1. (1) Each substance use disorder facility (SUDF) must develop and implement a policy and procedure manual that includes:

   1. (a) the philosophy of the SUDF;
   2. (b) the SUDF goals;
   3. (c) a description of the population the SUDF intends to serve;
   4. (d) a delineation of the services to be provided;
   5. (e) screening procedures for all referrals;
   6. (f) admission criteria which includes addressing priority admission protocols for critical populations;
   7. (g) program limitations and exclusions;
   8. (h) methods to be followed when a person is found ineligible for services including active referral to a level of care deemed appropriate through the biopsychosocial assessment;
   9. (i) steps to follow for a wait list that includes unique client identifiers, referrals to other treatment facilities, and removing clients only when they cannot be located or refuse treatment;
   10. (j) procedures outlining how facilities and services must provide for privacy and separation by sex;
   11. (k) steps to ensure smoking is not permitted, as required under the Montana Clean Indoor Air Act;
   12. (l) the management, storage, and disposal of prescription and over the counter drugs if applicable as stated in ARM 37.106.1457;
   13. (m) client transportation;

   14. (n) drug and alcohol laboratory testing methods, collection, and storage procedures, including:

       1. (i) how testing is used as part of a non-punitive therapeutic process including how the use of testing and results become part of the client's treatment plan; and
       2. (ii) process addressing client refusal to submit for laboratory testing or drug and alcohol screening and confirmation testing;
   15. (o) arranging for medical and mental health services when clinically indicated in the biopsychosocial assessment or treatment plan reviews for all clients and within 48 hours of admission for critical populations;
   16. (p) screening clients for critical populations at the time of admission;
   17. (q) limitations and requirements of group counseling sessions to include client/staff member ratio, appropriate for the level of care being rendered;
   18. (r) provision of services to family members and significant others;
   19. (s) medical emergencies;
   20. (t) youth program policies in ARM 37.106.1455; and
   21. (u) any additional policy and procedures as required by this subchapter.

Authorizing statute(s): 50-5-103, 53-24-208, MCA

Implementing statute(s): 50-5-101, 50-5-103, 53-24-207, 53-24-208, 53-24-306, 76-2-411, MCA

History: NEW, 2010 MAR p. 2975, Eff. 12/24/10; AMD, 2022 MAR p. 1889, Eff. 9/24/22.