OAR 309-019-0200: Medical Protocols in Outpatient Substance Use Disorders Treatment and Recovery Programs

Medical protocols shall be approved by a medical director under contract with a program or written reciprocal agreement with a medical practitioner under coordinated care. The protocols shall: (1) Require a medical history be included in the assessment. (2) Designate those medical symptoms and conditions that, when found, require further investigation, physical examinations, treatment, or laboratory testing. (3) Require that individuals admitted to the program who are currently injecting or intravenously using a drug or have injected or intravenously used a drug within the past 30 days or who are at risk of withdrawal from a drug or who may be pregnant shall be referred for a physical examination and appropriate lab testing within 30 days of entry to the program. This requirement may be waived by the medical director if these services have been received within the past 90 days and documentation is provided. (4) Require pregnant women be referred for prenatal care within two weeks of entry to the program. (5) Require that the program provide HIV and AIDS, TB, sexually transmitted disease, Hepatitis and other infectious disease information and risk assessment, including any needed referral, within 30 days of entry. (6) Specify the steps for follow up and coordination with physical health care providers in the event the individual is found to have an infectious disease or other major medical problem.