Level 3.1 Clinically Managed Low-Intensity Residential Services

Level 3.1 Clinically Managed Low-Intensity Residential Services Rules in this section are based on the ASAM’s established criteria for Level 3.1 Clinically Managed Low-Intensity Residential Services. A. Level 3 Clinically Managed Low-Intensity Residential Services are provided in a safe and stable group living environment which promotes recovery while encouraging the pursuit of vocational or related opportunities. B. Admission into a Level 3 Clinically Managed Low-Intensity Residential Program is based on a Level of Care (LOC) Placement assessment, in accordance with the ASAM Criteria, and usually follows treatment in a more intensive level of care. The person’s length of stay is determined by the goals the person has achieved on their Individual Service Plan. There is no fixed length of stay in this level of care. People placed in a low-intensity residential setting (Level 3.1 or higher) must be re-assessed at minimum every 14 calendar days to ensure level of care appropriateness. The multi-disciplinary team and treatment professionals have a responsibility to make admission, continued service, and discharge decisions based on clinical evaluation of a person’s assessed needs and treatment progress for all people seeking services including those people who are under a court order with a specified length of stay. If a person has improved significantly enough to warrant discharge or transfer to another level of care, then the treatment professional has a responsibility to contact the appropriate court and seek to have the court order amended. Provider should refer to the current version of the ASAM Criteria. C. The program components include at a minimum: 1. People must receive a minimum of five (5) hours of treatment a week. 2. At least one (1) hour of individual therapy per week with each person. 3. A minimum attendance of at least two (2) hours of group therapy per week. Group therapy must be offered at times that accommodate the schedules of the people. 4. Family therapy must be offered and available as needed. Documentation of attendance or refusal is required. 5. Psychoeducational groups individualized to the people. Topics to be addressed may include, but are not limited to, vocation, education, employment, recovery, or related skills. 6. Therapeutic and leisure/recreational/physical exercise activities (with the appropriate medical professional’s approval in accordance with the professional’s scope of practice). D. A written master schedule of activities that documents the provision of the following services: 1. Group therapy; 2. Psychoeducational groups; and 3. Therapeutic and leisure/recreational/physical exercise activities. E. Employment for people in Low-Intensity Residential Services must be community-based and not part of the service location.