<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 10.63.03.13" title_num="10" subtitle_num="63" chapter_num="03" heading="Residential-High Intensity Level 3.5 Program.">
  <paragraph num="A.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>In a highly-structured environment, in combination with moderate- to high-intensity treatment and ancillary services to support and promote recovery;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For a minimum of 36 hours of therapeutic activities a week;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>That are characterized by reliance on the treatment community as a therapeutic agent; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>To individuals who meet the ASAM Criteria for level 3.5.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A residential-high intensity level 3.5 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>