DHS 75.23(1)(a)(a) Services delivered under this chapter shall adhere to standardized levels of care as defined in this chapter. A service shall apply the ASAM criteria or other department-approved placement criteria to determine the appropriate level of care, and services shall be delivered consistent with that level of care. DHS 75.23(1)(b)(b) A service shall not deliver or purport to deliver a service for which they do not possess certification by the department under this chapter. DHS 75.23(2)(2) Use of asam or other department-approved placement criteria. DHS 75.23(2)(a)(a) A service shall utilize ASAM placement criteria or other department-approved placement criteria to determine the level of care that is matched to a patient’s needs and risk level. DHS 75.23(2)(b)(b) In order to be approved by the department, other placement criteria must include all of the following: DHS 75.23(2)(b)1.1. A multi-dimensional assessment tool that captures behavioral health, physical health, readiness for change, social risk levels and directly correlates risk level to service levels of care based on frequency and intensity of the service. DHS 75.23(2)(b)2.2. Proof that the criteria is accepted and utilized within professional organizations in the field of healthcare and allows for consistency of interpretation across settings and providers. DHS 75.23 NoteNote: Copies of the ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions (published October 24, 2013) are on file in the department’s division of care and treatment services and the legislative reference bureau, and may be obtained from ASAM at 11400 Rockville Pike, Suite 200, Rockville, MD 20852, or https://www.asam.org/asam-criteria/text. DHS 75.23(3)(3) Level of care transfer. A service that offers more than one level of care under this chapter shall identify in the clinical record which level of care the patient is receiving based on the clinical assessment. When a level of care transfer is completed as indicated by assessment or treatment plan review, the service shall document the level of care transfer in the record and shall thereafter meet the service requirements for the indicated level of care. DHS 75.23(4)(a)(a) If a patient is receiving services in more than one level of care at a given time, the service shall adhere to all applicable standards for each level of care, and to the level of care standard with the highest requirement when more than one apply. DHS 75.23(4)(b)(b) If a patient is receiving services in more than one level of care at a given time, the patient shall be listed on a roster or patient list for each level of care in which they receive services. DHS 75.23 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22. DHS 75.24(1)(a)(a) A service shall complete an initial screening for an individual that presents for services. The screening shall include all of the following: DHS 75.24(1)(a)1.1. Sufficient assessment of dimensional risk and severity of need to determine preliminary level of care. DHS 75.24(1)(a)2.2. A determination of the patient’s needs for immediate services related to withdrawal risk, acute intoxication, overdose risk, induction of pharmacotherapy, or emergency medical needs. DHS 75.24(1)(b)(b) A screening is preliminary, and is either confirmed or modified based on completion of the full assessment and ASAM or other department-approved level of care placement criteria. DHS 75.24(1)(c)(c) The screening completed under this subsection may be combined with a more comprehensive assessment. DHS 75.24(2)(2) Emergency services. If a need is identified for immediate services related to withdrawal, acute intoxication, overdose, or other reason, the service may initiate treatment prior to completion of the comprehensive assessment or treatment plan. The patient’s record for emergency services shall include documentation of all of the following: DHS 75.24(2)(b)(b) A consent for services to be received, signed by the patient or the patient’s legal guardian. DHS 75.24(2)(c)(c) A progress note for all services delivered to the patient. DHS 75.24(2)(d)(d) A reason for the initiation of emergency services and a completed initial screening that evaluates biomedical, mental health, and substance use indicators, and guides decision-making regarding the initial level of care placement and referral. DHS 75.24(3)(3) After hours emergency response. A service shall have a written policy and procedure for how the clinic will provide or arrange for, the provision of services to address a patient’s behavioral health emergency or crisis during hours when its offices are closed, or when staff members are not available to provide behavioral health services.