LAC 48:I.5698. High Intensity Outpatient Treatment (ASAM Level 2.5)

A. The provider shall: 1. only admit clients clinically appropriate for ASAM level 2.5 into this program; a. services may be offered during the day or evening hours, before or after work or on weekends, while also allowing the patient to apply their new skills and strategies in the community; 2. maintain a minimum of 20 contact hours per week for adults, at a minimum of three days per week; 3. maintain a minimum of 20 hours per week for children/adolescents, daily or as specified in the patient’s treatment plan and may occur during school hours; a. adolescents shall have access to educational services; or b. the provider shall be able to coordinate with the school system to ensure that the adolescent’s educational needs are met; and 4. review the treatment plan in collaboration with the client a minimum of every 30 days or more frequently as needed, and document accordingly. B. Staffing. The provider shall ensure that: 1. a licensed physician is on site as needed for the management of psychiatric and medical needs and on call 24 hours per day, seven days per week; 2. there is a clinical supervisor on-site 10 hours a week and on call 24 hours per day, seven days per week; 3. there is at least one LMHP or UP on site when clinical services are being provided; 4. each LMHP/UP caseload does not exceed 1:25 active clients; and 5. there are nursing services available as needed to meet the nursing needs of the clients.