Annual Justification – The program physician’s renewed
prescription for the patient to continue with
Regulatory and policy documentation
Regulatory requirement – Title 9, Division 4, Chapter 4,
Subchapter 5, Article 5, section 10410. Scheduled Termination
of Maintenance Treatment.
Aegis form: Annual and Two-Year Justification for Maintenance
Treatment – Doc.1116.06.00
You will learn:
State regulatory timelines
Aegis Medical System procedure timelines
Correct completion of the form.
Annual Justification – The completion of Doc.
1116.06.00 to satisfy California state regulatory
requirements. Completed by Primary Counselor,
reviewed and co-signed by Clinic Manager and Program
Annual physical – aka Comprehensive Medical
Examination. Often confused with Annual Justification.
Completed by program physician seeing patient for
comprehensive physical or consultation appointment.
Continuous treatment date (CTD) – The date the
patient first entered Maintenance treatment. There
must not be any break in treatment. This may or may
not be the admission date for the current program.
Break in treatment – A period of time when a patient is
not enrolled in a narcotic treatment program.
Completion date – The date the program physician
reviewed and signed the form.
The form is completed annually from the
patient’s continuous treatment date.
State regulation specify 2 years from admission date
then annually there after.
Aegis policy is to justify the patient’s continued
The form is completed up to 60 days prior to
the anniversary date as indicated by program
physician’s dated signature .
Control Log and Charting
The completion date is logged in the annual
The form is filed in the patient record.
When thinning a patient record, the most
recent annual justification following the last
state inspections must remain in the active
Where to Get More Information
Corporate department staff