Standards for private organizations

2020 Edition

Opioid Treatment (OTP) 13: Interim Maintenance Treatment

Interim maintenance treatment is provided to support individual functioning and to ensure continuity of care.


Interim maintenance treatment programs must meet the same requirements and standards of care as comprehensive maintenance treatment programs.
NA The OTP does not offer interim maintenance treatment.
2020 Edition

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Individuals who participate in Opioid Treatment Programs improve social, emotional, and vocational functioning, achieve optimal productivity, and attain the recovery they seek.
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures for interim maintenance treatment
  • Criteria for transferring persons from interim to comprehensive maintenance treatment
  • Procedures for notifying state health officer when a person’s maintenance status changes
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records


OTP 13.01

The program administrator or sponsor places a person in an interim maintenance treatment program:
  1. when the person cannot be placed in a comprehensive treatment program within 14 days of application;
  2. within a reasonable geographic area; and
  3. for a maximum of 120 days in any 12 month period.


OTP 13.02

The organization establishes written criteria for transferring persons served from interim maintenance to comprehensive maintenance treatment.


OTP 13.03

The organization notifies the state health officer when a person begins interim maintenance treatment, leaves interim maintenance treatment, or is transferred to comprehensive maintenance treatment.


OTP 13.04

In interim maintenance treatment programs, medication is administered daily under observation.


In interim maintenance treatment programs take-home medication is not permitted; service plans, rehabilitative, educational, and other counseling services are not required; and persons served are not assigned a primary counselor.