The vendor is required to provide medically managed intensive inpatient withdrawal management (IIWM) services to be performed by licensed medical staff who are able to care for patients with acute withdrawal signs and symptoms.
- Pre-admission referral review.
- Receipt of a referral package from agency staff, the contractor shall review the referral documentation to determine the individual’s suitability to successfully participate in treatment.
• Complicating medical conditions – to ensure the absence of any complicating medical conditions which would impact the patient from appropriately receiving inpatient withdrawal management services.
• Medication compliance – to ensure that any pre-existing medical and mental health conditions (i.e., acute medical or actively psychotic) are adequately stabilized by appropriate medications and treatment.
• Ambulatory abilities – to ensure the requisite ambulatory abilities and physical stamina required to participate in treatment.
• Self-care – to ensure the individual’s ability to provide basic self-care (i.e., hygiene, etc.) During treatment.
- Intake process
1. Admission and no-show notification
• All admissions and no-shows, within 12 hours of each scheduled admission, utilizing the admission notification form that is provided with each referral and billing authorization.
• This notification must be provided in writing (via email or fax) to the officer, and the patients assigned.
• Specific contact information and notification instructions are found in each referral package.
• Failure to adhere with this requirement absolves agency of financial responsibility for the patient.
• The contractor’s admission criteria shall include exclusionary factors such as medical and mental health or any condition(s) that would deem the patient unacceptable for admission at the time of referral determination.
• Transport patients from pick-up locations designated in the referral package and drop off locations as determined during the discharge planning process.
2. Intake interview
• Conduct a history and physical examination by a physician, physician assistant, or nurse practitioner (within 12 hours of admission).
• Conduct a nursing assessment, which shall include a clinical institute withdrawal assessment (CIWA) (within 12 hours of admission).
• Conduct a mini-mental status exam (within 12 hours of admission).
• Conduct an initial suicide assessment using an evidence-based assessment tool within 12 hours of admission).
• Order and complete all necessary labs, to include urinalysis and oral toxicology (within 12 hours of admission).
• If not provided by the government, administer a purified protein derivative (PPD) tuberculin test, or chest x-ray, and document the results in the patient’s treatment file (within 12 hours of admission).
• Retrieve and secure any medications or prescriptions from the patient (within hours of admission).
• Obtain signed waivers of confidentiality upon the informed consent of the patient.
• The waiver of confidentiality shall extend to all therapists and treatment providers treating the patient (within 12 hours of admission).
• Identify the patient’s primary case manager (within 12 hours of admission).
• Review the program rules with the patient, as well as the patient’s rights and responsibilities (within 12 hours of admission).
• Conduct a nutritional assessment (within 12 hours of admission).
3. Treatment plan
• The individualized treatment plan shall include problem formulation, short- term and long-term measurable treatment goals, with specific services and activities designed to achieve those goals.
• It also shall include a schedule for service delivery, identifying frequency and duration of services.
• The individualized treatment plan shall also reflect case management activities conducted by on-site staff, and the coordination of additional treatment, health, dental and mental health interventions.
• Pro-social supports, vocational and housing services, along with any other services at this and other levels of care shall be noted in this plan.
• The plan shall be developed in collaboration with the patient and reflect the patient’s personal goals.
• Treatment plans must be reviewed and reassessed daily by an inter-disciplinary treatment team that, at a minimum, consists of the physician, nurse, and case manager.
• Treatment plans also must be reviewed, updated and modified when major clinical changes occur, or when major life, family, or social circumstances may complicate treatment.
• When treatment plans are revised and resigned by the client and contractor staff, a copy shall be provided to the client and the ins and agency with a signed ROI.
- Medically managed intensive inpatient withdrawal management programming expectations
• Withdrawal management services is an organized service delivered by medical and nursing professionals, who provide 24-hour, medically supervised evaluation and safe withdrawal management in an acute care or psychiatric hospital inpatient unit.
• Services are delivered under a defined set of physician-approved policies and physician-managed procedures for medical protocols.
• This level provides care to patients whose withdrawal signs and symptoms are sufficiently severe enough to require 24-hour medically managed care, where the focus is primarily medical and nursing care.
• Withdrawal management services include substance abuse assessment, daily medication monitoring and counseling services.
- Questions/Inquires Deadline: February 5, 2026
