Treatment Center State Licensing

Key licensing requirements

1. Identify your approval category. DBH department-approval categories include behavioral health clinic and rehabilitation services, residential SUD treatment, withdrawal management and opioid treatment. Select the categories matching your proposed services under 7 AAC 70. Department-approval guidance.
2. Document each location and service. The new-provider application requests physical locations, service areas, populations, service categories, ASAM levels, an organizational chart and employee-position information. Include the required attestation and provider self-evaluation. Application.
3. Prepare clinical and personnel systems. Document staff qualifications, supervision, orientation and evaluations, together with assessment, treatment planning, medication, infection-control and quality-improvement procedures. Withdrawal-management services have additional staff-training and competency checks. Provider self-evaluation.
4. Include accreditation and screening records. The application requests national-accreditation information and staff background-check approval letters. Alaska’s Background Check Program administers screening for covered organizations and individuals under AS 47.05.300–.390. Application; Background Check Program.
5. Use the appropriate facility pathway. Hospitals, residential psychiatric treatment centers and subacute mental-health facilities have separate healthcare-facility licensing requirements. Apply through the Health Facilities Licensing and Certification program for those settings. Facility licensing.

Official sources

• DBH provider resources
• New-provider application
• Provider self-evaluation
• Healthcare-facility licensing

Key licensing requirements

1. Choose the institution category. Arizona’s rules distinguish behavioral health inpatient facilities, behavioral health residential facilities, outpatient treatment centers and counseling facilities. Your proposed treatment and medical services must fit the selected category. A.A.C. Title 9, Chapter 10.
2. Apply through ADHS’s online system. Submit your application through the Licensing Management System. Supply ownership and controlling-person information, premises details, requested services and the supporting documents for your facility category. Behavioral health licensing.
3. Set residential leadership and supervision. Appoint an administrator and document staff qualifications, training and supervision. At ten or more licensed residents, designate a behavioral health professional as clinical director; a qualified administrator may hold both roles. Residential licensing checklist.
4. Complete required residential screening. Apply the fingerprint-clearance requirements and exceptions for covered personnel. Residential institutions must also check prospective employees against the adult protective services registry and repeat employee registry checks annually. A.R.S. §36-411.
5. Prepare the residential premises and policies. The initial checklist addresses treatment planning, medication handling, emergency procedures, infection control, environmental safety and physical space. Build the required disaster and evacuation drills into your operating schedule. Residential inspection checklist.
6. Maintain fees and compliance. A regular institutional license does not expire, but required fees and licensing standards remain ongoing obligations. Arizona provides annual compliance inspections, subject to statutory exceptions. A.R.S. §36-425.

Official sources

• ADHS behavioral health licensing
• Current facility rules
• Residential checklist
• Licensing statute

Key licensing requirements

1. Secure residential licensure. Nonexempt adult nonmedical residential treatment programs require a DHCS license. Licensees also need at least one DHCS level-of-care designation or qualifying residential ASAM certification consistent with their services. Residential licensing; level-of-care requirements.
2. Obtain outpatient certification. Nonexempt business entities with a California physical location providing covered outpatient addiction services must hold AOD certification. The statutory program definition excludes individual licensed practitioners working within their professional scope. Outpatient certification requirements.
3. Submit the correct application. Use DHCS 6002 for initial residential licensure and DHCS 6040 for certification, with applicable service and level-of-care forms. DHCS provides its Licensing and Certification Portal and coordinated email submission instructions. Applications and forms.
4. Budget for the July 2026 fees. Initial residential licensure carries a $6,061 application fee plus $644 per bed biennially. Initial outpatient certification carries a $5,824 application fee plus a $7,549 biennial fee. DHCS fee schedule.
5. Prepare staffing and safety systems. Certified programs need qualified counseling personnel, documented training and personnel records. A CPR- and first-aid-qualified staff member or practitioner must be physically present while AOD services are provided. Certification standards.
6. Complete premises review. For residential applications, DHCS obtains clearance directly from the local fire authority, and the authorized occupancy controls bed capacity. Include the premises documentation required for your application. Residential application.
7. Track outpatient renewal. Outpatient certification lasts two years. Submit the renewal application, fee and required information at least 90 days before expiration to maintain certification. Program certification and renewal.

Official sources

• DHCS facility licensing
• Outpatient certification
• Applications and fees
• Narcotic treatment program licensing

Key licensing requirements

1. Work through BHA. The administration manages behavioral health entity licenses, controlled substance licenses, mental-health designations and safety-net approvals. Its licensing resources identify the application pathway for each type of approval. BHA licensing resources.
2. Use LADDERS. BHA directs licensing transactions through its Licensing and Designation Database and Electronic Records System. Use the agency’s LADDERS resources to begin your application and manage licensing records. LADDERS.
3. Address controlled substances separately. Qualifying SUD entities administering, dispensing or compounding controlled substances require an additional BHA controlled substance license. The application framework includes practitioner involvement and treatment policies. Official controlled-substances program review.

Official sources

• BHA licensing and designation
• LADDERS
• Official behavioral health rules

Key licensing requirements

1. Apply for the residential facility license. Hawaii’s special treatment facility category covers therapeutic residential care, including substance use and mental-health treatment. OHCA’s State Licensing Section administers this license under HAR 11-98. Special treatment facility statute.
2. Assemble the premises and operating package. The application requires building, fire and sanitation clearances, measured floor plans, ownership and board information, an annual budget and a policy manual. SHPDA clearance is included when applicable. HAR 11-98 application standards.
3. Complete ADAD program accreditation. ADAD accreditation determines eligibility for state funding and serves as a co-requisite to special treatment facility licensure. Submit its program application and supporting standards documentation alongside your facility planning. ADAD accreditation.
4. Staff the residential program. Designate an administrator and program director, maintain written qualifications and provide at least one direct-service staff member per eight residents. Each shift needs at least one person with first-aid and CPR qualifications. HAR 11-98 staffing standards.
5. Complete covered-person background checks. OHCA’s process includes state and federal criminal-history and protective-service checks for covered operators, employees, volunteers and contractors. Use its category-specific instructions and retain the required results. OHCA screening instructions.
6. Prepare for annual renewal. Full special treatment facility licenses run for one year. Submit renewal 90 days before the licensing anniversary, with the required clearances, survey and any corrective-action documentation. HAR 11-98 licensing and renewal.
7. Address development approval. SHPDA administers Certificate of Need review for covered capital projects, substantial service changes and bed changes. Evaluate your residential development through that process and the applicable statutory exemptions. SHPDA Certificate of Need.

Official sources

• OHCA State Licensing Section
• HAR 11-98
• ADAD accreditation
• SHPDA project review

Key licensing requirements

1. Use the state-funded provider pathway. Organizations seeking Division of Behavioral Health-funded outpatient, residential, assessment or recovery-support work are directed to Magellan’s provider network. Follow DHW’s participation instructions for those publicly funded services. Behavioral health provider guidance.
2. Obtain hospital approval for a hospital model. DHW’s hospital process includes the application, construction and fire review, occupancy approval and a temporary license before patient admission, followed by the applicable survey and certification process. Hospital licensing.
3. Follow the children’s residential pathway for a PRTF. A psychiatric residential treatment facility serving Medicaid-eligible individuals under 21 first obtains children’s residential licensure, then meets the applicable accreditation and federal certification requirements. PRTF requirements.

Official sources

• DHW behavioral health provider guidance
• Hospital licensing
• Psychiatric residential treatment facilities

Key licensing requirements

1. Select your service level. Match your license to the applicable outpatient, partial hospitalization, residential, inpatient, or withdrawal-management category. The rules exclude nonclinical recovery residences from the SUD facility definition. ARM 37.106.1411.
2. Prepare the initial package. Submit the application, fee, building-plan materials, and administrator's rule-review attestation. The opening checklist calls for policies at least 45 days before expected opening and applications no more than six months in advance. Initial licensing checklist.
3. Document premises approval. Residential and inpatient applications need dimensioned floor plans, applicable building/occupancy documentation, and fire certification. Include well-water testing and septic inspection when those systems serve the facility. Premises checklist.
4. Appoint qualified leadership and screen staff. The clinical director must hold an accepted Montana clinical credential and cannot be a licensure candidate. Personnel records include criminal-history checks and, for programs serving or housing adolescents, Child Protective Services checks. ARM 37.106.1413 and .1432.
5. Build coverage around the level of care. Maintain required treatment-record, medication, patient-rights, and quality-management procedures. Residential Levels 3.3 and 3.5 require awake coverage around the clock; medically monitored and withdrawal services have additional clinical standards. Service-specific facility rules.
6. Obtain separate BHDD approval when applicable. The BHDD process requires an existing facility license, program application, site information, and local-need narrative. This approval supports specified funding and Medicaid participation and is distinct from facility licensure. BHDD approval instructions.

