# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 06 — Adult Residential Substance Use Disorder Services

#### Regulation .06 Covered Services.

*COMAR 10.09.06.06*

A. A residential, low intensity level 3.1 provider shall provide:

  (1) Therapeutic substance use disorder services for a minimum of 5 hours per week; and

  (2) Services in a structured environment in combination with low-intensity treatment and ancillary services to support and promote recovery.

B. A residential-medium intensity level 3.3 provider shall:

  (1) Provide clinically managed substance use disorder treatment 20 to 35 hours per week based on a comprehensive assessment; and

  (2) Provide services in a structured environment in combination with medium-intensity treatment and ancillary services to support and promote recovery.

C. A residential, high intensity level 3.5 provider shall:

  (1) Provide clinically managed substance use disorder treatment at least 36 hours per week based on a comprehensive assessment; and

  (2) Provide services in a highly structured environment, in combination with medium-intensity to high-intensity treatment and ancillary services to support and promote recovery.

D. A residential-intensive level 3.7 provider shall:

  (1) Provide medically monitored, intensive substance use disorder treatment at least 36 hours per week based on a comprehensive assessment; and

  (2) Offer a planned regimen of 24-hour professionally directed evaluation, care, and treatment in an inpatient setting.

E. A withdrawal management service level 3.7 provider shall offer 24-hour medically supervised evaluation and withdrawal management.

F. The Program shall cover services under this chapter rendered via telehealth in accordance with COMAR 10.09.49 when:

  (1) Provided by licensed or certified staff;

  (2) The originating site at which the participant receives the service is the adult residential substance use disorder service site; and

  (3) Total services rendered via telehealth comprise no more than 50 percent of all clinical services.