(a) Detoxification or detox means a medical withdrawal and stabilization regimen under the supervision of a physician to systematically reduce the amount of an addictive substance in a patient's body, provide reasonable control of active withdrawal symptoms and/or avert a life-threatening medical crisis related to the addictive substance.
(b) Discrete unit means an OASAS program certified pursuant to article 32 of the Mental Hygiene Law providing inpatient or outpatient substance use disorder treatment co-located in a facility licensed pursuant to article 28 of the Public Health Law because such facility is providing treatment due to a consistent demand exceeding five medical-surgical beds, or greater than 10 percent of overall patient days.
(c) Medically managed withdrawal and stabilization services means 24/7 services designed for patients acutely ill from substance-related dependence, experiencing severe withdrawal, or at risk of such conditions. This level of care includes the 48 hour observation bed. Patients stabilized in a medically managed service may transition to a less intensive medically supervised inpatient service, a medically supervised outpatient service, or other appropriate level of care.
(d) Medically supervised withdrawal and stabilization services are appropriate for persons suffering from mild to moderate withdrawal, coupled with situational crisis such as unstable living environments, or who are unable to detox on their own without withdrawal complications. Patients stabilized in a medically supervised service may transition to a less intensive medically supervised outpatient service or other appropriate level of care.
(e) Medically supervised outpatient means services appropriate for persons who are suffering from mild to moderate withdrawal or persons experiencing non-acute physical or psychiatric complications associated with their substance use disorder and who are unable to detox on their own without withdrawal complications, but who retain a stable living environment.
(f) Medically monitored withdrawal and stabilization services are appropriate for persons who are suffering from mild withdrawal coupled with situational crises, or who are unable to detox on their own without withdrawal complications. Patients stabilized in medically managed or medically supervised services may transition to this service.
(g) Observation bed means a service providing intensive assessment and treatment of withdrawal where the patient has continuous periodic evaluation for up to 48 hours. The care given in an observation bed is a medically managed level of care.
(h) Recovery/care plan means a plan directing the provision of withdrawal and stabilization services toward continuing care and treatment and which serves as the treatment plan. Such plan is patient-centered and recovery-oriented and incorporates appropriate linkages for level of care transitions.