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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 22. HEALTH |
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SubTilte 22-A. MENTAL HEALTH |
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Chapter 22-A63. CERTIFICATION STANDARDS FOR SUBSTANCE USE DISORDER TREATMENT AND RECOVERY PROVIDERS |
Section 22-A6331. LEVEL OF CARE 3.1: CLINICALLY MANAGED LOW-INTENSITY RESIDENTIAL
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6331 LEVEL OF CARE 3.1: CLINICALLY MANAGED LOW-INTENSITY RESIDENTIAL
6331.1 Level 3.1 Clinically Managed Low-Intensity Residential is a residential program that shall provide a minimum of five (5) hours of substance abuse treatment services per week for a period of up to ninety (90) days. Level 3.1 Clinically Managed Low-Intensity Residential is the appropriate level of care for individuals who are assessed as meeting the ASAM criteria for Level 3.1 and:
(a)Are employed, in school, in pre-vocational programs, actively seeking employment, or involved in structured day program;
(b)Recognize their SUD and are committed to recovery or are in the early stages of change and not yet ready to commit to full recovery but need a stable supportive living environment to support their treatment or recovery; and
(c)May have a stable co-occurring physical or mental illness.
6331.2 Level 3.1 Clinically Managed Low-Intensity Residential generally lasts ninety (90) days.
6331.3 Unless clinically inappropriate or a client does not consent, all providers shall adhere to the minimum service requirements for this level of care.
6331.4 Level 3.1 Clinically Managed Low-Intensity Residential includes the following mix of core services, as indicated on the treatment plan and in accordance with this chapter:
(a)Assessment/Diagnostic and Treatment Planning in accordance with § 6336 of this chapter:
(1) Comprehensive Assessment: Required if this is the individual’s first LOC in a single course of treatment; optional if the client has been transferred from another LOC);
(2) Ongoing Assessment: Required within seven (7) days of admission if no comprehensive was performed at intake into Level 3.1. Cannot be billed more than twice within a sixty (60)-day period and cannot occur on the same day as a comprehensive assessment. An ongoing assessment with a corresponding treatment plan update must occur prior to a planned discharge from the LOC;
(3) Brief Assessment: Cannot exceed three (3) occurrences within the period of time that the individual is in Level 3.
(b) SUD Counseling (in accordance with § 6340 of this chapter): Counseling shall be provided as a clinically appropriate combination of Individual, Family, and Group Counseling, including Group Counseling-Psychoeducation, according to the client’s assessed needs.
(c)Clinical Care Coordination (CCC) (in accordance with § 6337 of this chapter): The Clinical Care Coordinator is responsible for establishing the frequency of the ongoing assessments and updates to the treatment plan. A minimum of four (4) units (1 hour) of CCC is required for every twenty-eight (28) days.
(d)Case Management (in accordance with § 6338 of this chapter): For providers with a Human Care Agreement, a minimum of four (4) units (1 hour) of Case Management-HIV is required for the duration of the LOC. For all providers, other Case Management is required at a minimum every twenty-eight (28) days.
(e)Drug Screening (in accordance with § 6341 of this chapter): Required at admission and as clinically indicated throughout the course of treatment.
(f)Crisis Intervention: As required and in accordance with § 6339 of this chapter.
(g)Medication Management: As required and in accordance with § 6342 of this chapter.
6331.5 Level 3.1 providers may provide Medication Assisted Treatment (MAT) per § 6343 of this chapter, if so certified.