N.Y. Comp. Codes R. & Regs. tit. 14 § 816.4

Current through Register Vol. 46, No. 38, September 18, 2024

Section 816.4 - Definitions

(a) "Detoxification" or "detox" means a medical withdrawal and stabilization regimen under the supervision of a physician or nurse practitioner, consistent with federal authority, to reduce systematically the amount of an addictive substance on which the patient is physiologically dependent, provide reasonable control of active withdrawal symptoms and/or avert a lifethreatening medical crisis related to the substance on which the patient is physiologically dependent.

(b) "Discrete unit" means an OASAS program certified pursuant to Article 32 of the Mental Hygiene Law providing inpatient or outpatient substance use disorder treatment co-located in a facility licensed pursuant to Article 28 of the Public Health Law because such facility is providing treatment due to a consistent demand exceeding five (5) medical-surgical beds, or greater than 10% of overall patient days.

(c) "Medically managed withdrawal and stabilization services" are 24/7 services designed for individuals who are acutely ill from alcohol and/or substance related addictions or dependence, including the need for medical management of persons with severe withdrawal or risk of severe withdrawal symptoms, and may include individuals with or at risk of acute physical or psychiatric co-occurring conditions. This level of care includes the forty-eight (48) hour observation bed. Individuals who have stabilized in a medically managed detoxification service may transition to a medically supervised service within the same service setting or may be transferred to another service setting.

(d) "Medically supervised inpatient withdrawal and stabilization services" means services for the treatment of moderate withdrawal symptoms and non-acute physical or psychiatric complications. This service is physician directed and staffed 24/7 with medical staff and includes twenty-four (24) hour emergency medical coverage. Medically supervised withdrawal and stabilization services are appropriate for persons who are intoxicated by alcohol and/or substances, who are experiencing or who are expected to experience withdrawal symptoms that require medical oversight. Individuals who have stabilized in a medically managed or medically supervised inpatient withdrawal service may transition to a medically supervised outpatient service.

(e) "Medically supervised outpatient" means services appropriate for persons who are suffering from mild to moderate withdrawal or persons experiencing non-acute physical or psychiatric complications associated with their substance use disorder and who are unable to detox on their own without withdrawal complications, but who retain a stable living environment.

(f) "Observation bed" means a service providing intensive assessment and treatment of withdrawal where the patient has continuous periodic evaluation for up to forty-eight (48) hours. The care given in an observation bed is a medically managed level of care.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 816.4

Adopted New York State Register March 27, 2019/Volume XLI, Issue 13, eff. 3/27/2019

Amended New York State Register September 14, 2022/Volume XLIV, Issue 37, eff. 10/1/2022