<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".18" citation="COMAR 10.63.03.18" title_num="10" subtitle_num="63" chapter_num="03" heading="Withdrawal Management Service.">
  <text>A withdrawal management service is one that:</text>
  <paragraph num="A.">
    <text>May be provided at one or more of the following ASAM levels:</text>
    <paragraph num="(1)">
      <text>Level 1-WM, ambulatory withdrawal management without extended on-site monitoring;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Level 2-WM, ambulatory withdrawal management with extended on-site monitoring;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Level 3.2-WM, clinically-managed residential withdrawal management; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Level 3.7-WM, medically-monitored residential withdrawal management;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Monitors the decreasing amount of psychoactive substances in the body;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Manages the withdrawal symptoms;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Motivates the individual to participate in appropriate treatment programs for alcohol or other drug dependence;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Provides additional referrals as necessary; and</text>
  </paragraph>
  <paragraph num="F.">
    <text>At Level I-WM, Level 2-WM, and Level 3.7-WM, employs a physician, nurse practitioner, or physician assistant who:</text>
    <paragraph num="(1)">
      <text>Obtains a comprehensive medical history and physical examination of the patient at admission; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Medically monitors each patient.</text>
    </paragraph>
  </paragraph>
</regulation>