Cal. Code Regs. Tit. 9, § 10375 - Step Level Schedules for Methadone Take-Home Medication Privileges
(a) A methadone
patient shall not be placed on a take-home medication schedule or granted a step
level increase until he or she has been determined responsible in handling narcotic
medications as specified in Section
10370(a). Each program
shall adhere to the following schedules with respect to providing a patient with
take-home medication privileges permitted under Section
10370(b):
(1) Step I Level -- Day 1 through 90 of continuous
maintenance treatment, the medical director or program physician may grant the
patient a single dose of take-home supply of medication per week. The patient shall
attend the program at least six times per week for observed ingestion.
(2) Step II Level -- Day 91 through 180 of
continuous maintenance treatment, the medical director or program physician may
grant the patient not more than a two-day take-home supply of medication per week.
The patient shall attend the program at least five times per week for observed
ingestion.
(3) Step III Level -- Day 181
through 270 of continuous maintenance treatment, the medical director or program
physician may grant the patient not more than a three-day take-home supply of
medication per week. The patient shall attend the program at least four times per
week for observed ingestion.
(4) Step IV
Level -- Day 271 through one year of continuous treatment, the medical director or
program physician may grant the patient not more than a six-day take-home supply of
medication per week. The patient shall attend the program at least one time per week
for observed ingestion.
(5) Step V Level
-- After one year of continuous treatment, the medical director or program physician
may grant the patient not more than a two-week supply of medication. The patient
shall attend the program at least two times per month for observed
ingestion.
(6) Step VI Level -- After
two years of continuous treatment, the medical director or program physician may
grant the patient not more than a one-month take-home supply of medication. The
patient shall attend the program at least one time per month for observed
ingestion.
(b) Nothing in this
section shall prevent any program from establishing in its individual protocol any
take-home medication requirement that is more stringent than is specified in the
schedule contained herein.
(c) In the
case of a patient who transfers to the program from another program without a break
in treatment, the new medical director or program physician may consider the time
the patient has spent at the former program when considering the patient's
eligibility for take-home medication privileges, as well as for advancement to a new
step level. In no case shall any patient be placed, upon admission, at a step level
higher than that which was occupied in the former program immediately before
transferring to the new program.
Notes
2. Amendment of section heading, section and NOTE filed 3-15-96 as an emergency; operative 3-15-96 (Register 96, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-13-96 or emergency language will be repealed by operation of law on the following day.
3. Amendment of section heading, section and NOTE refiled 7-8-96 as an emergency; operative 7-12-96 (Register 96, No. 28). A Certificate of Compliance must be transmitted to OAL by 11-12-96 or emergency language will be repealed by operation of law on the following day.
4. Amendment of section heading, section and NOTE refiled 10-23-96 as an emergency; operative 10-29-96 (Register 96, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.
5. Amendment of section heading, section and NOTE refiled 2-11-97 as an emergency; operative 2-24-97 (Register 97, No. 7). A Certificate of Compliance must be transmitted to OAL by 6-24-97 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 2-11-97 order transmitted to OAL 3-4-97; disapproved by OAL and order of repeal as to 2-11-97 order filed 4-15-97 (Register 97, No. 16).
7. Amendment of section heading, section and NOTE filed 4-15-97 as an emergency; operative 4-15-97 (Register 97, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-13-97 or emergency language will be repealed by operation of law on the following day.
8. Certificate of Compliance as to 4-15-97 order, including amendment, transmitted to OAL 6-2-97 and filed 6-13-97 (Register 97, No. 24).
9. Change without regulatory effect amending NOTE filed 4-19-2006 pursuant to section 100, title 1, California Code of Regulations (Register 2006, No. 16).
10. Amendment of section heading, section and NOTE filed 5-7-2020; operative 7-1-2020 (Register 2020, No. 19).
Note: Authority cited: Sections 11750, 11755, 11835, 11839.3 and 11839.20, Health and Safety Code. Reference: Sections 11839.3 and 11839.20, Health and Safety Code.
2. Amendment of section heading, section and Note filed 3-15-96 as an emergency; operative 3-15-96 (Register 96, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-13-96 or emergency language will be repealed by operation of law on the following day.
3. Amendment of section heading, section and Note refiled 7-8-96 as an emergency; operative 7-12-96 (Register 96, No. 28). A Certificate of Compliance must be transmitted to OAL by 11-12-96 or emergency language will be repealed by operation of law on the following day.
4. Amendment of section heading, section and Note refiled 10-23-96 as an emergency; operative 10-29-96 (Register 96, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.
5. Amendment of section heading, section and Note refiled 2-11-97 as an emergency; operative 2-24-97 (Register 97, No. 7). A Certificate of Compliance must be transmitted to OAL by 6-24-97 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 2-11-97 order transmitted to OAL 3-4-97; disapproved by OAL and order of repeal as to 2-11-97 order filed 4-15-97 (Register 97, No. 16).
7. Amendment of section heading, section and Note filed 4-15-97 as an emergency; operative 4-15-97 (Register 97, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-13-97 or emergency language will be repealed by operation of law on the following day.
8. Certificate of Compliance as to 4-15-97 order, including amendment, transmitted to OAL 6-2-97 and filed 6-13-97 (Register 97, No. 24).
9. Change without regulatory effect amendingNote filed 4-19-2006 pursuant to section 100, title 1, California Code of Regulations (Register 2006, No. 16).
10. Amendment of section heading, section and Note filed 5-7-2020; operative
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