Official sources

• SUD facility applications
• Initial licensing checklist
• SUD facility rules
• BHDD program approval

Key licensing requirements

1. Select the facility category. Nevada's SUD facility category covers residential treatment, with statutory exclusions. Modified medical detoxification and narcotic treatment facilities follow separate approval categories rather than being included automatically in a residential license. NRS Chapter 449.
2. Assemble the application. HCQC requests business and entity records, administrator qualifications, ownership information, lease or deed, liability insurance, floor plans, and local use approval. Residential SUD applications also require BHCEN certification. HCQC application checklist.
3. Plan construction and fire review. Obtain required plan approval before construction or remodeling. HCQC coordinates the State Fire Marshal inspection after application uploads; submit the compliance certificate and applicable kitchen/food-establishment documentation. Premises and inspection checklist.
4. Budget for residential licensing. NAC 449.016 lists an initial residential SUD fee of $782 plus $190 per bed, and renewal at $391 plus $95 per bed. Medical detoxification has a separate fee schedule. Facility licensing fees.
5. Provide operating resources and qualified staff. Residential rules require resources for 120 days of operation, an accountable administrator, continuous staffing, documented qualifications, and appropriately credentialed counselors. Maintain written operating policies, emergency procedures, and referral arrangements. NAC 449.085 and 449.111–449.117.
6. Maintain annual facility renewal. NRS 449.089 requires renewal one year after issuance, with a renewal application, applicable fees, and continued compliance. Keep facility renewal separate from program certification and any additional service approvals. Annual renewal statute.

Official sources

• HCQC SUD facility licensing
• NRS Chapter 449
• NAC Chapter 449
• BHCEN certification

Key licensing requirements

1. Prepare medical outpatient premises before opening. Facilities classified under 8.370.18 NMAC need approval of applicable construction and floor plans, a service narrative, staffing information, and required zoning, building, fire, environmental, and pharmacy documentation. Outpatient medical-facility rules.
2. Complete the medical-facility survey and renewal process. HCA conducts an initial survey before an ordinary outpatient medical-facility license issues. These licenses last one year, with renewal application and fee due at least 30 days before expiration. 8.370.18.10–.14 NMAC.
3. Budget for the applicable facility fee. The fee schedule lists $300 for outpatient medical facilities and community mental health centers. Initial and renewal applications carry facility fees, and amended licenses have a separate charge. 8.370.3 NMAC.
4. Meet Medicaid residential approval standards. Participating adult accredited residential treatment centers require recognized accreditation and BHSD certification, including site visits. Their treatment, staffing, medical coverage, and withdrawal-management capabilities must match the applicable level of care. 8.321.2.10 NMAC.
5. Obtain the separate OTP approvals. Opioid treatment programs need HCA approval, SAMHSA certification, DEA registration, state pharmacy licensure, and local permits. The state application includes community-needs/impact information and an onsite inspection. 8.321.10.9–.10 NMAC.
6. Staff and renew your OTP. Maintain a New Mexico-licensed physician medical director and licensed counseling personnel. State OTP approval lasts three years; submit renewal between 90 and 180 days before expiration. 8.321.10 NMAC.

Official sources

• HCA Division of Health Improvement
• Outpatient medical-facility rules
• OTP rules
• Medicaid specialized behavioral-health standards

Key licensing requirements

1. Identify outpatient certification scope: Oregon requires certification for the publicly funded or contracted programs identified in OAR 309-008-0250. The rule exempts individual licensed practitioners and organizations composed exclusively of licensed practitioners; nonpublicly funded programs may seek certification for insurance reimbursement. Certificate-of-Approval rules.
2. Use the residential licensing pathway: Residential licensing covers publicly funded residential programs and facilities meeting the rule's statutory residential-treatment or detoxification-center definitions. Attend OHA's required technical-assistance meeting and submit a separate application for each facility. Residential licensing rules.
3. Allow time for outpatient applications: Submit complete initial and renewal certification applications at least six months before the requested date or expiration. Your materials address ownership, services, sites, credentials, operating policies, and adverse licensing history. Application requirements.
4. Build the qualified clinical team: Certified outpatient SUD programs must follow the professional-license, approved addiction-credential, or permitted trainee pathways in Division 19. Your program also needs qualified supervision, individualized treatment planning, clinical records, and policies for patient rights and grievances. Outpatient treatment standards.
5. Prepare residential premises for inspection: Document applicable zoning, building, fire, health, and accessibility compliance. OHA inspects residential facilities for initial licensing and renewal and may conduct additional unannounced inspections. Residential licenses generally last up to two years. Residential facility requirements.
6. Address withdrawal-management standards: Withdrawal-management services have their own clinical and staffing requirements under OAR chapter 415, division 50. Medically monitored withdrawal management requires continuous nursing coverage appropriate to that level of care. Withdrawal-management rules.
7. Include OTP approvals in your plan: Opioid treatment programs must meet Oregon's separate Division 20 requirements along with applicable SAMHSA and DEA requirements. State program approval and federal opioid-treatment authorization are separate parts of the opening process. Oregon OTP rules.

Official sources

• OHA outpatient certification
• OHA residential treatment licensing
• OHA licensing resources

Key licensing requirements

1. Choose the correct program category: DLBC separately lists outpatient, day treatment, residential treatment, youth congregate residential treatment, and social detoxification. Outpatient rules define IOP as nine to nineteen weekly hours for adults and at least six for youth. Outpatient treatment rule.
2. Document business and site readiness: Apply through the provider portal with responsible decision-makers, a current city business license, fire and local health inspection documents, insurance, organizational information, and policies. Residential applications also require the specified notice to the city. DLBC application instructions.
3. Budget the program fee: The July 2026 through June 2027 schedule sets the initial fee at $990 for outpatient, day treatment, residential treatment, and social detoxification. Renewal fees vary by category, and residential treatment also carries a licensed-capacity charge. Approved human services fee schedule.
4. Establish clinical and safety oversight: Clinical treatment programs need a clinical director, verified professional credentials, staff training, and appropriate medication oversight. Programs serving people with SUD must maintain an opioid overdose reversal kit and staff trained to use it. General human services requirements.
5. Complete staff clearances: DLBC directs background screening through DACS for personnel with direct or incidental access to clients or client records. Obtain the required approved clearance before staff provide unsupervised direct care. DLBC application and screening guidance.
6. Apply youth residential safeguards: Youth congregate residential treatment follows R501-19A, including requirements for clinical oversight, suicide prevention, crisis reporting, communication rights, and limits on searches and restraints. Its population rules differ from adult residential treatment. Youth congregate residential rule.
7. Plan renewal and service changes: Submit renewal at least thirty days before expiration and arrange the annual compliance review. Relocation, population or category changes, added license categories, and transfers of at least fifty percent ownership or control require a new application. Renewal and change instructions.

Official sources

• DLBC Human Services
• Applications and renewals
• Program rules and descriptions
• Approved fee schedule

Key licensing requirements

1. Select service and facility approvals: Outpatient certification covers intervention, assessment, and treatment services. Residential and inpatient SUD programs must also hold an appropriate DOH hospital, private psychiatric or alcohol-and-SUD hospital, or residential-treatment-facility license. Residential and inpatient licensing requirements.
2. Prepare the application: Submit your requested services and sites, business license, signed application, fee, service policies, and administrator disclosure and background report. DOH must approve policies before granting initial licensure or a new certification. BHA application requirements.
3. Plan appropriate premises: Agency facilities must provide accessible services, confidential consultation space, and secure records and meet applicable building and safety approvals. Personal residences cannot serve as behavioral health agency facilities. Facility requirements.
4. Maintain qualified staffing: Your agency must use appropriately credentialed personnel and clinical supervision. Group counseling or therapy requires at least one staff member for every sixteen participants. Match each professional's duties to their credential and scope. Personnel requirements.
5. Budget licensing and renewal: The initial agency fee is $2,250, a branch is $1,150, and an additional certification is $450. Annual fees vary with setting, service volume, and deemed status. Submit the signed renewal and fee before expiration. Fee schedule; renewal instructions.
6. Obtain withdrawal-management certification: Adult and youth withdrawal-management services have distinct certification standards, including medical management or monitoring and residential/inpatient compliance. Staff outside the listed professional exceptions need forty hours of documented training before individual-care duties. Withdrawal-management standards.
7. Coordinate OTP approvals: Opioid treatment programs require state certification, pharmacy approval, SAMHSA certification, and DEA registration. New or relocating programs document local-authority communication and a community-relations plan. Mobile and fixed medication units need DOH approval before serving patients. OTP application requirements.

Official sources

• DOH license requirements
• Behavioral health agency rules
• Residential treatment facility rules
• Application packet

Key licensing requirements

1. Identify mandatory certification: Obtain WDH certification when providing state-funded SUD services or accepting court-ordered or court-referred clients. The requirement includes providers delivering assessments without ongoing treatment. WDH certification handbook.
2. Submit the BHMS application: Identify every location and requested service, then provide business authority, corporate documents, disclosures, liability insurance, staff licenses, tailored policies, and applicable accreditation records. The department decides complete applications within thirty days. Chapter 2 application requirements.
3. Meet applicable accreditation requirements: Services funded by WDH under the Community Human Services Act and Chapter 3 require national accreditation. Residential SUD providers serving court-ordered clients also need residential accreditation; qualifying outpatient court-service and DOC-funded providers may use applicable state standards. Chapter 2 accreditation provisions.
4. Use current adult placement criteria: WDH requires ASAM Fourth Edition implementation for adult services beginning July 1, 2026. Align the services selected in your application with the adult levels of care and supporting program documentation. WDH provider checklist.
5. Document clinical oversight: Providers using state standards must maintain qualified clinical staff and supervision, with at least monthly supervisory contact or documented peer consultation for solo providers. Individualized treatment plans must be updated at least every ninety days. Chapter 2 clinical standards.
6. Renew and report ownership changes: Certification can last up to three years. Submit a complete renewal at least thirty calendar days before expiration. Certification is nontransferable and expires upon an ownership change, requiring the successor to submit a new application. Chapter 2 renewal and ownership rules.
7. License hospital services separately: Hospital applicants follow Healthcare Licensing and Surveys requirements, including the application, construction review, and a valid license before treating patients. The hospital process includes an unannounced health survey after patients are admitted. Wyoming hospital licensing.

