# 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 .13 Residential-High Intensity Level 3.5 Program.

*COMAR 10.63.03.13*

A. In order to be licensed under this subtitle, a residential-high intensity level 3.5 program shall provide clinically-managed, high-intensity, substance-related disorder treatment services based on a comprehensive assessment:

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

  (2) For a minimum of 36 hours of therapeutic activities a week;

  (3) That are characterized by reliance on the treatment community as a therapeutic agent; and

  (4) To individuals who meet the ASAM Criteria for level 3.5.

B. A residential-high intensity level 3.5 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.