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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-A6334. LEVEL OF CARE 3.7-WM: SHORT-TERM MEDICALLY MONITORED INPATIENT WITHDRAWAL MANAGEMENT (SMMIWM)
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6334 LEVEL OF CARE 3.7-WM: SHORT-TERM MEDICALLY MONITORED INTENSIVE WITHDRAWAL MANAGEMENT (SMMIWM)
6334.1 SMMIWM is 24-hour, medically directed evaluation and withdrawal management service. The service is for clients with sufficiently severe signs and symptoms of withdrawal from psychoactive substances such that medical monitoring and nursing care are necessary but hospitalization is not indicated.
6334.2 For providers with a Human Care Agreement, clients discharged from SMMIWM treatment shall be directly admitted into a residential SUD treatment program (Level 3.1 – 3.5) through a “bed-to-bed” transfer unless the Department previously authorized an exception or the client refuses admission to a residential program.
6334.3 For services provided under the Department’s Human Care Agreement, SMMIWM shall not exceed five (5) days unless prior authorization for a longer stay is authorized by the Department. The maximum allowable stay is ten (10) days.
6334.4 SMMIWM shall include the following services in accordance with ASAM guidelines, as clinically appropriate:
(a)Medication Management;
(b)Clinical Care Coordination;
(c)Medication Assisted Treatment;
(d)Crisis Intervention;
(e)Case Management, which must be billed separately
(f)SUD Counseling, which may be billed separately; and
(g)Comprehensive Assessment/Diagnostic, which may be billed separately.
6334.5 SMMIWM providers shall have a physician on staff that is able to respond within one (1) hour of notification.
6334.6 SMMIWM providers shall have medical staff (MD, PA, APRN, or RN) on duty twenty four (24) hours per day, seven (7) days per week. Medical staff shall have a client-to-staff ratio of 12-to-1 during daytime operating hours, a 17-to-1 ratio during evening hours, and a 25-to-1 ratio during the night shift.