1. A. In order to be licensed under this subtitle, a residential-intensive level 3.7 program shall provide medically-monitored, intensive substance-related disorder treatment based on a comprehensive assessment:

   1. (1) To individuals who meet the ASAM Criteria for level 3.7;
   2. (2) For a minimum of 36 hours of therapeutic activities a week;
   3. (3) On a planned regimen of 24-hour evaluation, care, and treatment in a residential setting;
   4. (4) In an Intermediate Care Facility Type C/D; and
   5. (5) While meeting the requirements for withdrawal management services as outlined in Regulation .18 of this chapter.
2. B. If the program's license specifically authorizes the service, a residential-intensive level 3.7 program may provide an opioid treatment service as described in Regulation .19 of this chapter.

3. C. A residential-intensive level 3.7 program shall employ a physician, nurse practitioner, or physician assistant who:

   1. (1) Assesses each patient in person within 24 hours of admission or earlier, if medically necessary;
   2. (2) Assesses each patient thereafter, as medically necessary; and
   3. (3) Is available to provide on-site monitoring of care and further evaluation on a daily basis.

Authority: Health-General Article, §§7.5-204, 8-402, 8-404, and 10-901, and 10-1402, Annotated Code of Maryland

Effective date: July 1, 2016 (43:10 Md. R. 585)

Regulation .14 amended effective February 27, 2017 (44:4 Md. R. 255)

Regulation .18 amended effective February 27, 2017 (44:4 Md. R. 255)

Regulation .19J amended effective February 27, 2017 (44:4 Md. R. 255)

Regulation .20 adopted effective May 27, 2024 (51:10 Md. R. 526)

Regulation .21 adopted effective May 27, 2024 (51:10 Md. R. 526)