Outpatient Substance Use Disorder Treatment Programs

PURPOSE: This rule specifies service delivery requirements for certified/deemed certified outpatient substance use disorder treatment programs that do not have a contractual relationship with the department for the provision of services. (1) General Requirements. Each agency that is certified/deemed certified by the department as an outpatient substance use disorder treatment program shall comply with requirements set forth in Department of Mental Health Core Rules for Psychiatric and Substance Use Disorder Treatment Programs, 9 CSR 10-7.010 through 9 CSR 10-7.140, as applicable. (A) The agency shall have written policies and procedures defining eligibility for services, screening, admission, and clinical assessment to assist in the support of each individual. (B) The program shall maintain reasonable hours to assure accessibility. (2) Services. An intake screening and admission assessment shall be conducted in accordance with 9 CSR 10-7.030 (1) and (2). (A) At a minimum, the following services as defined in 9 CSR 30-3.110, or in other regulations as indicated, shall be provided on an outpatient basis in accordance with individual needs: 1. Case management; 2. Continuing recovery planning, as defined in 9 CSR 107.030(8); 3. Crisis prevention and intervention; 4. Family conference; 5. Family therapy; 6. Group rehabilitative support; 7. Individual and group counseling, including trauma and co-occurring disorders; 8. Medication services; 9. Treatment planning as defined in 9 CSR 10-7.030(4) and (5); and 10. Information and education, such as community resources available, substance use disorders, and behavioral health disorders. (B) If the program does not directly provide all of the services specified in paragraphs (2)(A)1. to 10. of this rule, the services must be available to all individuals through coordinated and documented service delivery practices with other qualified providers within the same geographic area. (3) Treatment Planning. Services shall be provided under the direction of an individual treatment plan as specified in 9 CSR 10-7.030(4). Each individual served or parent/guardian must provide informed, written consent to treatment prior to delivery of services, and a copy of the consent form must be retained in the individual’s record. Consent to treat documentation shall be updated annually, as applicable. (A) An initial treatment plan goal shall be developed at intake to address immediate needs during the admission process to the outpatient treatment program. (B) The treatment plan shall be completed within the first three (3) outpatient visits. 1. Each individual shall participate in the development of his/her treatment plan. (C) Treatment plans shall be reviewed and updated every ninety (90) days to reflect the individual’s progress and changes in treatment goals and services. (D) Treatment plans must be revised and rewritten at least annually. (E) Treatment plans shall be developed and approved by a licensed mental health professional or qualified addiction professional (QAP). (4) Staff Requirements. Individual and group counseling must be delivered by a licensed mental health professional, QAP, or associate counselor. (5) Records. Each agency shall maintain an organized clinical record system (electronic or paper) in accordance with 9 CSR 10-7.030(13) which ensures easily retrievable, complete, and usable records stored in a secure and confidential manner. (A) Each agency shall implement written procedures to assure quality of individual records, including a routine review to ensure documentation requirements are being met. AUTHORITY: sections 630.050, 630.655, and 631.010, RSMo 2016.* Original rule filed May 28, 2021, effective Dec. 30, 2021. *Original authority: 630.050, RSMo 1980, amended 1993, 1995, 2008; 630.655, RSMo 1980; and 631.010, RSMo 1980.