Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 6 - INPATIENT PSYCHIATRIC AND SUBSTANCE USE DISORDER SERVICES
Section 317:30-5-95.43 - Residential substance use disorder treatment
Universal Citation: OK Admin Code 317:30-5-95.43
Current through Vol. 42, No. 1, September 16, 2024
(a) Purpose. The purpose of sections OAC 317:30-5-95.43 - 317:30-5-95.49 is to establish the procedures and requirements for residential treatment facilities providing SUD treatment services.
(b) Definitions. The following words and terms, when used in the aforementioned sections, shall have the following meanings unless the context clearly indicates otherwise.
(1)
"ASAM" means the American Society of Addiction Medicine.
(2)
"ASAM criteria" means the
most recent edition of the American Society of Addiction Medicine's published
criteria for admission to treatment, continued services, and
discharge.
(3)
"ASAM levels
of care" means the different options for treatment as described below
and in the current edition of the ASAM criteria that vary according to the
intensity of the services offered. Each treatment option is a level of care.
(A)
"ASAM level 3" means
residential and inpatient services and encompasses ASAM levels 3.1, 3.3, 3.5
and 3.7.
(B)
"ASAM level
3.1" means clinically managed low-intensity residential services for
adolescents and adults. This level of care typically provides at least five (5)
hours of clinical services a week and provides a twenty-four (24) hour living
support and structure with trained personnel. The corresponding service
description for this level of care is halfway house services.
(C)
"ASAM level 3.3" means
clinically managed population-specific high-intensity residential services.
This level of care is for adults only and typically offers twenty-four (24)
hour care with trained personnel and is designed to accommodate individuals
with cognitive or other impairments. The corresponding service description for
this level of care is residential treatment for adults with co-occurring
disorders.
(D)
"ASAM level
3.5" means clinically managed medium-intensity residential services for
adolescents and clinically managed high-intensity residential services for
adults. This level of care provides twenty-four (24) hour care and offers a
wide range of therapeutic services. The corresponding service descriptions for
this level of care are residential treatment and intensive residential
treatment.
(E)
"ASAM level
3.7" means medically monitored high-intensity inpatient services for
adolescents and medically monitored intensive inpatient withdrawal management
for adults. This level of care provides twenty-four (24) hour nursing care with
physician supervision and medication availability. This level of care is
appropriate for individuals withdrawing from alcohol or other drugs with
subacute biomedical and emotional, behavioral, or cognitive problems severe
enough to require inpatient treatment but for whom hospitalization is not
necessary. The corresponding service description for this level of care is
medically supervised withdrawal management.
(4)
"Care management services"
means an assessment of a member, development of a care plan, and referral and
linkage to SUD community supports and community-based or lower level of care
services to promote continued recovery after the individual discharges from the
treatment facility.
(5)
"Co-occurring disorder (COD)" means any combination of mental
health symptoms and SUD symptoms or diagnoses that affect a member and are
typically determined by the Diagnostic and Statistical Manual of Mental
Disorders (DSM).
(6)
"DSM" means the most recent edition of the Diagnostic and
Statistical Manual of Mental Disorders (DSM) published by the American
Psychiatric Association.
(7)
"ODMHSAS" means the Oklahoma Department of Mental Health and
Substance Abuse Services (ODMHSAS).
(8)
"Per diem" means an
all-inclusive rate for covered SUD treatment services provided each day during
a facility stay.
(9)
"Rehabilitation services" means face-to-face individual or group
services provided by qualified staff to develop skills necessary to perform
activities of daily living and successful integration into community life.
Rehabilitation services for substance use disorders are also referred to as
skill development services.
(10)
"Service plan" means the document used during the process by which
an LBHP or a licensure candidate and the member together and jointly identify
and rank problems, establish agreed-upon immediate short-term and long-term
goals, and decide on the treatment process and resources to be
utilized.
(11)
"Substance use
disorder (SUD)" means alcohol or drug dependence, or psychoactive SUD as
defined by the most recent DSM criteria.
(12)
"Therapeutic services"
means professional services during which members engage in identifying,
addressing and/or resolving issues identified in the member's service
plan.
(13)
"Treatment hours B
residential" means the structured hours in which a member is involved in
receiving professional services to assist in achieving
recovery.
Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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