| MAT/MOUD MEMBER HANDBOOK | 1 |
| Contact Us | 2 |
| Clinic Phone: 520-202-1786 | 2 |
| Address: 380 E. Ft. Lowell Rd. | 2 |
| Tucson, AZ 85705 | 2 |
| www.CODAC.org | 2 |
| Dosing Hours for Current Members Only | 2 |
| Monday — Friday | 2 |
| 5:00am — 11:00am (arrive by 10:30am) | 2 |
| 1:00pm — 5:00pm (arrive by 4:30pm) | 2 |
| Saturday: 7:00am — 10:45am (arrive by 10:15am) | 2 |
| Standard Office Hours | 2 |
| For scheduled appointments, groups and walk-in meetings with the Counselor of the Day: | 2 |
| Monday — Friday 5:00am — 5:00pm | 2 |
| 24/7 Operations | 2 |
| CODAC at 380 is open 24/7, including holidays & weekends, for individuals looking to start treatment for drug or alcohol use (new members). | 2 |
| CODAC Main Phone Line | 2 |
| 520-327-4505 | 2 |
| Administrative Offices | 2 |
| 4585 E. Speedway Blvd. | 2 |
| Tucson, AZ 85712 | 2 |
| Medical Records Requests | 2 |
| Phone: 520-202-1777 | 2 |
| Fax: 520-202-1703 | 2 |
| Online: A Medical Records Request Form is available at www.CODAC.org/contact-us. | 2 |
| Genoa Pharmacies | 2 |
| At Cobblestone Court | 2 |
| Phone: 520-257-1539 | 2 |
| Fax: 520-887-3001 | 2 |
| At Speedway | 2 |
| Phone: 520-917-0129 | 2 |
| Fax: 520-413-4507 | 2 |
| After-Hours Support | 2 |
| CODAC Safety Zone: 520-202-1950 | 2 |
| Community-Wide Crisis Line: | 2 |
| 520-622-6000 / 800-796-6762 | 2 |
| Solution Zone for Complaints/ Concerns | 2 |
| Phone: 520-343-2225 | 2 |
| Table of Contents | 2 |
| Welcome to CODAC! | 3 |
| Welcome to CODAC’s Medication Assisted Treatment (MAT) and Medications for Opioid Use Disorder (MOUD) Program. Please read this handbook to learn about important guidelines and rules in this program. | 3 |
| This handbook includes | 3 |
| A description of the program | 3 |
| Admission criteria | 3 |
| A statement on confidentiality | 3 |
| Important program policies and procedures | 3 |
| A description of methadone, buprenorphine, naltrexone and naloxone | 3 |
| Grievance procedures | 3 |
| Please note: This handbook is a supplement/addition to CODAC’s Member Handbook. For a copy of the CODAC Member Handbook, please ask the front desk. | 3 |
| Our Vision | 3 |
| CODAC envisions a society where everyone lives healthy, productive, caring lives - positively contributing to their communities. | 3 |
| Our Mission | 3 |
| It is the mission of CODAC to provide tools, support and services to individuals, families and communities so they may live with dignity, free from the harmful effects of mental illness, substance use disorders and trauma. | 3 |
| Our Values | 3 |
| Diversity | 3 |
| Integrated Health & Wellness Philosophy | 3 |
| CODAC’s integrated health model is a comprehensive, holistic approach to care and wellbeing that focuses on the whole person and family or family of choice. We believe it is important to address the full spectrum of physical, emotional, behavioral, social, spiritual, relational and environmental factors that impact wellness. | 3 |
| Description of CODAC MAT/MOUD Services | 4 |
| Services at the MAT/MOUD Clinic | 4 |
| Coordinating Medical Care & Reviewing Medications | 4 |
| Presenting to CODAC Under the Influence or Impaired | 4 |
| Admission into the Program | 5 |
| To be admitted to CODAC’s MAT/MOUD program, you must be currently using drugs or alcohol or have a recent history of a substance use disorder. You also need to meet state and federal guidelines for admission. | 5 |
| You may be denied admission if, in the professional judgment of the clinical/medical staff, you do not meet criteria. If denied admission, you will be referred to appropriate services. | 5 |
| The Intake Process | 5 |
| During your “Intake” (which is typically the first time you come to CODAC for services), you will meet with staff who will guide you through the following steps: | 5 |
| Initial interview with a clinician. | 5 |
| Documentation of your substance use and psychosocial history. | 5 |
| Creation of an initial treatment plan. | 5 |
| A health history, screening, and physical exam with a nurse or medical assistant. | 5 |
| When appropriate, prescription of medication and/or induction (start) on a medication. | 5 |
| What to Bring to Your First Appointment | 5 |
| Your insurance card. If you have AHCCCS insurance, please bring your AHCCCS Identification Card. | 5 |
| If you are not on AHCCCS and/or do not have other insurance coverage, please bring paycheck stubs for one month (if you are employed), proof of residence (such as a rent receipt), and anything else that shows that you have significant, regular monthly expenses. | 5 |
| Photo identification. | 5 |
| List of current medications and dosages. | 5 |
| List of past medications that may or may not have worked for you. | 5 |
| Cash, check or credit card to cover copay or fee-for-service charges. | 5 |
| Any concerns you have written down since your last appointment. | 5 |
| Cost of Treatment | 5 |
| Cost depends on State (AHCCCS) and Federal Substance Use and Treatment Prevention and Treatment Block Grant (SUBG) funding. These funding sources are subject to change and it is expected that you will have a financial screening upon admission, and twice annually (at a minimum), to determine financial eligibility. If you are not already on AHCCCS and do not have other insurance coverage, we are required to help you apply for insurance benefits. | 5 |
