This regulation governs Medically Monitored Inpatient Withdrawal Management (MMIWM) under DC Medicaid, defining it as a 24-hour, medically directed SUD withdrawal management program aligned with ASAM criteria. Stays are limited to five days unless authorized otherwise, and reimbursement is on a per-diem basis per Title 22-A DCMR Chapter 63 standards. Providers may not bill MMIWM on the same day as Crisis Intervention, Medication Management, Methadone/OTP services, or Clinical Care Coordination for the same individual.
View official sourceHYPERLINK "http://www.westlaw.com/Find/Default.wl?rs=dfa1.0&vr=2.0&DB=DC-MR&DocName=LK%2829DCADCS809%29&FindType=l" 9106 MEDICALLY MONITORED INPATIENT WITHDRAWAL MANAGEMENT 9106.1 Medically Monitored Inpatient Withdrawal Management (MMIWM) is a twenty-four (24) hour, medically directed evaluation and withdrawal management program that provides SUD treatment services in accordance with American Society of Addiction Medicine criteria. 9106.2 A MMIWM stay shall not exceed five (5) days unless otherwise authorized. 9106.3 MMIWM shall: Be reimbursed using a per-diem unit; Be delivered in accordance with requirements set forth in Chapter 63 of Title 22-A DCMR. Not be billed on the same day as Crisis Intervention, Medication Management, or Methadone Services in Opioid Treatment Programs. 9106.4 An MMIWM provider shall not bill Clinical Care Coordination for an individual on the same day as rendering MMIWM to such individual. SOURCE: Final Rulemaking published at 59 DCR 11144 (September 28, 2012); as amended by Final Rulemaking published at 63 DCR 11655 (September 23, 2016); as amended by Final Rulemaking published at 72 DCR 013719 (December 5, 2025). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 9106