1. (a) A screening interview shall be conducted by a licensed counselor, unlicensed counselor under supervision of a licensed supervisor, or CRSW in accordance with SAMHSA’s “TAP 21: Addiction Counseling Competencies” (2015 edition), available as noted in Appendix A.

2. (b) The information gathered during the interview in (a) above shall be used to determine:

   1. (1) The likelihood that the client meets criteria for an opioid use disorder as described in the American Psychiatric Association’s “Diagnostic and Statistical Manual of Mental Disorders (DSM-5),” Fifth Edition (2013), available as noted in Appendix A;
   2. (2) An estimate of the appropriate initial level of care for the client based on ASAM Criteria (2013), available as noted in Appendix A; and
   3. (3) Whether or not the client fits into a priority population as established in He-A 304.20(b).

3. (c) For clients who require treatment services as determined by the screening interview in (a) above, a clinical evaluation interview shall be conducted and documented:

   1. (1) By a licensed counselor or unlicensed counselor under supervision of a licensed supervisor;
   2. (2) In accordance with SAMHSA’s “TAP 21: Addiction Counseling Competencies” (2015 edition), available as noted in Appendix A;
   3. (3) Utilizing an evidence-based evaluation tool;
   4. (4) Addressing all ASAM Criteria (2013), available as noted in Appendix A, domains; and

   5. (5) Including an HIV/AIDS screening, to include:

      1. a. The provision of information;
      2. b. Risk assessment;
      3. c. Intervention and risk reduction education, and
      4. d. Referral for testing, if appropriate, within 7 days of admission.

4. (d) The information gathered during the interview in (a) above shall be used to:

   1. (1) Determine if a client meets DSM-5 criteria for a opioid use disorder and to document the appropriate DSM-5 diagnosis(es);
   2. (2) Determine the appropriate initial level of care for the client based on ASAM Criteria (2013), available as noted in Appendix A; and
   3. (3) Develop the client’s treatment plan in accordance with He-A 304.23.
5. (e) Each client shall have a medical examination conducted in accordance with 42 CFR Part 1, 8.12(f)(2).

Source. #12476, eff 2-16-18