This regulation establishes the standards for Level 2.1 Intensive Outpatient Programs (IOP) for substance use disorder treatment in the District of Columbia. Providers must deliver between 9–19 hours per week of SUD treatment services for adults and 6–19 hours per week for adolescents, following ASAM Level 2.1 criteria. Required core services include diagnostic assessment, SUD counseling/therapy, care coordination, drug screening, crisis intervention, and recovery support services, all aligned with each client's Plan of Care.
View official sourceLEVEL OF CARE 2.1: INTENSIVE OUTPATIENT PROGRAM (IOP) Level 2.1 Intensive Outpatient Program (IOP) providers shall have the capacity to provide between nine (9) and nineteen (19) hours of a mixture of SUD treatment services per week for adults and between six (6) and nineteen (19) hours of treatment services per week for adolescents in accordance with this section and medical necessity based on ASAM criteria. IOP is the appropriate LOC for clients who are assessed as meeting the ASAM criteria for Level 2.1 and: Recognize their SUD and are committed to recovery; Are transitioning from a different LOC; or Have stable medical or psychiatric co-occurring conditions. Unless clinically inappropriate or a client does not consent, all providers shall adhere to the service requirements for this LOC. Level 2.1 IOP includes the following mix of core services, in accordance with the client’s Plan of Care: Diagnostic Assessment and Plan of Care in accordance with § 6339; SUD Counseling/Therapy in accordance with § 6342; CCC in accordance with § 6340; Drug Screening in accordance with § 6343; Crisis Intervention in accordance with § 6341; and RSS in accordance with § 6344. SOURCE: Final Rulemaking published at 62 DCR 12056 (September 4, 2015); as amended by Final Rulemaking published at 67 DCR 011585 (October 9, 2020). District of Columbia Municipal Regulations Mental Health 22-A DCMR § 6332