# 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 .18 Withdrawal Management Service.

*COMAR 10.63.03.18*

A withdrawal management service is one that:

A. May be provided at one or more of the following ASAM levels:

  (1) Level 1-WM, ambulatory withdrawal management without extended on-site monitoring;

  (2) Level 2-WM, ambulatory withdrawal management with extended on-site monitoring;

  (3) Level 3.2-WM, clinically-managed residential withdrawal management; or

  (4) Level 3.7-WM, medically-monitored residential withdrawal management;

B. Monitors the decreasing amount of psychoactive substances in the body;

C. Manages the withdrawal symptoms;

D. Motivates the individual to participate in appropriate treatment programs for alcohol or other drug dependence;

E. Provides additional referrals as necessary; and

F. At Level I-WM, Level 2-WM, and Level 3.7-WM, employs a physician, nurse practitioner, or physician assistant who:

  (1) Obtains a comprehensive medical history and physical examination of the patient at admission; and

  (2) Medically monitors each patient.