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Regulatory Frameworks & Compliance Flashcards

7 cards from real Chemical Dependency Counselor CCDC Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. The Drug Addiction Treatment Act of 2000 (DATA 2000) permitted qualified physicians to prescribe buprenorphine for opioid use disorder in which setting?

    Answer: In office-based settings outside of OTPs

    DATA 2000 created the office-based opioid treatment (OBOT) pathway, allowing qualifying physicians to prescribe Schedule III-V opioid medications for OUD outside of traditional OTPs.

  2. Under 42 CFR Part 2, which of the following is a permissible disclosure WITHOUT patient consent?

    Answer: Disclosure to medical personnel in a bona fide medical emergency

    42 CFR Part 2 allows disclosure to medical personnel when there is a bona fide medical emergency threatening the patient's life.

  3. A client requests a copy of their own treatment records. Under HIPAA, the program must typically provide access within:

    Answer: 30 days, with a possible 30-day extension

    HIPAA requires covered entities to provide patients access to their records within 30 days, with one 30-day extension if needed and the reason is communicated.

  4. Which accrediting body is SAMHSA-approved to accredit opioid treatment programs (OTPs)?

    Answer: CARF International, the Joint Commission, or other SAMHSA-approved accreditors

    SAMHSA approves multiple accrediting organizations for OTPs, including CARF, TJC, and others, giving programs a choice of accreditor.

  5. The Consolidated Appropriations Act of 2023 made which significant change to buprenorphine prescribing?

    Answer: Eliminated the DATA 2000 waiver requirement, allowing any DEA-registered practitioner to prescribe buprenorphine for OUD

    The Consolidated Appropriations Act of 2023 eliminated the DATA 2000 waiver (X-waiver), allowing any DEA-registered practitioner with a controlled substances license to prescribe buprenorphine for OUD.

  6. A SUD counselor is also a recovering person and a client discovers this. The counselor's obligation under ethics codes is to:

    Answer: Use clinical judgment about whether limited self-disclosure serves the client's therapeutic needs

    Ethics codes support judicious self-disclosure only when it genuinely benefits the client, not reflexive full disclosure or automatic transfer.

  7. Which federal regulation requires SUD programs receiving federal assistance to notify clients of their confidentiality rights at admission?

    Answer: 42 CFR Part 2, which mandates written notice of confidentiality protections

    42 CFR Part 2 requires programs to provide clients with a written summary of their confidentiality rights and the program's legal duties at the time of admission.

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  1. forensiccounselor.org — Late registration, renewal, passing score, retake policy, score validity, test delivery, score release, test dates, fees · verified Oct 2026