LAC 48:I.5706. Clinically Managed Medium-Intensity Residential Treatment (ASAM 3.5) (Adolescents Only)

A. The provider shall: 1. admit only adolescent clients clinically appropriate for ASAM level 3.5 into its program; 2. review the treatment plan in collaboration with the client a minimum of every 30 days or more frequently as needed, and document accordingly; 3. provide case management that is: a. provided by a care coordinator who is on duty as needed; or b. assumed by the clinical staff. B. Staffing. The provider shall ensure that: 1. a physician is on call 24 hours per day, seven days per week, and reports on duty as needed for management of psychiatric and medical needs of the clients; 2. a clinical supervisor is available for clinical supervision when needed and by telephone for consultation; 3. one licensed registered nurse is on call 24/7 to perform nursing duties for the provider; 4. at least one LMHP or UP shall be on duty at least 40 hours per week; a. Each LMHP/UP’s caseload shall not exceed 1:8. 5. at least two direct care aides shall be on duty during all shifts with additional as needed; a. The ratio of aides to clients shall not exceed 1:8. On therapy outings, the ratio shall be at least 1:5; 6. a psychologist shall be available when needed; and 7. a licensed nurse shall be on duty to meet the nursing needs of the clients.