D.C. Mun. Regs. r. 22-A6331

Current through Register Vol. 71, No. 25, June 21, 2024

Rule 22-A6331 - LEVEL OF CARE 1: OUTPATIENT

6331.1

Level 1 Outpatient providers shall have the capacity to provide up to eight (8) hours of SUD treatment services per week, per client, in accordance with this section and medical necessity based on ASAM criteria. Level 1 Outpatient is the appropriate LOC for individuals who are assessed as meeting the ASAM criteria for Level 1 and:

(a) Recognize their SUD and are committed to recovery;

(b) Are transitioning from a higher LOC;

(c) Are in the early stages of change and not yet ready to commit to full recovery;

(d) Have a co-occurring condition that is stable; or

(e) Have achieved stability in recovery and can benefit from ongoing monitoring and disease management.

6331.2

Level 1 Outpatient providers may also be certified in the specialty service of Adolescent-Community Reinforcement Approach ("ACRA") in accordance with § 6347 of this chapter for services to youth and young adults with co-occurring substance use and mental health disorders ages twelve (12) to twenty-one (21) for youth providers and twenty-two (22) to twenty- four (24) for adult providers.

6331.3

Level 1 Outpatient treatment duration varies with the severity of the patient'sSUD and their response to treatment but generally lasts up to one hundred and eighty (180) days for an initial authorization. Level 1 treatment can continue long-term in accordance with the Plan of Care, for clients needing long-term disease management.

6331.4

Level 1 Outpatient services are determined by a Diagnostic Assessment,performed in accordance with § 6339.

6331.5

Unless clinically inappropriate or a client does not consent, all providers shall adhere to the service requirements for this LOC.

6331.6

Level 1 Outpatient shall include the following mix of services in accordance with the client's Plan of Care and this chapter (unless the client is receiving ACRA services in which case SUD Counseling/Therapyand CCC shall be provided in accordance with § 6347):

(a) Diagnostic Assessment and Plan of Care in accordance with § 6339.

(b) SUD Counseling/Therapy in accordance with § 6342;

(c) CCC in accordance with § 6340;

(d) Drug Screening in accordance with § 6343;

(e) Crisis Intervention in accordance with § 6341; and

(f) RSS in accordance with § 6344.

D.C. Mun. Regs. r. 22-A6331

Final Rulemaking published at 62 DCR 12056 (9/4/2015); amended by Final Rulemaking published at 67 DCR 11585 ( 10/9/2020 ).