LAC 48:I.5709. Medically Managed Residential Treatment (ASAM Level 3.7) (Adults Only)

A. The provider shall: 1. admit only clients clinically appropriate for ASAM level 3.7 into its program; 2. ensure that: a. a physical examination is conducted by a physician, PA, or APRN within 24 hours of admission; or b. the provider’s admitting physician reviews and approves a physical examination conducted by a physician, PA, or APRN within 24 hours prior to admission; 3. review the treatment plan in collaboration with the client a minimum of every 30 days or more frequently as needed, and document accordingly; 4. provide case management that is: a. provided by a care coordinator who is on duty as needed; or b. assumed by the clinical staff. 5. provide a minimum 20 hours of clinical services per week; 6. have onsite access to perform biomedical capabilities. B. Staffing. The provider shall ensure that: 1. there is a physician on call 24 hours per day, seven days per week, and on duty as needed for management of psychiatric and medical needs; 2. there is a clinical supervisor available for clinical supervision when needed and by telephone for consultation; 3. there is at least one LMHP or UP on duty at least 40 hours/week; 4. there is at least one RN on call 24 hours per day, seven days per week to perform nursing duties and at least one licensed nurse is on duty during all shifts with additional licensed nursing staff to meet the nursing needs of the clients; 5. its on-site nursing staff is solely responsible for 3.7 program and does not provide services for other levels of care at the same time; 6. each LMHP/UP caseload shall not exceed 1:10; 7. there is at least one direct care aide on duty on all shifts with additional as needed; 8. there is an activity or recreational therapist on duty at least 15 hours per week.