Official sources

• WDH provider certification
• Current certification rules
• Certification handbook
• New-provider checklist

Key licensing requirements

1. Choose treatment or intervention services. Part 2060 distinguishes clinical treatment levels from intervention programs such as recovery homes. Select the authorization matching your planned services and include additional services in the licensing application. Treatment requirements, §2060.410.
2. Prepare the new-license application. Include corporate good standing, ownership, organization charts, staff and medical credentials, facility information, life-safety documentation and municipal zoning approval. The current application separates licensure from Medicaid certification. IDHS new-license application.
3. Apply the correct fee rule. Illinois requires no general application fee under §2060.220. The rule preserves specific exceptions for dissolution and relocation circumstances addressed in §§2060.260–.265. Application-fee provision.
4. Establish qualified clinical oversight. Professional staff must meet the approved credential or supervised-practice pathways. Designate a qualified clinical supervisor and maintain documented monthly professional supervision, with additional coverage requirements for the selected level of care. Personnel requirements, §2060.320.
5. Document site safety. Each location needs written zoning compliance and documented fire and life-safety compliance. Keep the supporting approvals and inspection records available as part of your licensing and ongoing operations. Facility requirements, §2060.310.
6. Plan renewal in advance. Licenses run for no more than three years. Submit the renewal application at least 30 calendar days before expiration, with the information required for continued approval. Renewal rule, §2060.225.

Official sources

• IDHS licensing information
• New-license application
• 77 Ill. Adm. Code Part 2060
• DBHR reorganization

Key licensing requirements

1. Select your certification pathway. DMHA identifies outpatient certification for providers with ten or fewer direct service providers and regular certification for those with eleven or more. Additional conditions apply to 24-hour care. DMHA certification requirements.
2. Prepare your application and safety records. Apply through the DMHA Provider Portal with admissions, assessment, treatment planning, confidentiality and patient-rights policies. Include a current fire and safety inspection and documentation resolving cited violations. Outpatient application requirements.
3. Meet outpatient staffing requirements. At least half of your direct service providers must satisfy the specified licensing or credentialing categories. Your outpatient program must also employ at least one addiction counselor holding a credential accepted under the rule. 440 IAC 4.4-2-4.
4. Document accreditation and detox supervision. Regular certification applicants submit accreditation materials, survey findings and responses, or accepted accreditation applications for temporary certification. Detoxification applicants identify supervision by an Indiana-licensed physician or clinical nurse specialist. Regular certification application.
5. Prepare sub-acute facilities for review. Sub-acute applications require floor plans, construction approval or exemption, zoning documentation and applicable food or septic approvals. DMHA arranges the State Fire Marshal occupancy inspection after construction review and facility readiness. Sub-acute facility certification.
6. Plan your renewal calendar. Request renewal at least thirty days before expiration. Outpatient certification lasts two years; regular certification expires ninety days after accreditation expires. Report material changes affecting your location, services, ownership or accreditation. 440 IAC 4.4-2-7.

Official sources

• DMHA outpatient certification
• DMHA regular certification
• 440 IAC 4.4
• sub-acute certification

Key licensing requirements

1. Define your licensed services. Iowa recognizes outpatient, intensive outpatient, partial/day treatment, residential, inpatient and opioid treatment services. Withdrawal management must fit the approved treatment setting, and your license identifies authorized services and age populations. 641 IAC 155.2.
2. Document every program site. Submit your service schedule, ownership and governance documents, staff credentials, contracts, policies, insurance and financial information. The HHS application requests information for each location included in your program. Iowa HHS application.
3. Establish qualified clinical leadership. Appoint an executive director and treatment supervisor, and use clinical staff with approved credentials, professional licenses or permitted supervised pathways. Staff working with juveniles or dependent adults are subject to applicable criminal-history and abuse-registry checks. 641 IAC 155.21.
4. Prepare compliant premises. Document applicable health, fire, occupancy and safety compliance for each site. Residential facilities must also satisfy the physical-plant requirements covering living areas, bedrooms, sanitation and other aspects of the treatment environment. 641 IAC 155.22.
5. Plan for inspection and renewal. Initial licenses may last 270 days, followed by one-, two- or three-year terms based on compliance scores. HHS normally conducts an on-site review; specified renewal or deemed-status applications can qualify for a waiver. 641 IAC 155.3–155.7.
6. Apply for deemed status when eligible. HHS may approve deemed status for services covered by recognized accreditation after reviewing survey and corrective-action records. The license term follows accreditation, up to three years, and state oversight continues. 641 IAC 155.18.
7. File renewal in advance. Submit your renewal application at least ninety days before expiration. Programs contracting with HHS for treatment services are exempt from licensing and renewal fees. Application timing; Iowa Code §125.14.

Official sources

• Iowa HHS treatment licensure
• 641 IAC Chapter 155
• Iowa Code Chapter 125
• program application

Key licensing requirements

1. Use the KDADS application pathway. Start with the new-program application materials provided by Behavioral Health Licensing. Your application identifies the proposed treatment program, locations and service modalities for the agency's licensing review. KDADS applications.
2. Match counselor credentials to practice. Kansas separately regulates addiction counseling through the Behavioral Sciences Regulatory Board. Build your clinical team around the applicable licensed addiction counselor, master's addiction counselor and clinical addiction counselor requirements. BSRB regulations.
3. Prepare for state oversight. KDADS uses administrative review and in-person surveys to assess licensed behavioral health programs. Its responsibilities also include complaint investigations, so your compliance processes should support both scheduled licensing activity and agency inquiries. KDADS licensing responsibilities.
4. Track license terms and ownership changes. Kansas permits one-, two- or three-year licenses according to compliance. Licenses identify the operator and premises, and a transfer requires the secretary's written approval. K.S.A. 65-4014.
5. Use the accreditation pathway when eligible. Already licensed programs accredited by CARF, The Joint Commission, COA or another approved national body can qualify for the statutory accreditation pathway. KDADS retains authority over complaints and requirements outside accreditation. K.S.A. 65-4014(b)(2).

Official sources

• KDADS Behavioral Health Licensing
• K.S.A. 65-4014
• BSRB regulations

Key licensing requirements

1. Match the current license category. Select methadone, residential, or residential withdrawal management under R 325.1301–.1303. The removal of outpatient counseling licensing does not remove professional-practice requirements or separate hospital and psychiatric-facility licensing. Current SUD rules.
2. Apply through MI-SLS. Use LARA's electronic system for initial licensure and changes. Submit the required ownership information, attachments, and fees; ownership or location transfers require a new license. LARA applications.
3. Provide qualified clinical leadership. Designate a program director and maintain personnel records and an annual staffing assessment. Methadone and residential withdrawal-management programs also require a physician medical director meeting the rule's addiction-training qualifications. R 325.1345–.1355.
4. Maintain safe premises. Provide safe, sanitary space and equipment and comply with applicable state and local fire, safety, sanitation, and residential requirements. These obligations apply to the actual licensed site. R 325.1343 and .1373.
5. Prepare for state inspections. Covered programs receive prelicensure and post-license surveys. Initial surveys are announced; subsequent surveys and complaint investigations are unannounced. LARA states that SUD programs are inspected at least every three years. LARA inspection guidance.
6. Maintain annual renewal. Complete renewal and payment by July 31 unless your license specifies another deadline. A program that provided no covered service during the preceding twelve months cannot renew. Renewal instructions.

Official sources

• LARA licensing, inspections, and renewals
• R 325.1301–325.1399
• Official outpatient licensing change analysis

Key licensing requirements

1. Select the correct framework. Chapter 245G generally covers SUD treatment regardless of payment source, with defined professional-practice and hospital exemptions. Withdrawal management follows Chapter 245F, while residential SUD programs serving children under 16 require Chapter 2960 licensing. DHS application categories.
2. Notify the county before applying. Give the county human-services director written notice at least 60 days before your application, describing the program and population. Publicly funded vendor certification has additional need and prior-approval provisions. Minnesota Statutes §254B.03.
3. Submit the program application. Use DHS-7118 and provide the required ownership, program, staffing, policy, and facility materials. Ownership changes require a new license; location, capacity, and specialty changes require advance notification. Application requirements, §245G.03.
4. Staff for treatment and safety. Maintain a treatment director, qualified counselor supervision, and responsible staff during operating hours. Residential room-and-board programs need continuous staffing, and counseling groups are limited to 16 clients. Chapter 245G staffing standards.
5. Complete required background studies. Chapter 245C covers applicants, controlling individuals, direct-contact employees, and other specified individuals. Use NETStudy2.0, maintain the roster, and complete the required fingerprint, photograph, and eligibility steps. DHS background-study instructions.
6. Secure residential approvals. Programs combining treatment with room and board need the appropriate MDH license in addition to DHS licensure. Residential health-monitoring policies require registered-nurse approval. Residential requirements, §245G.21.

