Limitations on services for treatment of substance use disorder.

75-02-02-10.2. Limitations on services for treatment of substance use disorder. 1. For purposes of this section: a. "Clinically managed high-intensity residential care" means services for treatment of substance use disorder as prescribed in chapters 75-09.1-03 and 75-09.1-03.1. b. "Clinically managed low-intensity residential care" means services for treatment of substance use disorder as prescribed in chapters 75-09.1-02 and 75-09.1-02.1. c. "Clinically managed residential withdrawal" means services for treatment of substance use disorder as prescribed in chapter 75-09.1-08. d. "Intensive outpatient treatment" means services for treatment of substance use disorder as prescribed in chapters 75-09.1-06 and 75-09.1-06.1. e. "Medically monitored intensive inpatient treatment" means services for treatment of substance use disorder as prescribed in chapters 75-09.1-04 and 75-09.1-04.1. f. "Outpatient services" means services for treatment of substance use disorder as prescribed in chapters 75-09.1-07 and 75-09.1-07.1. g. "Partial hospitalization" means services for treatment of substance use disorder as prescribed in chapters 75-09.1-05 and 75-09.1-05.1. h. "Services for treatment of substance use disorder" means services provided to an individual with an impairment resulting from a substance use disorder which are provided by a multidisciplinary team of health care professionals and are designed to stabilize the health of the individual. Services for treatment of substance use disorder may be hospital-based or nonhospital-based. 2. Limitations. Payment may not be made for clinically managed low-intensity residential care services, unless the recipient is concurrently receiving intensive outpatient treatment or partial hospitalization services. 3. Licensed addiction counselors, operating within their scope of practice, performing outpatient services, and practicing within a recognized Indian reservation in North Dakota are not required to also have licensure prescribed in article 75-09.1, for Medicaid outpatient billed services provided within a recognized Indian reservation in North Dakota. 4. Licensed addiction counselor includes licensed clinical addiction counselors, licensed master addiction counselors, and practitioners possessing a similar license in a border state and operating within their scope of practice in that state. 5. Licensed addiction programs operating in a border state must provide documentation to the department of their state's approval for the operation of the addiction program. History: Effective November 8, 2002; amended effective November 19, 2003; October 1, 2012; July 1, 2014; April 1, 2018; April 1, 2020; January 1, 2022. General Authority: NDCC 50-24.1-04 18 Law Implemented: NDCC 50-24.1-04; 42 CFR Part 431.54