D.C. Mun. Regs. r. 22-A6334

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

Rule 22-A6334 - LEVEL OF CARE 3.1: CLINICALLY MANAGED LOW- INTENSITY RESIDENTIAL

6334.1

Level 3.1 Clinically Managed Low-Intensity Residential providers shall have the capacity to provide a minimum of five (5) hours of a mixture of SUD treatment services per week, per client, in accordance with this section and medical necessity based on ASAM criteria. Level 3.1 providers must be staffed with independently licensed clinicians who are competent to treat SUD and mental illness. A physician must be available on-site or by telephone twenty-four (24) hours a day, seven (7) days a week. Level 3.1 Clinically Managed Low-Intensity Residential is the appropriate LOC for clients 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 a 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;

(c) May have a stable co-occurring physical or mental illness;

(d) Who meet the ASAM criteria for Level 3.1, or its equivalent, as approved by the Department; and

(e) Who are capable of self- care but are not ready to return to family or independent living.

6334.2

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

6334.3

Level 3.1 Clinically Managed Low-Intensity Residential includes the following mix of core and specialty services, as indicated on the Plan of Care and in accordance with this chapter:

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

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

(c) CCCin accordance with § 6340;

(d) Drug Screening in accordance with § 6343;

(e) Crisis Intervention in accordance with § 6341;

(f) Medication Management in accordance with § 6345; and

(g) RSS in accordance with § 6344.

6334.4

The provider shall conduct discharge planning shall for all clients discharged from Level 3.1. Discharge planning criteria shall include at least the following activities prior to discharge from a Level 3.1 program:

(a) A review of the client's behavioral health, social, and physical needs;

(b) Completion of referrals to appropriate community services providers, to address the client's identified needs;

(c) If the client desires, the provider shall arrange for appointments with community providers which shall be made as soon as possible after discharge; and

(d) Each client shall be given the opportunity to participate in the development of his or her discharge plan, including selecting appropriate community providers. With the consent of the client, and when clinically appropriate, reasonable attempts shall be made to contact family members for their participation in the discharge planning process. No client or family member shall be required to agree to a discharge. A provider shall make a notation in the client's record if any objection is raised to the discharge plan.

D.C. Mun. Regs. r. 22-A6334

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