Section 440IAC10-4-15. Patient admission criteria

   (a) An individual applying for admission to an OTP shall:

(1) present a government-issued photographic identification card to assure that the individual is providing accurate identity information;

(2) be addicted to an opioid drug;

(3) have become addicted at least one (1) year before admission;

(4) voluntarily choose treatment; and

(5) provide written informed consent to treatment.

  (b) If an applicant lacking a laboratory study confirmation of addiction to an opioid drug is admitted to an OTP, the reason for the admission shall be documented in the patient's record.

  (c) An OTP physician may waive the requirement of a one-year history of addiction for the following individuals:

(1) An individual released from a penal institution within the previous six (6) months.

(2) A pregnant woman of any age if the pregnancy is certified by an OTP physician.

(3) A patient previously treated within two (2) years of the current admission.

  (d) An individual under eighteen (18) years of age may be admitted to an OTP only under the following circumstances:

(1) The individual has had two (2) unsuccessful attempts at short-term detoxification treatment or drug-free treatment within the twelve (12) month period preceding admission, as documented in records provided to the OTP.

(2) The individual shall meet one (1) of the following requirements:

(A) The individual's parent or legal guardian consents in writing to the admission and treatment.

(B) The individual is an emancipated minor.

  (e) The medical director may refuse the admission of an applicant if, in the medical director's reasonable clinical judgment, the applicant would not benefit from the treatment. The medical director shall record the reason or reasons for a decision to refuse admission in an admissions denied log kept for this purpose.

  (f) An admitting OTP shall verify that an individual meeting admission criteria is not currently enrolled in another OTP as provided as follows:

(1) An admitting OTP shall obtain this information via the following:

(A) The division's central registry for Indiana dual enrollment.

(B) Other processes that ensure that an individual who seeks treatment is not enrolled in another OTP in Indiana.

(2) The admitting OTP shall make good faith efforts, using available resources and mechanisms, to assure that an individual who seeks treatment is not enrolled in another OTP outside of the state of Indiana.

(3) To support the actions in subdivisions (1) and (2), an admitting OTP shall obtain appropriate written authorizations for the release of information from an individual who seeks enrollment.

  (g) An OTP shall give written notice to an individual seeking treatment that, if the individual refuses or fails to give the written authorizations for the release of information required under subsection (f), the OTP may refuse to admit the individual.

  (h) The OTP shall document in the individual's record the giving of the notice in subsection (g). (Division of Mental Health and Addiction; 440 IAC 10-4-15; filed Dec 30, 2009, 2:00 p.m.: 20100127-IR-440080412FRA; readopted filed May 10, 2016, 11:24 a.m.: 20160608-IR-440160134RFA)