This regulation defines Medication Management as a specialty service within certified SUD treatment programs or community settings, covering coordination and evaluation of medications, monitoring side effects and drug interactions, and supporting withdrawal management. Providers holding MMIWM or Level 3 certifications must also be certified to provide this service. Qualified Practitioners (physicians and APRNs) must deliver the service in person and coordinate with the client's primary care practitioner unless the client refuses consent. Documentation must include an encounter note and completed medication fields in the client record.
View official sourceSPECIALTY SERVICE: MEDICATION MANAGEMENT Medication Management shall include the coordination and evaluation of medications consumed by clients, monitoring potential side effects, drug interactions, compliance with doses, and efficacy of medications. Medication Management also includes the evaluation of a client’s need for MSUD, the provision of prescriptions and ongoing medical monitoring/evaluation related to the use of psychoactive drugs. Medication Management is used to inform treatment and to assist with withdrawal management, as clinically appropriate. All providers certified as MMIWM or at any of the Level 3 certifications shall also be certified to provide Medication Management. Medication Management requires in-person interaction with the client and may not be conducted at the same or overlapping times as any other service. The Qualified Practitioner performing the Medication Management service or the Clinical Care Coordinator, if not the same individual, must coordinate with the client’s primary care practitioner unless the client’s record documents that the client refused to provide consent for the coordination. Documentation of Medication Management shall include an encounter note and appropriately completed medication fields in the record, if applicable. Medication Management shall be provided in certified SUD treatment programs or community settings. Qualified Practitioners of Medication Management are: Physicians; and APRNs. 6345.10 The following may deliver Medication Management under the direction of a Qualified Practitioner: Physician Assistants (PAs). Registered Nurses (RNs); or Licensed Practical Nurses (LPNs). SOURCE: Final Rulemaking published at 62 DCR 12056 (September 4, 2015); as amended by Final Rulemaking published at 67 DCR 011585 (October 9, 2020); as amended by Final Rulemaking published at 72 DCR 008497 (August 1, 2025). District of Columbia Municipal Regulations Mental Health 22-A DCMR § 6345