Official sources

• DHS SUD treatment licensing
• Chapter 245G
• DHS-7118 application
• Chapter 245F withdrawal management

Key licensing requirements

1. Establish the certification pathway. DBH requires certification of its contractors and identifies additional funding-related requirements. Certification does not guarantee a contract or funding; your application must match the services you intend to provide. DBH certification guidance.
2. Address residential and day-program reporting. RSMo §630.717 requires covered residential facilities and day programs serving people affected by alcohol or drug abuse to submit service information and applicable local fire-standard compliance information. Statutory reporting requirement.
3. Use the appropriate application. DBH provides accredited and non-accredited application pathways. Accredited applicants submit their complete accreditation report; recognized equivalent standards include CARF, Joint Commission, and Council on Accreditation. Applications and instructions.
4. Plan for specialty accreditation. Comprehensive Substance Treatment and Rehabilitation (CSTAR) and opioid treatment programs require recognized accreditation. OTPs also need Missouri certification, applicable drug approvals, and a Missouri-licensed physician medical director. 9 CSR 30-3.132 and .150.
5. Prepare staff and premises. Certified providers need verified credentials, clinical supervision, personnel policies, and required background screening. Maintain applicable building, occupancy, health, and fire compliance, including the required annual fire inspection. Core certification standards.
6. Renew before expiration. Apply at least 60 calendar days before certification expires. Compliance certificates last one to three years; deemed certification follows accreditation. Ownership changes and service additions require a new application. 9 CSR 10-7.130.

Official sources

• DBH certification and applications
• 9 CSR 10-7
• 9 CSR 30-3
• RSMo §630.717

Key licensing requirements

1. Specify the services on your license. The center category covers accommodation and professionally directed treatment exceeding 24 consecutive hours. Your application must designate mental-health treatment, substance-use treatment, or both, which controls the populations you may serve. Neb. Rev. Stat. §71-436.01.
2. Complete the application and opening inspection. Request the initial application from DHHS, submit the required documents and fee, and complete the onsite inspection before operating. Adding a service requires another application and inspection before delivery. DHHS licensing instructions.
3. Budget and renew annually. Initial and renewal fees are $250 for 1–16 beds, $275 for 17–50 beds, and $300 for 51 or more beds. Center licenses expire September 30. 175 NAC 18-004.
4. Prepare staff and program policies. Designate an administrator and substitute, verify staff credentials, and provide orientation before direct client responsibility. Your written program description must address care levels, admissions, staffing, emergencies, and quality improvement. 175 NAC 18-006.
5. Screen unlicensed direct-care employees. Complete required pre-employment criminal-history and registry checks, including nurse aide, adult protective services, child protection, and sex-offender registries. Apply the rule's disqualifications and documented safety-review requirements. 175 NAC 18-006.03.
6. Coordinate construction before work starts. Notify DHHS before construction or remodeling and submit the required plans and completion records. Applicable projects require architect/engineer-sealed plans and State Fire Marshal review. DHHS facility construction.

Official sources

• DHHS treatment center licensing
• Current Title 175 regulations
• Facility definition, §71-423
• Facility construction

Key licensing requirements

1. Submit the notarized application. Use SFN 971 with program, location, ownership, service, counselor, policy, and business-registration information. Include the required disclosures concerning sanctions, investigations, exclusions, and operations in other states. SFN 971.
2. Select levels and age groups. Identify adult, adolescent, or eligible combined services on the application. Requested levels include outpatient, IOP, PHP, residential, inpatient, and social detoxification, with corresponding requirements under NDAC 75-09.1. Application service categories.
3. Develop clinical policies and qualified coverage. Maintain admission, treatment, discharge, medication, emergency, grievance, and quality-assurance procedures. Counseling and assessment require licensed addiction counselors, including participation in placement and treatment-plan meetings. NDAC 75-09.1-01.
4. Screen personnel serving adolescents. Complete required criminal investigations before employees begin working with adolescents and apply the rule's disqualification provisions. Maintain personnel qualification and training documentation for your licensed services. NDAC 75-09.1-01-17.
5. Prepare the facility for review. Document applicable safety and fire-code compliance, provide confidential treatment space and adequate sanitary facilities, and complete an onsite review before moving from provisional to unrestricted licensure. General licensing and premises rules.
6. Obtain prior approval for an OTP. Begin with the required need submission and State Opioid Treatment Authority approval. Complete the OTP application, underlying SUD licensing, federal approvals, and onsite review; provisional OTP status does not authorize operation. HHS OTP licensing instructions.

Official sources

• HHS licensing and applications
• SFN 971 application
• N.D.C.C. Chapter 50-31
• NDAC 75-09.1-01

Key licensing requirements

1. Prepare the application: Submit ownership, governance, leadership, service locations, bed counts, accreditation history, and required disclosures through DBH's electronic system. Your organization must maintain an owned or leased Ohio location; an as-needed shared workspace does not qualify. Application requirements.
2. Plan for accreditation: Initial and renewal applicants must hold appropriate national accreditation when accreditation exists for the service. Ohio recognizes specified accrediting organizations and provides an exception for prevention services. Ohio Revised Code §5119.36.
3. Document site readiness: Include approved building and occupancy documents and a deficiency-free fire inspection completed within the preceding twelve months. Water, sewage, food-service, boiler, and elevator approvals also apply when relevant to your facility. Premises documentation.
4. Screen and orient staff: Verify professional credentials and supervision arrangements, document orientation within thirty days, and request the required BCI criminal-history checks before employment, contracting, or volunteer and intern client contact. Personnel requirements.
5. Budget certification fees: The initial base fee is $1,000, renewal is $500, and adding services is $250. An additional $200 per service applies when DBH determines that national accreditation does not exist for that service. Certification fee rule.
6. File renewals early: Submit your renewal at least 120 days before the certificate expires, including current accreditation and inspection evidence. DBH reviews continued compliance with the standards for your approved services. Renewal requirements.
7. Use the separate OTP pathway: An opioid treatment program needs its Chapter 5122-40 license in addition to required service certification. OTP licenses ordinarily last two years, and renewal applications are due ninety days before expiration. OTP licensing rule.

Official sources

• DBH application portal
• Ohio service-certification rules
• Ohio certification statute

Key licensing requirements

1. Apply for the services you plan to provide: DSS accreditation classifications include outpatient, intensive outpatient, day treatment, residential treatment, residential detoxification, and medically monitored intensive inpatient care. Initial accreditation and added levels of care require a complete application. ARSD 67:61 accreditation rules.
2. Use the appropriate application process: Submit DSS accreditation applications through the Office of Licensing and Accreditation portal. For DOH facility licensing, begin with a written request describing the proposed facility type; DOH then requests ownership, location, and financial information. DOH facility application instructions.
3. Prepare for accreditation surveys: DSS may issue six-month provisional accreditation after a completed application and preliminary survey. A satisfactory follow-up can produce a one-year new-agency certificate; later renewal terms depend on compliance findings and approved correction plans. ARSD 67:61:02.
4. Document staff qualifications: Accredited programs need an agency director with administrative skills and SUD knowledge, appropriately credentialed counselors or recognized trainees, and a designated addiction counselor supervising clinical services. Complete staff orientation within ten working days. ARSD 67:61:05.
5. Meet the selected service intensity: Accredited IOP services require at least nine counseling hours weekly for adults or six for adolescents, delivered at least twice weekly. Residential detoxification additionally requires hospital affiliation, medical-director arrangements, and trained monitoring personnel. ARSD 67:61 service standards.
6. Budget inpatient facility fees: DOH chemical dependency facility fees are $150 annually for sixteen or fewer beds, $300 for seventeen to fifty beds, and $450 for fifty-one or more beds. These charges apply to DOH facility licensing. SDCL §34-12-6.

Official sources

• DSS provider resources
• Accreditation application portal
• SUD accreditation rules
• DOH facility licensing

Key licensing requirements

1. Select your DHS 75 service category: DHS lists separate certifications for outpatient, integrated outpatient, IOP, day treatment/PHP, residential treatment, withdrawal management, opioid treatment, and other defined services. Select the certification that matches your planned level of care. DHS certification categories.
2. Apply through the Provider Portal: Submit initial applications, added services, branches, ownership changes, amendments, and continuation applications through the DHS DQA Provider Portal. Use the portal process for each requested certification action. Current application instructions.
3. Include regular treatment locations: DHS requires regularly used treatment locations to be listed as branches, subject to the school exception. Residential and inpatient services cannot operate under branch-office status. DHS service-location guidance.
4. Build clinical operating procedures: Establish written clinical consultation and staffing procedures, use ASAM or approved placement criteria, and maintain required assessment and treatment policies. Your program must have readily available naloxone and staff trained in its use. DHS clinical guidance.
5. Complete caregiver background checks: Covered caregivers require checks at hire, when relevant circumstances change, and at least every four years. Employers obtain the Background Information Disclosure and required Department of Justice caregiver results. DHS caregiver screening process.
6. Plan residential construction review: DQA requires construction plan review for facilities under DHS 75.53 through 75.58. Include the applicable review in your project schedule for residential treatment, stabilization, withdrawal-management, and intoxication-monitoring premises. DHS plan-review requirements.
7. Maintain survey readiness: DQA's behavioral health surveys review records, personnel documentation, interviews, and observed operations. Maintain evidence of compliance and complete required corrections; focused investigations may be announced or unannounced. Behavioral Health Certification Section survey guide.

