In addition to any other requirements described in these rules
and applicable statutes, programs approved to render Clinically Managed
Residential Withdrawal Management Services, ASAM Level of Care 3.2-WM to adults
and must, at a minimum, meet and maintain documentation demonstrating ongoing
compliance with each of the following requirements:
(1) Programs must render a planned and
structured regimen of 24-hour professionally directed evaluation, observation
and support for patients who are intoxicated or experiencing moderate substance
use withdrawal management to in a residential setting. These programs emphasize
peer and social supports.
(2)
Clinically Managed Residential Withdrawal Management, ASAM Level 3.2-WM
Programs that are co-located within a Residential Substance Use Disorders
Treatment and Recovery facility licensed by the Division do not require
additional licensure under these rules. Patients placed at this ASAM Level of
Care must meet the following ASAM dimensional assessment criteria required for
ASAM Level of Care 3.2-WM:
(a) The patient is
experiencing signs and symptoms of moderate withdrawal or there is evidence,
based on history or other relevant factors, that moderate withdrawal syndrome
is imminent;
(b) The moderate
withdrawal syndrome is assessed as manageable at this level of care;
and
(c) The patient scores within a
defined range on CIWA-Ar, COWs or other assessment metric for the drug(s)
identified for withdrawal management services and meets physician-defined
protocol for admission at this Level of Care.
(3) Services must include:
(a) On-site, active oversight and responsive
support 24 hours per day, 7 days per week;
(b) Services that safely assist patients
through withdrawal without the need for continuous on-site medical personnel;
and
(c) Medical evaluation and
consultation services available 24 hours a day, 7 days per week.
