Kentucky Medication Units 908 KAR 1:340 Narcotic Treatment Programs Mark A. Fisher, MS State Opioid Treatment Administrator Kentucky Kentucky Medication Units

Protocol for Establishment of a Medication Station If a NTP voluntarily decides to establish a medication station, the program shall notify in writing the D E A, CSAT, the SNA and the Division of Licensing and Regulation (O I G) within 90 days of the proposed relocation. A Medication Station shall; Be opened no closer than forty-five (45) miles and no further than ninety (90) miles to the main OTP.

Protocol/Standards of Operations Statement of Purpose ; To ensure Regulatory Compliance of all Narcotic Treatment Programs across the state. PROCEDURE; Obtain a certification of occupancy and a local business license. * Please note* Public forums of city approvals, other that that required for certification of occupancy are not a regulatory requirement. However, it is strongly encouraged by SOTA ( State Opioid Treatment Authority) to make the intent to open a facility as transparent as possible to all City, County, and Civic Leaders during this process.

Protocol Apply for a CSAT (Center for Substance Abuse Treatment) Certification. Submit accreditation of early intent to O I G (Office of Inspector General) Apply for AODE (Alcohol & Other Drug Entity) outpatient license from O I G Licensing procedures and standards for the operation of alcohol and other drug abuse prevention programs can be found at http://www.lrc.ky.gov/kar/908/001/380.htm. Inspection of facility by O I G then AODE license is obtained Apply for Narcotic treatment license with CSAT in Washington, D.C.

Protocol (continued) Obtain MOA (Memorandum of agreement) from law enforcement, hospital, mental health, vocational rehabilitation, and private therapist. Obtain a D E A inspection after building alarms and sage are in place at facility. Obtain a facility inspection from the Division of Behavioral Health and Developmental Disabilities. Obtain D E A forms 222 for ordering medication.

Counties in Crisis

Counties in Crises (continued)

Increased OTN Network 10/1/2014

Increased Capacity 2014 Kentucky has increased overall OTN capacity since August 2013 by adding six new facilities. State wide census is up from 2906 in 2012 to over 4500 individuals served (August 2014)

Contact Information Mark A. Fisher State Opioid Treatment Administrator Department for Behavioral Health, Developmental and Intellectual Disabilities 275 East Main Street 4 W-G Frankfort, KY 40621 Phone: (502) 782-6162 Fax: (502) 564-9010 Mark.Fisher@ky.gov