<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.09.06.06" title_num="10" subtitle_num="09" chapter_num="06" heading="Covered Services.">
  <paragraph num="A.">
    <text>A residential, low intensity level 3.1 provider shall provide:</text>
    <paragraph num="(1)">
      <text>Therapeutic substance use disorder services for a minimum of 5 hours per week; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Services in a structured environment in combination with low-intensity treatment and ancillary services to support and promote recovery.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A residential-medium intensity level 3.3 provider shall:</text>
    <paragraph num="(1)">
      <text>Provide clinically managed substance use disorder treatment 20 to 35 hours per week based on a comprehensive assessment; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide services in a structured environment in combination with medium-intensity treatment and ancillary services to support and promote recovery.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A residential, high intensity level 3.5 provider shall:</text>
    <paragraph num="(1)">
      <text>Provide clinically managed substance use disorder treatment at least 36 hours per week based on a comprehensive assessment; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide services in a highly structured environment, in combination with medium-intensity to high-intensity treatment and ancillary services to support and promote recovery.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A residential-intensive level 3.7 provider shall:</text>
    <paragraph num="(1)">
      <text>Provide medically monitored, intensive substance use disorder treatment at least 36 hours per week based on a comprehensive assessment; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Offer a planned regimen of 24-hour professionally directed evaluation, care, and treatment in an inpatient setting.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>A withdrawal management service level 3.7 provider shall offer 24-hour medically supervised evaluation and withdrawal management.</text>
  </paragraph>
  <paragraph num="F.">
    <text>The Program shall cover services under this chapter rendered via telehealth in accordance with COMAR 10.09.49 when:</text>
    <paragraph num="(1)">
      <text>Provided by licensed or certified staff;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The originating site at which the participant receives the service is the adult residential substance use disorder service site; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Total services rendered via telehealth comprise no more than 50 percent of all clinical services.</text>
    </paragraph>
  </paragraph>
</regulation>