Official sources

• DHS substance use certification
• DHS 75 implementation guidance
• Caregiver background checks
• DQA plan review

Key licensing requirements

1. Select your treatment services. Alabama has separate standards for outpatient, intensive outpatient, partial hospitalization, residential and detoxification services. Build your program around the applicable service requirements in Alabama Administrative Code Chapter 580-9-44. Service standards.
2. Complete orientation and apply online. Complete both provider-orientation phases through Relias, retain your completion certificate and submit your application through the ADMH Certification Application Portal, known as ACAP. Application instructions.
3. Plan for opening review. Submit your application at least 60 days before proposed services. Obtain temporary operating authority before opening and prepare for ADMH’s program and life-safety reviews under Rule 580-3-23-.08. Certification rules.
4. Build qualified leadership. ADMH’s general standards establish executive-director and clinical-director qualifications, with specified exceptions and waivers. Your SUD treatment personnel and supervision must also meet the requirements of Rule 580-9-44-.02. General personnel standards; SUD personnel requirements.
5. Include methadone-specific approvals. A methadone-clinic application requires Certificate of Need approval from SHPDA. State certification also operates alongside the applicable federal opioid treatment program and DEA requirements. Certification application rule.
6. Maintain each certification. Separate certificates cover each approved site, program or service and may run for up to two years. ADMH conducts renewal site visits within 60 days before expiration. Certification and renewal rules.

Official sources

• ADMH provider applications
• Office of Certification
• Certification rules
• SUD service standards

Key licensing requirements

1. Match the program to its licensed scope. Arkansas’s treatment-program rules distinguish outpatient care, nonmedical residential treatment and detoxification models. Hospital programs have specified exceptions and separate regulatory pathways. 20 CAR Part 433.
2. Prepare the opening packet. New-program review covers governance, program plans, staffing, specialized services, insurance, incorporation documents, bylaws, board minutes, policies and the client handbook. Include the required building, fire, safety and health inspection documentation. 20 CAR §433-104.
3. Document staff qualifications and checks. Complete background investigations for personnel with access to clients or client records. Maintain qualification records and staff-development policies, with documented weekly individual or group supervision for counselors in training. Human-resources requirements.
4. Establish clinical records and oversight. Your operating systems must support assessments, treatment plans, progress notes, clinical supervision and health and safety compliance. Licensing reviews examine the program and its physical premises. Program standards.
5. Use the applicable accreditation pathway. Qualifying CARF, Joint Commission or Council on Accreditation recognition can support state licensing review, with additional state standards still evaluated. Methadone programs are excluded from this pathway. 20 CAR §433-206.

Official sources

• DPSQA licensing contacts
• 20 CAR Part 433
• Full treatment-program standards
• Department of Health applications

Key licensing requirements

1. Establish the facility’s licensing scope. Chapter 22 covers residential and nonresidential substance use treatment facilities. Its definition excludes licensed hospitals and specified independent professional practices, which operate under their respective regulatory frameworks. 16 Del. C. Chapter 22.
2. Submit the DSAMH application. The agency publishes its License and Certification Application through its provider-resource page. Direct application and enrollment questions to DSAMH Provider Enrollment as you prepare your submission. Applications and provider resources.
3. Prepare for continuing inspections. Delaware law requires inspections of covered facilities at least every two years. Your operational planning should support continuing compliance with the standards governing the licensed treatment facility. 16 Del. C. §2207.

Official sources

• Delaware treatment-facility licensing law
• DSAMH applications and policies

Key licensing requirements

1. Select the DATEP classification. Rule 82-10-1 distinguishes residential and ambulatory detoxification, intensive and transitional residential treatment, specialized day treatment and outpatient services. The rule's drug definition excludes alcohol and its derivatives. DATEP rules.
2. Prepare the GAHLES application. The DATEP packet requests entity documents, property control, zoning approval, a State Fire Marshal report, floor plans, occupancy documentation and applicable laboratory or medication information. DATEP application packet.
3. Appoint clinical leadership. DATEPs need an administrator and qualified clinical director. Residential detoxification additionally requires a physician medical director and an RN nursing director, together with the service-specific operating and clinical policies. Personnel and service rules.
4. Budget licensing fees. DBHDD lists initial fees of $800 for DATEPs and $1,800 for NTPs, including the $300 application-processing charge. Annual fees are $500 and $1,500 respectively, payable by December 31. DBHDD fee table.
5. Prepare for surveys and corrections. DBHDD may conduct announced or unannounced surveys. DATEPs must submit a corrective-action plan within 15 days after receiving a violations report. Rule 82-10-1-.06.
6. Plan NTP entry around its application window. New NTP applications are accepted December 1–31. The packet requires regional service and utilization information, community-input evidence, specified local notices, staffing and pharmacy documentation, and federal application or registration information. NTP application packet.

Official sources

• DBHDD licensure
• Applications and fees
• DATEP rules
• NTP application

Key licensing requirements

1. Apply through Kentucky Online Gateway. Use the AODE online system for initial licensure, annual re-licensure and changes. Your authorization must cover the treatment services you plan to provide before you admit clients. AODE application instructions; 908 KAR 1:370.
2. Budget for licensing and renewal. The initial application fee is $500, plus $80 for each qualifying outpatient extension site. The same fees apply to annual renewal; residential, OBOT and narcotic treatment programs cannot use ordinary outpatient extension-site status. 908 KAR 1:370 §2.
3. Build your leadership and clinical systems. Designate an administrator and qualified clinical supervision, employ appropriately qualified clinicians, and maintain required policies. Your program must support quality review, client assessment and individualized treatment planning. 908 KAR 1:370.
4. Complete required personnel checks. Conduct initial criminal checks for staff with client contact and the additional child-registry checks that apply to their work. Kentucky also requires annual checks on a randomly selected 25% of personnel. 908 KAR 1:370 §15.
5. Secure residential fire approval. Residential programs need State Fire Marshal approval before initial licensure or relocation and must meet applicable building codes. The rule requires at least 120 square feet per resident within the total facility area, alongside other premises standards. 908 KAR 1:372.
6. Meet partial hospitalization standards. PHP services require full accreditation by The Joint Commission, CARF, COA or a comparable nationally recognized organization. The program must provide at least five hours of services daily, four days per week. 908 KAR 1:374 §5.
7. Maintain inspection readiness. Kentucky conducts annual unannounced inspections of licensed AODE programs. If the agency identifies violations, the general rule requires a correction plan within ten calendar days after the notice. 908 KAR 1:370 §§3, 5.

Official sources

• DBHDID licensing branch
• 908 KAR 1:370 general requirements
• 908 KAR 1:372 residential requirements
• 908 KAR 1:374 outpatient requirements

Key licensing requirements

1. Use the current application. Apply through HSS using its revised Behavioral Health Service Provider application and the service classifications implemented in 2026. Select the services your program will actually deliver. LDH applications and instructions.
2. Document financial capacity. R.S. 40:2153 requires continuing evidence of a $50,000 line of credit, $500,000 in general/professional liability insurance, and workers' compensation coverage. Include the applicable financial documentation in your licensing package. Financial requirements.
3. Budget for licensing charges. HSS lists $600 initial and renewal fees, $5 per unit, and $300 per offsite, branch, or satellite location. Additional changes and delinquent renewals carry separate charges. HSS fee schedule.
4. Separate residential and OTP need review. Residential substance-use projects remain subject to the applicable Facility Need Review framework. Louisiana repealed OTP Facility Need Review effective May 15, 2026; that repeal does not extend to residential services. Facility Need Review.
5. Prepare your annual renewal early. Submit the complete renewal package at least 30 days before expiration, including applicable fire/public-health inspections, financial evidence, residential attestation, and updated personnel credentials. Renewal checklist.

Official sources

• LDH Behavioral Health Service Providers
• LAC 48:I Chapters 56–57
• HSS fees

Key licensing requirements

1. Select your program category. Accreditation-based categories include outpatient Level 1, IOP 2.1, PHP 2.5, and specified residential levels. Assessment/referral, DUI education, and early intervention have a separate licensing pathway. COMAR 10.63.02.02.
2. Document accreditation. For accreditation-based licensure, submit the survey report, required corrective actions, and final accreditation letter or certificate. Your accreditation must cover the relevant program, and BHA retains authority to review compliance. COMAR 10.63.06.03.
3. Coordinate locally before applying. Execute an agreement to cooperate with the applicable local core service agency, addictions authority, or behavioral-health authority. Include required fire, safety, health, and occupancy documentation in your application. BHA application guide.
4. Disclose ownership and operating history. Identify each service and location, attest legal compliance, and provide the required adverse-licensure and criminal-history disclosures. Submit a complete package so BHA can process your application. COMAR 10.63.06.02.
5. Complete personnel screening. Obtain and evaluate criminal histories for employees, contractors, and volunteers before hiring. Use a written suitability policy, apply the specified exclusions, and retain decision records for three years after rejection or separation. COMAR 10.63.01.05.
6. File renewal on time. Submit renewal and supporting documents at least 60 days before expiration. Accreditation-based licenses follow the accreditation period plus three months; non-accreditation-based licenses cannot exceed three years. COMAR 10.63.06.05.

