Can Get Buprenorphine Prescription at First Appointment?
No
Yes
Often
No, usually on 2nd visit
Buprenorphine not available
Required to Change Primary Care Provider to this Clinic to Continue to Receive MAT?
No
Yes
Yes (preferably patient not also seeing PCP at another DHS PCMH)
After the first appointment
No, but required to change PCP to receive referrals and some other services
Opioid Abstinence Expected to Receive Ongoing Buprenorphine Prescription?
No
Yes
Depends on the case
Buprenorphine not available
No - but will work with patient towards abstinence
Abstinence from Alcohol Required for Vivitrol?
No
Yes
Yes - 1 week
Yes - 2 weeks
Vivitrol not available
No - only abstinence for 24 hrs prior to first dose
Office Initiation of Buprenorphine
Buprenorphine not available
In-office initiation required
In-office initiation optional, but not required
Home initiation only
Typically home initiation only
Urine Toxicology Samples Required?
Never
Every visit
As needed/depends on the patient
As needed/depends on the patient (preferably monthly)
As needed/depends on the patient (requirements less strict during pandemic)
At initiation and then at most follow-ups
Counseling/Therapy Required to Receive MAT?
No
Yes
Yes (weekly)
