Massachusetts Laws

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

Question:

What evidence-based criteria are required?

Answer:
  • Must use “ASAM Client Placement Criteria” for determining client level of care
  • Must use six dimensions from “ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions”
This answer is derived from 6 section of law
Citation:
  • citation 1: see full citation
    (E)    Case management including referrals based on continuum of care and client educational, vocational, financial, legal and housing needs must be provided directly by licensee; see full law
  • citation 2: see full citation
    Levels of Care - the range of substance abuse treatment services based on patient placement criteria defined by the American Society of Addiction Medicine. see full law
  • citation 3: see full citation
    American Society of Addiction Medicine - also, ASAM - a medical society of physicians engaged in addiction treatment, education, research and program improvement. see full law
  • citation 4: see full citation
    (1) Level of Care: Prior to admitting a client into treatment, the licensee shall determine that the client has a current physiologic dependence on opioids of at least a 12-month duration. If the exact term of physiologic dependence cannot be determined, the medical director, or designee, may admit the client to treatment if there is sufficient evidence to reasonably conclude that there was physiologic dependence one year prior to admission. The 12-month duration may be waived if the client: see full law
  • citation 5: see full citation
    (B)    The licensee shall establish a staffing pattern in sufficient numbers and positions necessary for the level of care provided. Staffing pattern shall include the following positions: see full law
  • citation 6: see full citation
    For each client admitted, the licensee shall complete an individual treatment plan based on the client's treatment, medical, psychiatric and social histories, which includes the following elements, as well as elements prescribed for each level of care in 105 CMR 164.000: Part Two. see full law