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Substance-abuse Treatment — Outpatient
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HRSA/HAB Category Definition:
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Substance abuse services - outpatient is the provision of medical or other treatment and/or counseling to address substance abuse problems (i.e., alcohol and/or legal and illegal drugs) in an outpatient setting, by a physician or under the supervision of a physician, or by other qualified personnel.
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Source: Definition provided by the U.S. Department of Health and Human Services, Health Resources and Services
Administration (HRSA), HIV/AIDS Bureau (HAB). 2009. Ryan White HIV/AIDS Treatment Modernization Act of
2006 Definitions for Eligible Services. Rockville, Md.: HRSA HAB, August 2009.
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Category Notes:
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The following definition clarification is a result of a conference call involving representatives of the grantee (BCHD), Greater Baltimore HIV Health Services Planning Council (PC), PC support office (IGS) and HRSA on May 28, 2008 (IGS 2008).
• Using the standards taken from the Code of Maryland Regulations (COMAR) is acceptable so long as the regulations are within the definition.
Acupuncture Therapy
Funds awarded under the Ryan White HIV/AIDS Program may only be used to support limited acupuncture services for HIV-positive clients as part of Ryan White HIV/AIDS Program funded Substance Abuse Treatment Services (outpatient or residential), provided the client has received a written referral from his/her primary health care provider. All acupuncture therapy must be provided by certified or licensed practitioners and/or programs, wherever state certification or licensure exists.
Substance Abuse Treatment- Outpatient
Substance Abuse Treatment Services – Outpatient is an allowable core medical service. Funds used for outpatient drug or alcohol substance abuse treatment, including expanded HIV-specific capacity of programs if timely access to treatment and counseling is not available, must be rendered by a physician or provided under the supervision of a physician or other qualified/licensed personnel. Such services should be limited to the following:
• Pre-treatment/recovery readiness programs
• Harm reduction
• Mental health counseling to reduce depression, anxiety and other disorders associated with substance abuse
• Outpatient drug-free treatment and counseling
• Opiate assisted therapy
• Neuro-psychiatric pharmaceuticals; and
• Relapse prevention
Syringe exchange will be addressed in future policy issuances.
History
Outpatient substance abuse services were identified as a core medical service while residential treatment of substance abuse was identified as a support category with the implementation of the Ryan White HIV Treatment Modernization Act in 2006.
Current Directives
At the time of publication, there were no current directives for this service category.
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