1.    Outpatient Services: Individuals must be offered on-site HIV Rapid testing by the organization or informed of available HIV testing resources available within the community. see full law

A.    All providers must provide and document that all individuals receiving substance use disorder treatment receive a risk assessment for HIV at the time of intake. For  individuals determined to be high risk by the HIV assessment, testing options are determined by level of care and must be provided as follows: see full law

E.    All Primary and Transitional Residential providers must document that all individuals received a risk assessment for Tuberculosis (TB) at the time of intake. Any individual determined to be at high risk cannot be admitted into a treatment program until testing confirms the individual does not have TB. see full law

A.    All providers must provide and document that all individuals receiving substance use disorder treatment services receive a minimum of 1 hour of educational information concerning the following topics in a group and/or individual session:1.    HIV/AIDS(a)    Modes of transmission;(b)    Universal Precautions and other preventative measures against contracting/ spreading the virus; and(c)    Current treatments and how to access them. see full law

Recovery Support Services must be provided to individuals regardless of where or if Primary Treatment Services have been completed. see full law

A.    Recovery Support Services are non-clinical services that are offered before, during and after any services that assist individuals and families working towards recovery from substance use disorders. They incorporate a full range of social, legal, and other resources that facilitate recovery and wellness to reduce or eliminate environmental or personal barriers to recovery. RSS include social supports, linkage to and coordination among allied service providers, and other resources to improve quality of life for people in and seeking recovery and their families. see full law

(j) Individual has received counseling, testing, and education regarding HIV, Hepatitis B, Hepatitis C, tuberculosis, and sexually transmitted diseases (documentation must be maintained in the individual‘s record); and see full law

1.    Medical Services under the direction of the Medical Provider will include an initial history and physical evaluation to determine diagnosis and if the individual meets criteria for methadone maintenance treatment (MMT); unless the individual can provide documentation of a medical examination (including laboratory test results) that was conducted within fourteen (14) days prior to admission. The physical evaluation will include but not be limited to the following:(a)    A complete medical history;(b)    Baseline toxicology report produced from a urine drug screen (UDS) that includes at a minimum testing for the following substances using the following cutoff concentrations:(1)    Opiates    100 ng/ml;(2)    Methadone    300 ng/ml;(3)    Benzodiazepines    200 ng/ml;(4)    Barbiturates    200 ng/ml;(5)    Cocaine    300 ng/ml;(6)    Amphetamines    1000 ng/ml;(7)    Tetrahydrocannabinol    100 ng/ml;(8)    Alcohol    .03 gm/dl;(9)    Any other drug known to be frequently used in the locality of the OTP.(c)    A tuberculosis (TB) skin test or chest x-ray if the skin was ever previously positive;(d)    Screening for STDs;(e)    Other laboratory tests as clinically indicated by the client’s history and physical examination; and(f)    A pregnancy test shall be completed, and the results documented, for each female of childbearing potential prior to the initiation of Opioid treatment, medically- assisted withdrawal, or detoxification procedures. see full law

D.    Counseling and Recovery Support Services are a part of a holistic approach to treating the opiate addicted individual. Counseling services must be provided by a licensed psychologist, licensed professional counselor, licensed certified social worker or DMH credentialed addictions therapist and must be provided in accordance with the following requirements:1.    Written documentation must support decisions of the treatment team including indicators such as a positive drug screens, inappropriate behavior, criminal activity, and withdrawal management procedures.2.    Counseling must be provided individually or in small  (not  to  exceed  12 individuals) groups of individuals with similar treatment needs.3.    Each individual must be assigned to a primary counselor and the counselor must be familiar with all individuals on his/her caseload and document all contacts in the individual’s record.4.    Specialized information and counseling approaches for individuals who  have  special problems, i.e., terminal illness must be provided and documented;5.    Counselors must assess the psychological and sociological backgrounds of individuals, contribute to the treatment team, and monitor individual treatment programs.6.    Counselor to individual ratio cannot exceed 1:7540 (one counselor to every forty (40) individuals served by the program). see full law