Standards for public agencies

2020 Edition

Opioid Treatment (PA-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

Currently viewing: OPIOID TREATMENT (PA-OTP)



Individuals who participate in Opioid Treatment Programs improve social, emotional, and vocational functioning, achieve optimal productivity, and attain the recovery they seek.
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
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

PA-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.

PA-OTP 13.02

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

PA-OTP 13.03

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

PA-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.