1. (a) The OTP shall have written policy and procedure stating the OTP address the special needs of persons served who are pregnant and ensure appropriate evidence-based treatment protocols. Prenatal care and reproductive health services for persons served who are pregnant or post-partum must be provided either by the OTP or by referral to appropriate healthcare providers.

2. (b) An OTP shall ensure that policies and procedures are developed, implemented, and complied with for the treatment of persons served who are pregnant, to include:

   1. (1) Documentation that staff members are educated in the unique needs ofpersons served who are pregnant;
   2. (2) Priority for pregnant individuals seeking medication assisted opioid treatment medications for opioid use disorder;
   3. (3) Documentation of the reasons for a pregnant individual's denial of admission to an agency;
   4. (4) Availability of prenatal care for persons served who are pregnant either at the agency or through referral to a medical practitioner;
   5. (5) Written agreement(s) with a medical practitioner who is providing prenatal care to a person served who is pregnant, to include procedures for exchanging medication assisted opioid treatment and prenatal care information regarding medications utilized for opioid use disorder and prenatal care;
   6. (6) Education from agency staff to a person served who is pregnant who does not obtain prenatal care services for prenatal care;
   7. (7) Procedures to obtain a written refusal of prenatal care services from a person served who is pregnant who refuses prenatal care services offered by the agency or a referral for prenatal care;
   8. (8) Procedures to ensure a person served who is pregnant receiving comprehensive maintenance treatment before pregnancy shall be maintained at the pre-pregnancy dose of opioid agonist or partial agonist medication, if effective;
   9. (9) Monitoring by an agency medical practitioner of a person served who is pregnant to determine if pregnancy induced changes in the elimination or metabolization of opioid agonist or partial agonist treatment medication may necessitate an increased or split dose; and
   10. (10) Referral of a person served who is pregnant who is discharged from the agency to a medical practitioner and that a staff member document the name, address, and telephone number of the medical practitioner in the clinical record.

3. (c) Compliance with 70-6-11 may be determined by:

   1. (1) A review of policies and procedures,
   2. (2) Treatment records,
   3. (3) Interviews with staff, and
   4. (4) Other facility documentation.

Added at 30 Ok Reg 1425, eff 7-1-13

Amended at 30 Ok Reg 1425, eff 7-1-13

Amended at 40 Ok Reg 1079, eff 9-15-23

Amended at 42 Ok Reg, Number 20, effective 9-1-25