Official sources

• BHA accreditation and licensing
• COMAR 10.63
• Application guide

Key licensing requirements

1. Identify the facility category. MSDH's chemical-dependency standards cover hospitals, dedicated hospital units, and freestanding bed units providing continuous diagnosis or treatment beyond 24 hours. These facilities follow the applicable unit and hospital requirements. Chemical-dependency unit standards.
2. Complete the DMH application sequence when applicable. Attend Interested Provider Orientation, then submit the portal application and attachments. Covered services and locations need certification before delivery and must pass the initial health-and-safety inspection. DMH certification process.
3. Prepare the organizational package. The DMH checklist requests governance and corporate records, financial materials, staffing qualifications, policies, and criminal-check evidence. Build these materials around the services and locations in your application. Interested Provider checklist.
4. Budget for DMH certification. DMH charges a $150 nonrefundable application fee, $300 for initial certification, and $300 per renewal certification period. These charges apply to DMH certification, separate from MSDH facility licensing. DMH fee instructions.
5. Staff inpatient care appropriately. MSDH chemical-dependency units require physician coverage directly or on call around the clock, an RN on duty continuously, and an RN supervisor with the specified experience. Rules 52.5.12–52.5.13.
6. Screen personnel in DMH-certified programs. Complete the required national criminal-history, fingerprint, and registry checks for employees, volunteers, and interns, with documentation before covered client contact. Apply the personnel standards to your certified program. DMH Rule 11.2.

Official sources

• DMH certification
• DMH Operational Standards
• MSDH chemical-dependency standards
• MSDH health-facility licensing

Key licensing requirements

1. Identify the service category. DHSR's application distinguishes medical, social-setting, and outpatient detoxification; residential rehabilitation; opioid treatment; substance-abuse intensive outpatient; and comprehensive outpatient treatment. Select the category that matches the services your program will deliver. Initial application categories.
2. Prepare the ownership and site package. Submit the initial application with management information, entity standing, service description, floor plans, photographs, zoning documentation, and fee. Disclose owners holding at least five percent. Application and checklists.
3. Obtain residential support. Residential applicants need a support letter from the applicable Local Management Entity/Managed Care Organization. The letter supports the licensing process and is separate from approval for public funding. DHSR establishment guidance.
4. Secure premises approvals. Obtain applicable zoning, building, fire, and sanitation approvals. New residential construction needs DHSR blueprint approval before construction; the application specifies additional fire, food-service, and residential inspection documentation. Premises checklist.
5. Complete covered employee checks. For covered positions without an occupational license, G.S. 122C-80 requires criminal-history checks. Applicants with less than five years' North Carolina residency also require the prescribed national fingerprint check. G.S. 122C-80.
6. Follow the OTP approval sequence. Obtain preliminary State Opioid Treatment Authority approval before applying to DHSR, then complete the applicable drug-control, DEA, SAMHSA, accreditation, and final state approvals before dosing. DHSR OTP instructions.
7. Maintain annual renewal. Initial licenses run no longer than fifteen months; subsequent licenses renew annually and expire at calendar-year end. Facilities serving no clients during the preceding twelve months are ineligible for renewal. G.S. 122C-23.

Official sources

• DHSR establishment instructions
• Initial application
• 10A NCAC 27G

Key licensing requirements

1. Request the application packet: Obtain the current packet from ODMHSAS Provider Certification. Submit your application, fee, self-survey materials, and operating policies, along with zoning approval on official letterhead for each proposed site. New-program application process.
2. Establish clinical leadership: Your clinically licensed clinical director must provide at least ten hours of service weekly. Verify staff credentials and privileges before services begin, and maintain the initial and annual training required for direct-care personnel. OAC 450:1 certification standards.
3. Staff withdrawal management appropriately: Medical withdrawal-management programs need prescriber availability around the clock and an onsite registered nurse twenty-four hours daily. Adolescent residential treatment programs also require Oklahoma Human Services residential-child-care licensure. OAC 450:18 treatment standards.
4. Complete the opening reviews: Correct policy and site findings before receiving six-month permission to operate. A subsequent clinical and personnel review occurs before that permission expires. ODMHSAS requires full certification before a program can bill Medicaid. Permission-to-operate process.
5. Budget and renew certification: Treatment certification costs $1,000 per certification period. Regular certification lasts one or two years; distinction status can extend to three years. Return renewal materials and fees within sixty days of the department's renewal notification. Certification fees and renewal rules.
6. Account for SoonerCare conditions: Residential, halfway-house, and medical-detox programs need national accreditation and state certification for SoonerCare reimbursement. New residential programs also need ODMHSAS certificate-of-need approval for that reimbursement. ODMHSAS reimbursement requirements.
7. Apply separately for an OTP: Opioid treatment programs need the applicable state certification and federal approvals. New-program review requires demand information, financial resources, compliance history, community-support evidence, and written ODMHSAS acceptance. OAC 450:70 opioid-treatment rules.

Official sources

• ODMHSAS Provider Certification
• New-program instructions
• Current administrative rules

Key licensing requirements

1. Choose the correct application: Use the outpatient form for outpatient and opioid treatment services or the residential form for residential treatment and withdrawal management. DPH identifies medical and social withdrawal management separately on its residential application. DPH treatment-facility licensing.
2. Document ownership and site control: Your application must identify the operating entity and ownership, administrator qualifications, and property ownership or lease. Residential applicants also submit emergency evacuation-plan documentation and identify the beds requested for each service. Residential application.
3. Budget license fees: Outpatient licensing costs $75 initially and annually, plus $50 per satellite. Residential licensing costs $10 per bed, with a $75 minimum. DPH also charges separate inspection and construction-review fees. DPH fee schedule.
4. Build the required staff coverage: The administrator must be full time and hold a related bachelor's degree. Residential treatment requires 1:10 daytime and 1:20 nighttime staffing. Withdrawal management requires continuous 1:10 coverage, with additional medical personnel for medical withdrawal management. Regulation 60-93 staffing standards.
5. Prepare policies and premises: Maintain policies addressing treatment, records, medication, infection control, incidents, quality improvement, and emergencies. Obtain applicable local zoning and building approvals, complete required construction review, and prepare for DPH's initial inspection. Regulation 60-93 facility standards.
6. Plan opioid-treatment staffing: Opioid treatment programs require one full-time counselor per fifty patients and a nurse during medication administration. Medication units require DPH approval and the applicable controlled-substance registrations. Regulation 60-93 opioid-treatment provisions.
7. Renew before expiration: Submit the annual renewal and required fees before your license expires. Late filing triggers the greater of $75 or twenty-five percent of the licensing fee; continued nonpayment can leave the facility unlicensed. Regulation 60-93 renewal requirements.

Official sources

• DPH treatment-facility licensing
• Outpatient application
• Residential application
• Regulation 60-93

Key licensing requirements

1. Select the service category: Tennessee separately regulates nonresidential alcohol and drug rehabilitation, adult residential rehabilitation, children and youth residential treatment, residential detoxification, and outpatient detoxification. Build your application around the services and population you intend to serve. Official licensing-rule index.
2. Submit the initial materials: Provide the initial application, site Fact Sheet, Background Check and Privacy Statement, and financial statement to the regional Office of Licensure. The office invoices the licensing fee after receiving these documents. Application process.
3. Complete opening inspections: Facilities receiving clients ordinarily need an approved fire and life-safety inspection followed by an Office of Licensure survey. Correct identified deficiencies before issuance. The initial license is issued for up to one year. Opening and inspection process.
4. Staff outpatient rehabilitation appropriately: Nonresidential rehabilitation rules require qualified alcohol and drug treatment personnel and a physician medical consultant. At least two on-duty staff must hold CPR certification and the required first-aid and safety training. Nonresidential rehabilitation standards.
5. Use the separate OBOT opening process: Current agency guidance exempts nonresidential office-based opioid treatment offices from the initial fire inspection and uses an electronic desk audit for their initial licensing review. TDMHSAS provider application guidance.
6. Obtain approval for operational changes: A license is address-specific, and relocation requires a new license before you move. Added categories, major renovations, expansions, and occupancy changes require the designated submissions; a change of chief executive officer also requires updated background information. Licensed-provider FAQs.

