Md. Code Regs. 10.09.06.06

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.06.06 - Covered Services

A. A residential, low intensity level 3.1 provider shall provide:

(1) Therapeutic substance use disorder services for a minimum of 5 hours per week; and

(2) Services in a structured environment in combination with low-intensity treatment and ancillary services to support and promote recovery.

B. A residential-medium intensity level 3.3 provider shall:

(1) Provide clinically managed substance use disorder treatment 20 to 35 hours per week based on a comprehensive assessment; and

(2) Provide services in a structured environment in combination with medium-intensity treatment and ancillary services to support and promote recovery.

C. A residential, high intensity level 3.5 provider shall:

(1) Provide clinically managed substance use disorder treatment at least 36 hours per week based on a comprehensive assessment; and

(2) Provide services in a highly structured environment, in combination with medium-intensity to high-intensity treatment and ancillary services to support and promote recovery.

D. A residential-intensive level 3.7 provider shall:

(1) Provide medically monitored, intensive substance use disorder treatment at least 36 hours per week based on a comprehensive assessment; and

(2) Offer a planned regimen of 24-hour professionally directed evaluation, care, and treatment in an inpatient setting.

E. A withdrawal management service level 3.7 provider shall offer 24-hour medically supervised evaluation and withdrawal management.

F. The Program shall cover services under this chapter rendered via telehealth in accordance with COMAR 10.09.49 when:

(1) Provided by licensed or certified staff;

(2) The originating site at which the participant receives the service is the adult residential substance use disorder service site; and

(3) Total services rendered via telehealth comprise no more than 50 percent of all clinical services.

Md. Code Regs. 10.09.06.06

Regulation .06A amended effective May 2, 1981 (8:8 Md. R. 721); June 20, 1983 (10:12 Md. R. 1072); September 24, 1984 (11:19 Md. R. 1666); October 15, 1984 (11:20 Md. R. 1742); March 10, 1986 (13:5 Md. R. 542); March 23, 1987 (14:6 Md. R. 715); August 8, 1988 (15:16 Md. R. 1914)
Regulations .06 amended as an emergency provision effective March 5, 1982 (9:7 Md. R. 709); emergency status extended at 9:11 Md. R. 1123; adopted permanently effective August 2, 1982 (9:15 Md. R. 1514)
Regulation .06A amended as an emergency provision effective February 13, 1985 (12:5 Md. R. 480); adopted permanently effective June 3, 1985 (12:11 Md. R. 1048)
Regulation .06F repealed as an emergency provision effective February 1, 1984 (11:4 Md. R. 312); adopted permanently effective June 1, 1984 (11:10 Md. R. 863)
Regulation .06A amended as an emergency provision effective July 10, 1986 (13:16 Md. R. 1823); emergency status extended to February 10, 1987 (14:4 Md. R. 412)
Regulation .06C amended effective October 15, 1984 (11:20 Md. R. 1742)
Regulation .06E, F adopted effective May 2, 1981 (8:8 Md. R. 721)
Regulation .06E amended effective June 17, 1985 (12:12 Md. R. 1163); March 10, 1986 (13:5 Md. R. 542); November 17, 1986 (13:23 Md. R. 2480)
Regulation .06G adopted effective February 15, 1982 (9:3 Md. R. 221); amended effective March 29, 1982 (9:6 Md. R. 614)
Regulation .06H adopted effective September 24, 1984 (11:19 Md. R. 1666); amended effective November 17, 1986 (13:23 Md. R. 2480)
Regulation .06 amended effective October 1, 1994 (21:3 Md. R. 1156)
Regulations .06 and .06E adopted effective June 22, 1992 (19:12 Md. R. 1134)
Regulation .06A amended effective December 6, 1993 (20:24 Md. R. 1864); January 30, 1995 (22:2 Md. R. 77); February 9, 1998 (25:3 Md. R. 144)
Regulation .06C amended effective August 27, 2007 (34:17 Md. R. 1507)
Regulation .06F adopted effective February 9, 1998 (25:3 Md. R. 144); amended effective 43:20 Md. R. 1109, eff. 10/10/2016; repealed effective 44:7 Md. R. 354, eff. 4/10/2017; adopted effective 44:18 Md. R. 865, eff. 9/11/2017; amended effective 45:26 Md. R. 1242, eff. 12/31/2018; amended effective 50:20 Md. R. 886, eff. 10/16/2023