| Interpretation | 5 |
| Confidentiality | 6 |
| All records related to substance use treatment are subject to strict confidentiality and non-disclosure under Federal laws and 42 CFR Part 2 Federal regulations (42 U.S.C. 290dd-3 and 42 U.S.C. 290ee-3 for Federal laws and 42 CFR Part 2 for Federal regulations). | 6 |
| Congress states: “Every person having control over or access to patients’ records must understand that disclosure is permitted only under the circumstances and conditions set forth in this section (21 U.S.C. 1175). Records are not made available to investigators for purposes of law enforcement or any other private or public purpose or in any manner not specified under this section.” | 6 |
| There are three exceptions to these confidentiality requirements: | 6 |
| The member consents in writing. | 6 |
| The disclosure is allowed by a court order. | 6 |
| The disclosure is made to medical personnel in a medical emergency or to qualified personnel for research, audit or program evaluation purposes. | 6 |
| A violation of the Federal law and regulations by a program is a crime. Suspected violations may be reported to the appropriate authorities in accordance with Federal regulations. | 6 |
| Federal law and regulations do not protect any information about a crime committed by a member either at the program or against any person who works for the program or about any threat to commit such a crime. | 6 |
| Federal law and regulations do not protect any information about suspected child abuse or neglect from being reported under State law to appropriate State or local authorities. | 6 |
| CODAC MAT Services maintains strict confidentiality of member identities and records. | 6 |
| Due to Federal regulations, any information regarding clinic attendance or program status will not be released to anyone over the phone or in the clinic unless a written release is signed in advance by the member. No information will be released to a spouse without a prior written release. | 6 |
| Medical Records Request | 6 |
| Members are welcome to request copies of their medical records. To do so, download and complete the Medical Records Request Form at www.CODAC.org/contact-us. Once complete, | 6 |
| fax the completed Form to 520-202-1703 or email it to medrecords@codac.org. Questions? Call 520-202-1777. | 6 |
| Patient Portal | 6 |
| Using the NextGen HealthCare Patient Portal, you can connect with your CODAC healthcare provider 24/7 in a convenient, safe and secure environment. | 6 |
| Communicate with your CODAC BHMP or PCP | 6 |
| Learn about health care diagnoses | 6 |
| First time Patient Portal users: Call CODAC at | 6 |
| 520-327-4505 to get started. | 6 |
| Access resources to improve your health | 6 |
| Request an appointment | 6 |
| Request prescription refills | 6 |
| CODAC & Member Responsibilities | 7 |
| CODAC Responsibilities | 7 |
| Member Responsibilities | 7 |
| Member Responsibilities (continued) | 8 |
| About Medications for Opioid Use Disorder | 8 |
| About Methadone | 9 |
| Effects | 9 |
| About Buprenorphine | 10 |
| (Suboxone, Subutex, Brixadi, Sublocade) | 10 |
| Starting on Buprenorphine (suboxone) | 10 |
| Stabilization Phase | 10 |
| Maintenance Phase | 10 |
| Other Requirements | 10 |
| To view CODAC’s current groups go to www.CODAC.org/ | 10 |
| services/groups-classes. | 10 |
| About Naltrexone | 11 |
| Naloxone (Narcan) for Overdose Reversal | 11 |
| Prescription Drug Policy | 11 |
| Procedure for Prescription Medication | 11 |
| Take-Home Medication for Methadone Members | 12 |
| Diversion | 12 |
| Other Program Policies | 13 |
| Involvement of Family or Close Friends in your Treatment | 13 |
| Loitering | 13 |
| Urinalysis | 13 |
| Seclusion and Restraint | 13 |
| Smoking & Tobacco Use | 14 |
| Drugs and Alcohol on the Premises | 14 |
| Weapons on the Premises | 14 |
| Pets or Animals on the Premises | 14 |
| Dosing Rules | 15 |
| Involuntary Discharge | 16 |
| Incarceration | 16 |
| Grievance & Appeals | 17 |
| Procedure for Appealing Denial of Admission, Involuntary Discharge & Other Grievances | 17 |
| Resources | 17 |
| Community Resources | 17 |
| 12-Step & Support Group Resources | 17 |
| Support After Business Hours & During a Crisis | 18 |
| What to Do if You’re Experiencing | 18 |
| a Behavioral Health Crisis | 18 |
| Call Pima County’s Community-Wide Crisis Line | 18 |
| 520-622-6000 or 1-800-796-6762 | 18 |
| The Crisis Response Center (CRC) is for people who are experiencing a behavioral health crisis. You can walk in to the CRC, but it is always better to call the Community-Wide Crisis Line first. | 18 |
| The CRC is located at 2802 E. District St., Tucson, AZ 85714 (on the south side of Ajo Way, behind Banner University Medical Center - South Campus). | 18 |
| What is a Behavioral Health Crisis? | 18 |
| A behavioral health crisis refers to severe emotional distress that might be caused by mental illness or substance use. You might feel out of control and/or worried you might hurt/kill yourself or someone else. | 18 |
| Other Crisis Hotlines | 18 |
| 520-327-4505 | www.CODAC.org | 20 |