Md. Code Regs. 10.47.02.05

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.47.02.05 - Intensive Outpatient Services Level II.1 and Partial Hospitalization Services Level II.5

A. Program Description. A program shall provide structured outpatient evaluation and treatment to patients who require programming:

(1) From 9 to 20 hours weekly for adult intensive outpatient services;

(2) From 6 to 20 hours weekly for adolescent intensive outpatient services, based on the adolescents' developmental and clinical needs; and

(3) From 20 to 35 hours weekly for adult and adolescent partial hospitalization services.

B. Patients who are appropriate for this level of treatment shall meet the current edition of the American Society of Addiction Medicine Patient Placement Criteria for either Level II.1 or Level II.5, or its equivalent as approved by the Administration.

C. Staffing.

(1) Services shall be provided by appropriately credentialed staff as described in COMAR 10.47.01.06C.

(2) The patient to alcohol and drug counselor ratio may not exceed 15 patients to one full-time alcohol and drug counselor.

D. Program Services. A program shall provide the following services:

(1) An assessment as described in COMAR 10.47.01.04C within 1 week of admission;

(2) An individualized treatment plan as described in COMAR 10.47.01.04C completed and signed by the alcohol and drug counselor and patient within 5 working days of the comprehensive assessment and updated every 30 days;

(3) Case management services;

(4) At least one group counseling session a week;

(5) At least one individual session every 2 weeks;

(6) Family services, which may include an assessment for family needs and, as clinically appropriate:

(a) Alcohol and drug education; and

(b) Family counseling.

E. Documentation. A designated clinical staff person shall:

(1) Write a patient progress note at the end of each week that services are provided; and

(2) Place the progress note in the patient's record.

F. Referral Services. The program shall offer the following services or maintain a listing of agency referral agreements for the following services:

(1) Medical services with medical consultations available:

(a) Within 24 hours of a request for service by telephone for intensive outpatient services;

(b) Within 72 hours of a request for service in person for intensive outpatient services;

(c) Within 8 hours of a request for service by telephone for partial hospitalization services; and

(d) Within 48 hours of a request for service in person for partial hospitalization services;

(2) Services through the Division of Rehabilitation Services;

(3) Vocational assistance;

(4) Mental health services with psychiatric consultations available:

(a) Within 24 hours of a request for service by telephone for intensive outpatient services;

(b) Within 72 hours of a request for service in person for intensive outpatient services;

(c) Within 8 hours of a request for service by telephone for partial hospitalization services; and

(d) Within 48 hours of a request for service in person for partial hospitalization services;

(5) Substance abuse treatment programs;

(6) Legal assistance; and

(7) Social services.

Md. Code Regs. 10.47.02.05

Regulations .05 Specific Program Requirements, adopted effective June 10, 2002 (29:11 Md. R. 882)
Regulation .05 amended as an emergency provision effective April 1, 2008 (35:9 Md. R. 894); amended permanently effective May 5, 2008 (35:9 Md. R. 898)