1. (a) If, at the time of admission, the patient documents that he/she is not currently receiving replacement narcotic therapy from another program, the program shall review the results of the patient's initial test or analysis for illicit drug use to determine the presence of methadone or its primary metabolite. The program may admit the patient prior to receipt of these results.
2. (b) If the results of the test or analysis for illicit drug use indicate the presence of methadone or its primary metabolite, the program shall ask the patient if, during the preceding 72 hours, he/she received the medication while hospitalized or if he/she was discharged from an inpatient our outpatient narcotic treatment program. If the patient states that he/she was hospitalized or discharged during the preceding 72 hours, the program shall proceed in accordance with Subsection 10210(c). If the patient states that he/she was not hospitalized or discharged during the preceding 72 hours, the program shall proceed in accordance with Subsections (c), (d), and (e) of this regulation.

3. (c) If the results of the test or analysis for illicit drug use indicate the presence of methadone or its primary metabolite and the patient has signed an authorization for disclosure of confidential information as requested in Subsection 10210(a)(5), the program shall take the following action within 15 days of admitting the patient to the program:

   1. (1) Contact each narcotic treatment program within a radius of 50 statute miles to determine if the patient is simultaneously receiving replacement narcotic therapy from another program, and
   2. (2) Provide to each program the information provided by the patient in Subsection 10210(a)(3) and (a)(4).

4. (d) Each program receiving information provided in accordance with Subsection (c) of this regulation shall review its records to determine if it has provided replacement narcotic therapy to the patient.

   1. (1) If the program has never provided replacement narcotic therapy to the patient or if it is no longer providing this therapy to the patient, the program shall so notify the inquiring program in writing within 72 hours of receipt of the notification.
   2. (2) If the program is still providing replacement narcotic therapy to the patient, the program shall proceed in accordance with the requirements of Section 10225.

5. (e) The inquiring program shall document the following information in writing in the patient record:

   1. (1) The name of each program contacted,
   2. (2) The date,
   3. (3) The time of the contact, if made by telephone,
   4. (4) The name of the program staff member contacted, and
   5. (5) The results of the contact.

Note: Authority cited: Sections 11755, 11835, 11839.3 and 11839.20, Health and Safety Code. Reference: Sections 11839.2, 11839.22 and 11875, Health and Safety Code.

History

1. Change without regulatory effect renumbering and amending parts of former section 10114 to 10215 filed 6-3-91 pursuant to section 100, title 1, California Code of Regulations (Register 91, No. 34).

2. Repealer and new section filed 5-6-93 as an emergency; operative 5-6-93 (Register 93, No. 19). No Certificate of Compliance is required pursuant to the provisions of section 17, Chapter 709, Statutes of 1992.

3. Editorial correction of printing error in History 2 (Register 93, No. 24).

4. Repealer and new section refiled 11-2-93 with amendments; operative 11-2-93. Submitted to OAL for printing only pursuant to Government Code section 11343.8 (Register 93, No. 45).

5. Amendment of section heading, section and Note filed 3-15-96 as an emergency; operative 3-15-96 (Register 96, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-13-96 or emergency language will be repealed by operation of law on the following day.

6. Amendment of section heading, section and Note refiled 7-8-96 as an emergency; operative 7-12-96 (Register 96, No. 28). A Certificate of Compliance must be transmitted to OAL by 11-12-96 or emergency language will be repealed by operation of law on the following day.

7. Amendment of section heading, section and Note refiled 10-23-96 as an emergency; operative 10-29-96 (Register 96, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.

8. Amendment of section heading, section and Note refiled 2-11-97 as an emergency; operative 2-24-97 (Register 97, No. 7). A Certificate of Compliance must be transmitted to OAL by 6-24-97 or emergency language will be repealed by operation of law on the following day.

9. Certificate of Compliance as to 2-11-97 order transmitted to OAL 3-4-97; disapproved by OAL and order of repeal as to 2-11-97 order filed 4-15-97 (Register 97, No. 16).

10. Amendment of section heading, section and Note filed 4-15-97 as an emergency; operative 4-15-97 (Register 97, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-13-97 or emergency language will be repealed by operation of law on the following day.

11. Certificate of Compliance as to 4-15-97 order, including amendment of subsections (a), (b) and (c), transmitted to OAL 6-2-97 and filed 6-13-97 (Register 97, No. 24).

12. Change without regulatory effect amending Note filed 4-19-2006 pursuant to section 100, title 1, California Code of Regulations (Register 2006, No. 16).