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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Rule 5122-40-11 | Toxicology.

 

Each opioid treatment program will have written procedures for toxicology screening that include, at a minimum:

(A) Requirement that an initial toxicology screening be performed for each prospective patient as part of the documented physical evaluation completed by a physician prior to admission. The results of all tests are to be received within fourteen days following admission.

(B) Requirement that a toxicology screening be performed pursuant to 42 C.F.R. 8.12(f)(6).

(C) Requirement that programs have a standing physician's order for patient toxicology screening.

(D) Requirement that any urine screen sent in for confirmation be performed by a laboratory that is in compliance with all "Clinical Laboratory Improvement Amendments" under 42 C.F.R. 493.

(E) Requirement that toxicology screening be conducted in a manner to minimize falsification and that sample collection procedures include the following:

(1) Each specimen collection will be monitored.

(2) Each sample will be labeled to reflect the identification of the person from whom it was obtained and reflect the date the sample was obtained.

(F) Requirements that each toxicology screening include, at a minimum, analysis for the following:

(1) Opiates, including prescription opioid analgesics as defined in section 3719.01 of the Revised Code, heroin, and fentanyl;

(2) Methadone;

(3) Amphetamines;

(4) Cocaine;

(5) Barbiturates;

(6) Marijuana;

(7) Benzodiazepines, as defined in section 3719.01 of the Revised Code; and

(8) Buprenorphine.

(G) Results of toxicology screening will be reviewed by the program staff with the patient with documentation of such and a copy of the results placed in the patient's file, in accordance with the requirements of rule 5122-27-04 of the Administrative Code.

(H) Provisions for ensuring that presumptive laboratory results are distinguished from confirmatory laboratory results.

Last updated January 31, 2025 at 7:41 AM

Supplemental Information

Authorized By: R.C. 5119.37
Amplifies: R.C. 5119.37
Five Year Review Date: 1/31/2030
Prior Effective Dates: 7/1/2001, 10/1/2003, 6/1/2017, 1/1/2019, 4/10/2020 (Emer.)