|(a) Eligibility for continued stay for inpatient (hospital or 24-hour residential) detoxification services shall be based on the patient meeting at least one of the criteria in paragraphs (1)-(3) of this subsection. (1) Chemical substance withdrawal complication. The patient must meet the criteria in one of the subparagraphs (A)-(C) of this paragraph, as follows: (A) incomplete medically stable withdrawal from alcohol/drugs, as evidenced by documentation of: (i) unstable vital signs; (ii) continued disorientation; (iii) abnormal laboratory findings related to chemical dependency; (B) continued cognitive deficit related to withdrawal with the deficit affecting the patient's ability to recognize alcohol/drug use as a problem; or (C) laboratory finding which, in the judgment of a physician, indicate that a drug has not sufficiently
cleared the patient's system. (2) Major medical complications. Documentation must indicate that a medical condition or disorder (e.g., diabetes mellitus, uncontrolled) continues to present a health risk and is actively being treated. (3) Major psychiatric complication. The patient must meet the criteria in subparagraph (A) or (B) of this paragraph, as follows: (A) documentation that a DSM III-R AXIS I psychiatric condition or disorder, which, in combination with alcohol/drug use, continues to present a major health risk, is actively being treated; or (B) documentation that severe neurological and/or psychological symptoms have not been satisfactorily reduced but are actively being treated. (b) The criteria in subsection (a)(1)-(3) of this section shall be considered in determining utilization review points referred to in §3.8010 of this title (relating to Recommended Length of Stay
for Inpatient (Hospital or 24-hour Residential) Detoxification Services).