Level 3.7 Medically Monitored Intensive Inpatient Services (Adults)

Level 3.7 Medically Monitored Intensive Inpatient Services (Adults) Rules in this section are based on the ASAM’s established criteria for Level 3.7 Medically Monitored Intensive Inpatient Services. A. Level 3.7 Medically Monitored Intensive Inpatient Services: This level of care provides services for people with subacute medical problems needing more structure found in a Level 2.5 Partial Hospitalization Program and monitoring on a 24-hour basis, but do not require the services of an acute care or psychiatric hospital. It can be free-standing or a unit of a hospital. 1. Programs are staffed by an interdisciplinary team of appropriately credentialed professionals, including a licensed physician who oversees the treatment process and a RN (usually 24/7). 2. Persons must be in imminent danger to justify admission and continued stay. The person’s length of stay is determined by the goals they have achieved on their Individual Service Plan. There is no fixed length of stay in this level of care. People placed in a Medically Monitored Intensive Inpatient care setting (Level 3.7 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 that are under a court order with a specified length of stay. If a person has improved significantly to warrant discharge or transfer to another LOC, the treatment professional has a responsibility to contact the appropriate court and seek to have the court order amended. The provider should reference the Mandated Level of Care/Length of Stay in the current version of the ASAM Criteria. 3. Daily clinical services address the person’s biomedical needs (which may include appropriate medical and nursing services) and psychosocial needs. Clinical program activities are designed to enhance the person’s understanding of their substance use and/or mental disorder. Daily treatment services are provided to manage symptoms of the person’s biomedical, substance, and mental disorder. Evidence-based practices are employed (e.g. motivational enhancement strategies).