471 NAC 20-030. MEDICALLY MONITORED INPATIENT WITHDRAWAL MANAGEMENT (MMIW)

030. MEDICALLY MONITORED INPATIENT WITHDRAWAL MANAGEMENT (MMIW). Medically monitored inpatient withdrawal management (MMIW) is a non-hospital intervention that provides 24-hour medically monitored evaluation under physician-approved policies and procedures or clinical protocols. This service is suitable for beneficiaries that require 24-hour care, but do not require the full resources of an acute care general hospital or a medically managed intensive inpatient program. 030.01 ACCREDITATION. Medically monitored inpatient withdrawal management (MMIW) services must be accredited by a national accrediting agency for the appropriate inpatient setting. 030.02 REQUIREMENTS. The following requirements must be met for the medically monitored inpatient withdrawal program (MMIW): (A) A physician, physician assistant (PA), or advanced practice registered nurse (APRN) must complete a physical assessment within 24 hours of admission or immediately, if medical necessity arises; (B) A licensed medical professional including a physician, physician assistant (PA), and advanced practice registered nurse (APRN) or a licensed therapist operating within their scope of practice, must complete a mental status examination as part of the intake and assessment process; (C) A physician, physician assistant (PA), or advanced practice registered nurse (APRN) must be available to provide on-site care and further evaluation on a daily basis and be available 24 hours a day by telephone to provide access to the patient; (D) A licensed physician, physician assistant (PA), advanced practice registered nurse (APRN), or therapist operating within their scope of practice must conduct a substance use assessment, including the risk to self or others, and determination of appropriate level of care; (E) The substance use assessment must be used to develop the individual treatment plan; and (F) The withdrawal management program must provide random urine drug testing, health education, and addiction education services and laboratory and toxicology tests, as ordered by the physician, physician assistant (PA) or advanced practice registered nurse (APRN).