# 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 .14 Residential-Intensive Level 3.7 Program.

*COMAR 10.63.03.14*

A. In order to be licensed under this subtitle, a residential-intensive level 3.7 program shall provide medically-monitored, intensive substance-related disorder treatment based on a comprehensive assessment:

  (1) To individuals who meet the ASAM Criteria for level 3.7;

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

  (3) On a planned regimen of 24-hour evaluation, care, and treatment in a residential setting;

  (4) In an Intermediate Care Facility Type C/D; and

  (5) While meeting the requirements for withdrawal management services as outlined in Regulation .18 of this chapter.

B. If the program's license specifically authorizes the service, a residential-intensive level 3.7 program may provide an opioid treatment service as described in Regulation .19 of this chapter.

C. A residential-intensive level 3.7 program shall employ a physician, nurse practitioner, or physician assistant who:

  (1) Assesses each patient in person within 24 hours of admission or earlier, if medically necessary;

  (2) Assesses each patient thereafter, as medically necessary; and

  (3) Is available to provide on-site monitoring of care and further evaluation on a daily basis.