(a) Unless otherwise authorized by the office medically supervised outpatient services may only be delivered by an OASAS certified provider of residential, inpatient and outpatient services in order to assure appropriate continuation in treatment.

1. (1) All providers of outpatient medically supervised services must, at a minimum, provide the following services in additional to those required pursuant to section 816.5 of this Part:

   1. (i) patients must be seen by the physician, nurse practitioner, physician assistant or registered nurse daily unless otherwise specified by the physician based on the patient's physical and emotional condition;

   2. (ii) the provider of services must provide or make available a 24 hour telephone crisis line to help facilitate the provision of this information.

      (c) Staffing.

2. (1) Each outpatient medically supervised service shall have a service director who is a qualified health professional. Such service director shall have at least one year of full-time work experience in the chemical dependence treatment field prior to appointment as service director and may also serve as director of another service provided by the same program sponsor.
3. (2) There shall be sufficient qualified clinical staff to achieve a ratio of 1 counselor to 15 patients.
4. (3) Progress notes shall be documented no less often than once per visit.

(b) Required services.