Official sources

• TDMHSAS application process
• Licensing forms
• Official rule index
• Licensed-provider FAQs

Key licensing requirements

1. Determine the applicable license: Chapter 464 establishes chemical dependency facility licensure and exemptions for qualifying professional offices, separately licensed facilities, and specified outpatient satellites. Faith-based programs have a limited nonmedical exemption with a separate registration pathway. Texas Health and Safety Code Chapter 464.
2. Submit the application package: Use Form 3207 and the Form 3208 checklist, with the required fee and supporting documents. Your legal name, federal employer identification number, and assumed name must match the relevant business registrations. HHSC application instructions.
3. Budget licensing fees: Initial and renewal fees include a $1,200 base charge, $125 per separately addressed outpatient or residential site, and $35 per bed. The fees are nonrefundable. 26 TAC §564.408.
4. Screen staff before client contact: Verify credentials, obtain the required DPS criminal background check within four weeks of hire, and assess results before client contact. Staff must also pass the required pre-employment drug test. 26 TAC §564.601.
5. Prepare the facility and clinical program: HHSC requires accessibility and occupancy documentation. Residential applications also include specified fire, alarm, kitchen, and other safety inspections plus sleeping-room plans. Detoxification services require additional standards and identification of the medical director. HHSC facility and survey requirements.
6. Renew on the two-year cycle: A chemical dependency treatment facility license lasts two years. Submit the renewal request and fee at least sixty days before expiration to maintain your licensing schedule. 26 TAC §564.404.
7. Use the separate narcotic-treatment application: Narcotic treatment programs follow Health and Safety Code Chapter 466 and 26 TAC Chapter 563. Apply using Form 3203 and coordinate HHSC licensing with SAMHSA certification and DEA registration before opening. HHSC narcotic treatment program licensing.

Official sources

• HHSC chemical dependency facility licensing
• Texas Health and Safety Code Chapter 464
• 26 TAC Chapter 564
• Narcotic treatment licensing

Key licensing requirements

1. Prepare the application and finances: Apply through CONNECT using DBHDS's current submission requirements. Nongovernmental applicants must demonstrate funds or a credit line covering at least ninety days of operating expenses, together with a first-year budget, revenue plan, service descriptions, and staffing information. Application requirements.
2. Complete personnel screening: Maintain disclosure and screening policies and perform the criminal-history checks and Child Protective Services registry searches required for your provider setting. Retain the required submission and results documentation in personnel records. Personnel background-check rule.
3. Document premises readiness: Obtain building approval and a certificate of use and occupancy appropriate to the licensed purpose. Residential services serving more than eight people must also document fire-code compliance initially and annually. Building requirements; fire-safety requirements.
4. Match medical coverage to acuity: Level 3.7 medically monitored services require continuous nursing and around-the-clock physician or advanced-practice availability. Build that medical coverage into your staffing model before applying for this level of care. Level 3.7 staffing requirements.
5. Plan opioid-treatment approvals: Opioid medication-treatment services require the specified federal, DEA, and Virginia Board of Pharmacy approvals and federally recognized accreditation. These requirements accompany the DBHDS service license. Opioid medication-treatment requirements.
6. Address Certificate of Public Need: Certain hospitals and intermediate-care facilities primarily treating SUD are reviewable medical-care facilities. Establishment, bed increases, and specified service changes can trigger the Certificate of Public Need process. Virginia COPN statute.
7. Track license terms: A conditional license lasts up to six months and can be extended to twelve months total. The first full license after conditional or provisional status is limited to one year; later full licenses may last up to three years. License terms.

Official sources

• DBHDS provider licensing instructions
• General licensing rules
• Children's residential rules
• Certificate of Public Need statute

Key licensing requirements

1. Apply before opening or renewal: File the behavioral health center application at least sixty days before opening or license expiration. Initial licenses last up to six months; regular licenses last up to two years under current 71CSR25. Behavioral health center licensing rule.
2. Prepare the site and program: Obtain required OHFLAC site and architectural approval before construction or applicable renovation, plus a favorable State Fire Marshal recommendation. Prepare service descriptions, policies, and job descriptions for the opening review and subsequent clinical survey. OHFLAC opening instructions.
3. Complete direct-access screening: Covered direct-access personnel undergo WV CARES registry prescreening and fingerprint-based state and FBI criminal-history checks. Employment requires clearance unless an authorized provisional-employment provision applies. WV CARES requirements.
4. Accredit residential SUD services: Residential SUD facilities must hold CARF, Joint Commission, or DNV accreditation. Qualifying new operations, sites, and ownership changes have one year to meet the accreditation requirement. 71CSR25 residential accreditation standards.
5. Address exemption review and bed limits: Non-OTP alcohol and drug treatment projects use the statutory CON exemption application process. State law also restricts approval of additional licensed substance-abuse beds in counties already exceeding 250 such beds. CON exemption statute; bed restriction.
6. Account for the OTP moratorium: West Virginia retains a moratorium on new OTPs without the specified 2016 Certificate of Need. State law provides a narrowly defined clinical-trial exception, which does not create a general opening pathway. OTP moratorium; statutory exception.
7. Register office-based medication treatment: Office-based medication-assisted treatment generally requires annual registration. Qualifying small practices and licensed behavioral health centers can use specified attestation exemptions; applications identify ownership, the medical director, personnel, credentials, and required prescriber information. Office-based treatment registration.

Official sources

• OHFLAC agency information
• Current behavioral health center rule
• CON exemption statute
• Medication-assisted treatment law

Key licensing requirements

1. Request the initial application. DPH lists substance use treatment facilities within its behavioral health licensing program. Initial and ownership-change applications are available from its Facility Licensure Processing Unit; renewal transactions use Connecticut eLicense. DPH facility applications.
2. Select the service classification. RCSA §19a-495-570 distinguishes outpatient, day/evening treatment, intensive treatment, rehabilitation, chemical maintenance and several detoxification settings. Your application must identify the services the facility will provide. Treatment-facility regulations.
3. Document premises compliance. The application requires zoning and building compliance, annual local fire-marshal clearance, insurance, ownership information and staffing details. Physical-plant requirements are addressed separately in §19a-495-570(j). Application and physical-plant standards.
4. Establish management and clinical systems. Appoint an executive director, verify staff credentials and references, and document orientation and development. Maintain operational policies, client records and individualized treatment plans for the approved services. Personnel and operating standards.
5. Address Certificate of Need early. OHS provides a formal determination process for projects involving healthcare facilities and services. Use that process to establish whether your proposed development requires CON approval or meets an exemption. OHS determination process.

Official sources

• DPH facility licensing
• RCSA §19a-495-570
• OHS Certificate of Need

Key licensing requirements

1. Apply for the services and sites you need. Use DLC's SUD initial, renewal, and change application. Co-occurring programs currently submit separate substance-use and mental-health applications. Each opioid treatment program site requires its own license. DLC application instructions.
2. Assemble the operating package. Include governance information, staff credentials, service descriptions, policies, a sample client record, emergency and closure plans, leases, and municipal-code documentation. Residential programs supply additional plans and schedules. SUD application checklist.
3. Plan for application fees. The SUD application lists $125 for provisional licensure, $250 for a full license following provisional approval, and $170 for full-license renewal. Added modules and sites carry separate fees. Current application and fees.
4. Prepare your premises. Obtain State Fire Marshal occupancy/life-safety certification for initial licensure and relicensure. Licensed sites using private wells must also submit the required Basic Safety Test results with initial and renewal applications. DLC safety instructions.
5. Screen and supervise staff. Maintain qualified personnel, credential records, and clinical supervision. Chapter 123 incorporates Chapter 60 checks for direct-access workers and applicable protective-services, driving, and professional-standing checks. Chapter 123, §13.
6. Track license terms and renewal. Provisional licenses last three to twelve months; full licenses last two years. File renewal at least 30 days before expiration and maintain readiness for inspections and corrective-action review. Chapter 123, §§2–4.

Official sources

• DLC Behavioral Health Licensing
• 10-144 CMR Chapter 123
• SUD application

Key licensing requirements

1. Choose the regulated service. Match your model to the categories in 105 CMR 164. BSAS identifies outpatient and day-treatment services through its own classifications; PHP and IOP are not separate BSAS license-category names. Initial licensing guidance.
2. Complete suitability review first. Submit the appropriate Notice of Intent and supporting documents. After a favorable suitability determination, BSAS enables eLicensing access, assigns an inspector, reviews your program application, and inspects the site. NOI forms and application sequence.
3. Show need and financial capacity. Your suitability submission must support need in the proposed municipality and the ability to operate through the initial six-month term, using a business plan, budget, cash-flow evidence, and anticipated payer information. BSAS suitability FAQ.
4. Build staffing around the service. Maintain a program director on site during regular business hours, a designated substitute, and qualified multidisciplinary staff. BSAS publishes separate staffing guidance for withdrawal, stabilization, and residential service categories. Staffing guidance.
5. Prepare for premises review. Your eLicensing submission includes fire/building inspection and insurance records. The program review also addresses personnel, clinical policies, emergency planning, assessments, and individual treatment plans. BSAS eLicensing manual.
6. Budget and renew. The main license application fee is $300, with separate satellite, medication-unit, and service-addition charges. Submit renewal forms and fees at least 60 calendar days before expiration. 105 CMR 164.008.

