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

   1. (1) Therapeutic substance use disorder services for a minimum of 5 hours per week; and
   2. (2) Services in a structured environment in combination with low-intensity treatment and ancillary services to support and promote recovery.

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

   1. (1) Provide clinically managed substance use disorder treatment 20 to 35 hours per week based on a comprehensive assessment; and
   2. (2) Provide services in a structured environment in combination with medium-intensity treatment and ancillary services to support and promote recovery.

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

   1. (1) Provide clinically managed substance use disorder treatment at least 36 hours per week based on a comprehensive assessment; and
   2. (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.

4. D. A residential-intensive level 3.7 provider shall:

   1. (1) Provide medically monitored, intensive substance use disorder treatment at least 36 hours per week based on a comprehensive assessment; and
   2. (2) Offer a planned regimen of 24-hour professionally directed evaluation, care, and treatment in an inpatient setting.
5. E. A withdrawal management service level 3.7 provider shall offer 24-hour medically supervised evaluation and withdrawal management.

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

   1. (1) Provided by licensed or certified staff;
   2. (2) The originating site at which the participant receives the service is the adult residential substance use disorder service site; and
   3. (3) Total services rendered via telehealth comprise no more than 50 percent of all clinical services.

Authority: Health-General Article, §§2-104(b), 7.5-204(c), 7.5-205(d), 15-105(b), and 15-141.2, Annotated Code of Maryland

Effective date: September 11, 2017 (44:18 Md. R. 865)

Regulation .02B amended effective April 4, 2022 (49:7 Md. R. 465); October 16, 2023 (50:20 Md. R. 886)

Regulation .03C amended effective April 4, 2022 (49:7 Md. R. 465)

Regulation .04 amended effective December 31, 2018 (45:26 Md. R. 1242)

Regulation .04A amended effective October 16, 2023 (50:20 Md. R. 886)

Regulation .06 amended effective December 31, 2018 (45:26 Md. R. 1242)

Regulation .06F adopted effective October 16, 2023 (50:20 Md. R. 886)

Regulation .07 amended effective December 30, 2019 (46:26 Md. R. 1164); October 16, 2023 (50:20 Md. R. 886)

Regulation .09 amended effective October 16, 2023 (50:20 Md. R. 886); September 16, 2024 (51:18 Md. R. 808)

Regulation .09C amended effective December 31, 2018 (45:26 Md. R. 1242); December 30, 2019 (46:26 Md. R. 1164); April 4, 2022 (49:7 Md. R. 465)

Regulation .09D—E amended effective April 4, 2022 (49:7 Md. R. 465); November 24, 2025 (52:23 Md. R. 1138)