# COMAR Title 10 — Maryland Department of Health

## Subtitle 63 — Community-Based Behavioral Health Programs and Services

### Chapter 03 — Descriptions and Criteria for Programs and Services Required to Have an Accreditation-Based License

#### Regulation .12 Residential-Medium Intensity Level 3.3 Program.

*COMAR 10.63.03.12*

A. In order to be licensed under this subtitle, a residential-medium intensity level 3.3 program shall provide clinically-managed, medium intensity, substance-related disorder treatment based on a comprehensive assessment:

  (1) In a structured environment in combination with medium-intensity treatment and ancillary services to support and promote recovery;

  (2) From 20 to 35 hours weekly; and

  (3) To individuals who:

    (a) Meet the ASAM Criteria for level 3.3;

    (b) Are chronic alcohol- or other drug-dependent;

    (c) Do not need skilled nursing care;

    (d) May have a history of multiple admissions to substance related disorder programs described in this chapter;

    (e) May have physical or mental disabilities resulting from a prolonged substance-related disorder; and

    (f) Have been identified as requiring a controlled environment and supportive therapy for an indefinite period of time.

B. A residential-medium intensity level 3.3 program may provide the following services if the program’s license specifically authorizes the services:

  (1) A withdrawal management service as described in Regulation .18 of this chapter; and

  (2) An opioid treatment service as described in Regulation .19 of this chapter.