<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".14" citation="COMAR 10.63.03.14" title_num="10" subtitle_num="63" chapter_num="03" heading="Residential-Intensive Level 3.7 Program.">
  <paragraph num="A.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>To individuals who meet the ASAM Criteria for level 3.7;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For a minimum of 36 hours of therapeutic activities a week;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>On a planned regimen of 24-hour evaluation, care, and treatment in a residential setting;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>In an Intermediate Care Facility Type C/D; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>While meeting the requirements for withdrawal management services as outlined in Regulation .18 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A residential-intensive level 3.7 program shall employ a physician, nurse practitioner, or physician assistant who:</text>
    <paragraph num="(1)">
      <text>Assesses each patient in person within 24 hours of admission or earlier, if medically necessary;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Assesses each patient thereafter, as medically necessary; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Is available to provide on-site monitoring of care and further evaluation on a daily basis.</text>
    </paragraph>
  </paragraph>
</regulation>