> ## Documentation Index
> Fetch the complete documentation index at: https://docs.encoreos.io/llms.txt
> Use this file to discover all available pages before exploring further.

# MAT/MOUD Tracking — User Guide

> The MAT/MOUD Tracking module supports medication-assisted treatment workflows for opioid use disorder and other substance use disorders. It provides enrollment…

## Overview

The MAT/MOUD Tracking module supports medication-assisted treatment workflows for opioid use disorder and other substance use disorders. It provides enrollment management, medication event recording, and monitoring protocol tracking integrated with patient charts.

## Quick Reference

| I need to…              | Pattern                                                | Location                                                                               |
| ----------------------- | ------------------------------------------------------ | -------------------------------------------------------------------------------------- |
| Create a new enrollment | Enrollment workflow with consent linkage               | [Workflows → 1. Create a New Enrollment](#1-create-a-new-enrollment)                   |
| Record a dose/event     | Medication event logging with adherence                | [Workflows → 2. Record a Medication Event](#2-record-a-medication-event)               |
| Add/complete monitoring | Monitoring events with due dates and completion        | [Workflows → 3. Schedule and Complete Monitoring](#3-schedule-and-complete-monitoring) |
| End MAT treatment       | Enrollment status transition to completed/discontinued | [Workflows → 5. End an Enrollment](#5-end-an-enrollment)                               |

***

## Permissions

| Permission Key                    | Description                          | Typical Roles                    |
| --------------------------------- | ------------------------------------ | -------------------------------- |
| `cl.moud.view`                    | View MAT enrollments and events      | All clinical staff               |
| `cl.moud.enroll`                  | Create and edit enrollments          | Licensed Clinicians, Prescribers |
| `cl.moud.medication-event.create` | Record medication events (doses)     | Prescribers, Nurses              |
| `cl.moud.monitoring.manage`       | Manage monitoring events (UDS, labs) | Licensed Clinicians, Nurses      |
| `cl.moud.report.view`             | View MAT outcome reports             | Clinical Supervisors, Quality    |

***

## Workflows

### 1. Create a New Enrollment

1. Navigate to **Clinical > MAT/MOUD Enrollments** (`/cl/mat`)
2. Click **New Enrollment**
3. Fill in required fields:
   * **Patient Chart** — select the patient
   * **Primary Medication** — e.g., Buprenorphine/Naloxone, Methadone, Naltrexone
   * **Start Date** — enrollment start
   * **Treatment Phase** — Induction, Stabilization, or Maintenance
4. Optionally link a **42 CFR Part 2 consent** record (required for SUD cases)
5. Click **Save**

### 2. Record a Medication Event

1. Open an enrollment from the list
2. In the **Medication Events** section, click **Record Event**
3. Select event type: Ordered (order placed before prescription), Prescribed, Administered, Dispensed, Held, or Missed
4. Enter medication name, dose value/unit, and timestamp
5. Set adherence status (On Time, Late, Missed) if applicable
6. Click **Save**

### 3. Schedule and Complete Monitoring

1. Open an enrollment detail page
2. In the **Monitoring Events** section, click **Add Monitoring**
3. Select monitoring type: UDS, Hepatic Panel, CBC, or Other
4. Set **Due By** date
5. Click **Save**
6. When the monitoring is completed, click **Mark Complete** on the event row

**Overdue items** are highlighted in red with an "Overdue" badge.

### 4. Update Treatment Phase

Treatment phases follow the clinical progression:

* **Induction** → **Stabilization** → **Maintenance**

To update, edit the enrollment and change the treatment phase field.

### 5. End an Enrollment

To complete or discontinue an enrollment:

1. Edit the enrollment
2. Set **Status** to Completed or Discontinued
3. Enter the **End Date**
4. Add discontinuation reason if applicable
5. Click **Save**

***

## Consent Requirements

For SUD-related MAT cases, **42 CFR Part 2 consent** must be active before accessing enrollment data. The system enforces this at the database level. If consent is not present, MAT records will not be accessible.

The 2024 amendments to 42 CFR Part 2 are now in effect (compliance date: **2026-02-16**), and OCR accepts complaints for violations from that date. Under the updated rule, a single consent can cover future TPO disclosures, and HIPAA-covered recipients may redisclose according to HIPAA when disclosure is authorized by that consent. CL-11 consent workflows should be verified for updated single-consent and NPP requirements. Part 2 records still cannot be used in legal/civil proceedings without explicit consent.

***

## Settings

* MAT behavior is governed by module-level CL settings and permission assignments (`cl.moud.*`).
* Organization role mapping should be aligned with PF-30 permission governance.
* Consent enforcement behavior depends on CL-11 consent configuration and active patient consent records.

***

## Known Limitations

* Medication event type availability and workflow sequencing may vary by organization policy.
* Monitoring protocol templates are limited to configured event types (UDS, hepatic panel, CBC, other).
* Legal/regulatory workflows are documented guidance and must be validated against active org policy and CL-11 implementation state.

***

## Troubleshooting

| Symptom                               | Likely Cause                                         | Resolution                                                             |
| ------------------------------------- | ---------------------------------------------------- | ---------------------------------------------------------------------- |
| MAT records are not visible           | 42 CFR Part 2 consent missing/inactive               | Verify active consent in CL-11 and relink enrollment consent if needed |
| Cannot create or edit enrollment      | Missing `cl.moud.enroll` permission                  | Request role update from org admin                                     |
| Cannot record medication event        | Missing `cl.moud.medication-event.create` permission | Confirm role permissions and reload session                            |
| Monitoring does not move to completed | Incorrect enrollment/event selected                  | Reopen enrollment detail and complete the intended monitoring row      |

***

## Tips

* Medication events are sorted newest-first for quick reference
* Monitoring events show due/overdue status at a glance
* All MAT data is subject to the same clinical document access controls as the patient chart

***

## Related Documentation

* Specification: specs/cl/specs/CL-21-medication-assisted-treatment-moud-tracking.md
* Admin Guide: docs/cl/mat-moud-admin-guide.md
* Regulatory Tracker: docs/compliance/REGULATORY\_COMPLIANCE\_TRACKER.md