(1) The medical assistance program shall define what constitutes "relapse" for each particular participant and determine if and when relapse has occurred.

(a) A participant who has a single episode of relapse and/or early detection of relapse with nominal substance abuse may be reported to the board by the medical assistance program.

(b) A participant who has a second or severe relapse must be reported by the medical assistance program to the board screening panel for review.

(c) The board shall take disciplinary action against the license of a person in a medical assistance program if, in the period under contract, the licensee has on three separate occasions returned to the use of a prohibited or proscribed substance.

(2) Any of the following may be required by the board upon the recommendation of the medical assistance program when a participant suffers a relapse:

(a) the participant may be required to withdraw from practice;

(b) the participant may undergo further recommended evaluation and/or treatment as determined by the medical assistance program;

(c) the participant's monitoring agreement required by the medical assistance program must be reassessed and may be modified;

(d) the participant may be required to comply with other recommendations of the medical assistance program; or

(e) the participant may be subject to discipline as imposed by a board final order.