently than every 30 days unless the individual treatment plan indicates more collections are necessary.  If the admission drug test was positive for cannabis, periodic screens for cannabis shall be conducted and documented.19.8.7.2.3.3    Drug tests in addition to those required by this rule need to include only those screens specific to the individual client's treatment needs.19.8.7.2.4    Use of Results. Results of drug testing shall be used as a factor in making treatment decisions. Results of drug testing shall not be used in a punitive manner. There shall be a clear indication in the client record that the results of drug testing have been reviewed and considered as part of the treatment planning process and decisions for take-home dosing.19.8.7.2.5    Sample Integrity. Adequate and appropriate steps shall be taken to prevent falsification or substitution in sample collection.19.8.7.2.5.1    The routine use of observation techniques such as cameras and windows is prohibited.19.8.7.2.5.2    The use of observation shall be clinically substantiated and gender appropriate. see full law