1. (1) The Facility shall have policies and procedures to be followed for infection control, including:

   1. (a) Reporting all suspected or diagnosed cases of infectious disease including tuberculosis, AIDS, and sexually transmitted infections (STI) promptly to the regional health department in accordance with applicable local, state, and federal laws, rules, and regulations;
   2. (b) Management of service recipients who are infected with Hepatitis B or C virus, HIV/AIDS, or other STI;
   3. (c) Nondiscrimination of employees and service recipients regarding their HIV/AIDS status;
   4. (d) Use of standard precautions for prevention of transmission of HIV/AIDS, Hepatitis B or C Virus, and other blood-borne pathogens; OPIOD TREATMENT PROGRAM FACILITIES
   5. (e) Infectious disease skin or blood testing will be made available on a voluntary basis for any service recipient who requests it and be documented in appropriate records. If a clinic does not have the capacity to conduct pelvic exams, the clinic shall establish and document a relationship with a community health care provider so that referrals can be made and care can be coordinated;
   6. (f) Assurance that a service recipient’s HIV, other STI, and tuberculosis status will be kept confidential in accordance with T.C.A. § 33-3-103; Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations at 45 C.F.R. Parts 160 and 164, Subparts A and E; and Confidentiality of Alcohol and Drug Abuse Service Recipient Records regulations at 42 C.F.R. Part 2;
   7. (g) Documentation that details the Facility’s procedures for providing referrals and collaboration between the health department and the Facility to communicate appropriate information to assure that the service recipient receives appropriate care;
   8. (h) Informed consent of service recipients before screening and treatment;
   9. (i) Conducting case management activities to ensure that individuals receive appropriate treatment services for HIV/AIDS, Hepatitis B or C Virus, and other STIs;
   10. (j) Ensuring that the Facility, either directly or through arrangements with other public or private non-profit entities, will make available tuberculosis services in accordance with current recommendations from the Tennessee Department of Health or Centers for Disease Control and Prevention; and
   11. (k) Responding to relevant public health crises that impact the Facility and the population it serves, including plans to collaborate with federal, state, and local health officials in the event of a declared public health emergency.

Authority: T.C.A. §§ 4-3-1601, 4-4-103, 33-1-302, 33-1-305, 33-1-309, 33-2-301, 33-2-302, and 33-2- 404. Administrative History: Original rule filed September 20, 2012; effective December 19, 2012. Amendments filed June 6, 2025; effective September 4, 2025.