I support the concept that those receiving MAT should receive counseling by a QSAP.  However, this regulation does not take in account individuals who are receiving MAT that has previously and successfully participated in intensive outpatient treatment and no longer requires face to face counseling every other week for the first year. Neither does this regulation allows for supports that may be met outside of formal treatment such as those provided by faith base, recovery support, NA, AA, etc. that could reduce the need for structured and formal treatments for extended periods of time. I do support the notion that individuals who receive MAT be monitored for the two-year timeframe; however, their level of treatment should be based on the unique aspects/ needs of the individual consumer.