<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.63.03.12" title_num="10" subtitle_num="63" chapter_num="03" heading="Residential-Medium Intensity Level 3.3 Program.">
  <paragraph num="A.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>In a structured environment in combination with medium-intensity treatment and ancillary services to support and promote recovery;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>From 20 to 35 hours weekly; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>To individuals who:</text>
      <paragraph num="(a)">
        <text>Meet the ASAM Criteria for level 3.3;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Are chronic alcohol- or other drug-dependent;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Do not need skilled nursing care;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>May have a history of multiple admissions to substance related disorder programs described in this chapter;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>May have physical or mental disabilities resulting from a prolonged substance-related disorder; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Have been identified as requiring a controlled environment and supportive therapy for an indefinite period of time.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A residential-medium intensity level 3.3 program may provide the following services if the program’s license specifically authorizes the services:</text>
    <paragraph num="(1)">
      <text>A withdrawal management service as described in Regulation .18 of this chapter; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An opioid treatment service as described in Regulation .19 of this chapter.</text>
    </paragraph>
  </paragraph>
</regulation>