Official sources

• BSAS initial licensure
• 105 CMR 164
• Provider guidance and staffing grids

Key licensing requirements

1. Identify your tier in the application. Submit the service description, floor plan, business authority, administrator and medical-director qualifications, screening records, residential agreement, and applicable water documentation for the proposed residential program. He-P 826.04.
2. Budget for the bed-based fee. Residential treatment and rehabilitation facilities pay $25 per licensed bed under RSA 151:5. Include the licensing fee in your application planning. RSA 151:5.
3. Provide qualified leadership and coverage. Employ a qualified administrator and New Hampshire-licensed medical director with relevant experience. Maintain sufficient qualified staff, including at least one awake worker whenever clients are present, and tier-appropriate medical/nursing capability. He-P 826.14, .16 and .18.
4. Complete personnel checks and training. Obtain the required New Hampshire criminal-history and adult-protection registry checks for covered employees, volunteers, and contractors. Apply the disqualification/waiver provisions and document credentials, orientation, and role-appropriate training. He-P 826.18.
5. Secure premises approvals. Obtain applicable local health, building, zoning, and fire approvals. Submit construction or rehabilitation plans to the State Fire Marshal at least 60 days before work and meet the tier-specific physical-plant standards. He-P 826.04, .07 and .24–.26.
6. Plan annual renewal. Submit renewal at least 120 days before expiration. Continued licensure depends on compliance or an accepted and implemented correction plan; ownership, location, capacity, and service changes can trigger additional review. He-P 826.06–.09.

Official sources

• DHHS Health Facilities Administration
• He-P 826 residential SUD rules
• RSA 151

Key licensing requirements

1. Match the service and setting. Outpatient SUD, intensive outpatient, partial care, and OTP services fall within the 8:43K framework. Residential treatment and residential withdrawal-management services follow the separate 8:111 licensing standards. DOH integrated licensing guidance.
2. Submit the outpatient application and schedules. Use CN-7 and the applicable schedules to identify ownership, premises, and every requested service. DOH reviews the operator's history and the facility's readiness before authorization. 8:43K application rules.
3. Provide qualified leadership. Outpatient facilities need an administrator, appropriate clinical leadership, and credentialed practitioners working within their professional scope. Apply the service-specific DMHAS staffing standards to your treatment model. DMHAS 10:36 standards.
4. Prepare the premises for inspection. Meet applicable zoning, health, fire, and construction requirements, including Department of Community Affairs plan review and occupancy approval where required. Outpatient facilities must pass the initial licensing survey. 8:43K premises and survey requirements.
5. Track the correct license term. Full outpatient licenses run for two years unless shortened for compliance reasons. Residential licenses run for one year, with renewal under the separate residential licensing framework. Outpatient rules; Residential rules.
6. Document accreditation-based renewal. Outpatient applicants seeking deemed status submit accreditation, survey/audit, and corrective-action records with the renewal application. DOH continues to evaluate compliance history and readiness for renewal. 8:43K renewal standards.

Official sources

• DOH integrated facility licensing
• N.J.A.C. 8:43K adoption
• DMHAS 10:36
• Residential 8:111 rules

Key licensing requirements

1. Choose the applicable program standards. Part 816 covers withdrawal/stabilization, Part 818 inpatient rehabilitation, Part 820 residential services, and Part 822 outpatient and opioid treatment. Build your service plan around the corresponding certification category. OASAS regulations.
2. Complete consultation before filing. Work with the Regional Office and Local Governmental Unit, obtain the signed prior-consultation form, and submit through NYSE-CON after recommendation to proceed. Include governance, service, premises, staffing, and financial schedules. Program certification instructions.
3. Demonstrate public need and operating fitness. Certification requires findings on public need, character and competence, financial condition, premises, personnel, and legal compliance. Prepare the ownership and operating evidence needed to support those findings. Mental Hygiene Law §32.09.
4. Meet outpatient staffing standards. Part 822 requires a program director, clinical supervision, medical services, and adequate counselors, including a full-time CASAC and a full-time qualified health professional from another licensed discipline. Part 822 staffing requirements.
5. Screen covered personnel. Use OASAS's designated criminal-background process for covered employees, contractors, and volunteers with potential regular, substantial unsupervised or unrestricted patient contact. Required screening includes applicable exclusion-list, fingerprint, and criminal-history checks. OASAS screening instructions.
6. Prepare the physical plant. Meet applicable occupancy, zoning, building, fire, sanitation, and setting-specific space standards. Request the final physical-plant inspection through the certification process before opening the approved program. Part 814 facility requirements.
7. Submit withdrawal-management protocols. Programs providing withdrawal management must include medical protocols with new-certification and recertification applications for OASAS clinical approval, followed by the required attestation. This process took effect June 1, 2026. OASAS protocol requirements.

Official sources

• OASAS program certification
• Part 810 certification standards
• OASAS service regulations
• Mental Hygiene Law §32.09

Key licensing requirements

1. Request your licensing packet: Start with DDAP's application request form. The department then provides the licensing packet for your proposed facility. Adding a location or treatment activity also requires the applicable application process. DDAP application instructions.
2. Match approval to the setting: Freestanding treatment facilities follow Chapter 709. Hospital-affiliated treatment facilities use Chapter 711's certificate-of-compliance pathway alongside hospital licensing requirements. Your operating approval identifies the authorized treatment activities and location. DDAP licensing resources.
3. Plan clinical supervision and caseloads: Chapter 704 requires a full-time clinical supervisor for every eight full-time counselors and counselor assistants. Partial hospitalization has a 1:10 counselor-to-client ratio; outpatient caseloads cannot exceed thirty-five active clients per full-time-equivalent counselor. Staffing standards.
4. Prepare your operating policies: Establish governing-body and facility-director responsibilities, review the policy manual annually, and document procedures for patient records, rights, medication, incidents, and coordination of care. Chapter 709 treatment-facility standards.
5. Meet physical-plant requirements: Obtain the required occupancy approval from Labor and Industry or the applicable local authority. Your fire-safety program must include documented monthly drills, with additional nighttime requirements for residential facilities. Chapter 705 physical-plant standards.
6. Maintain annual licensing readiness: DDAP issues licenses annually and conducts annual onsite inspections. The license belongs to the approved operator, premises, and treatment activities, so an ownership or service change must follow the applicable approval process. DDAP licensing process.
7. Add narcotic-treatment approval when needed: A narcotic treatment program must meet Chapter 715 in addition to its underlying facility requirements and applicable federal approvals. Include this separate program approval when planning methadone treatment services. Chapter 715 standards.

Official sources

• DDAP license application
• DDAP licensing resources
• Chapter 709
• Chapter 711

Key licensing requirements

1. Select the proper service approvals: BHDDH distinguishes outpatient, intensive outpatient, partial hospitalization, residential SUD, detoxification, and opioid treatment services. Its rules also identify exemptions for specified separately licensed facilities, private practitioners, and practitioner groups. Behavioral healthcare organization rules.
2. Apply for each service site: Submit site-specific information about ownership, governance, finances, services, staffing, training, operating hours, and discharge procedures. The application also requires notarized disclosures and a current State Fire Marshal report. BHDDH license application.
3. Meet residential staffing standards: Residential SUD programs generally need at least one direct-care staff member for every eight awake residents and one for every twenty residents overnight. Detoxification services have additional physician and nursing requirements. Service-specific staffing standards.
4. Complete required personnel screening: Applicants for employment involving routine unsupervised client contact require a national criminal-history check that includes fingerprints. Maintain the applicable background-check documentation and review changes in criminal history through personnel procedures. General licensing standards, §1.21.
5. Accredit partial hospitalization: A partial hospitalization program must hold recognized national accreditation. Its approval is distinct from general outpatient and intensive outpatient services, each of which has its own operating requirements. Partial hospitalization standards, §1.6.7.
6. Address inpatient project approval: Rhode Island's Certificate of Need statute includes inpatient rehabilitation centers providing drug and alcohol treatment. Include the Department of Health's project-review process when planning a covered inpatient rehabilitation facility. Certificate of Need definitions.
7. Manage renewals and changes: Agency licenses and service certifications generally run for up to two years. Submit renewal sixty days before expiration, and obtain the required approval before ownership, site, service, or capacity changes. General licensing and renewal rules.

Official sources

• BHDDH license application
• General licensing rules
• Behavioral healthcare organization rules
• Certificate of Need statute

Key licensing requirements

1. Establish the certification pathway: Programs receiving Department of Health state or federal funding must obtain DSU certification. A preferred provider also holds a Department contract or grant. These funding arrangements define the certification rule's mandatory scope. SUD treatment certification rule.
2. Describe the proposed program: Your initial application addresses the service gap, population, geographic area, operating and financial plans, staffing, reporting capability, startup milestones, and tax good standing. Explain the anticipated effects on treatment access, cost, and quality. Initial application requirements, §4.1.1.
3. Match services and staff to approval: Preferred providers may deliver only DSU-approved levels of care at approved sites. Staffing follows the applicable ASAM level, counseling staff need an authorized credential or supervised pathway, and clinical supervision occurs at least twice monthly. Preferred-provider treatment standards.
4. Prepare for site review: DSU requires a visit to each service location before certification. Maintain policies and records covering assessment, individualized treatment, discharge, medication, crisis response, patient rights, and quality improvement. DSU treatment standards.
5. Obtain applicable building approvals: The Division of Fire Safety administers construction and change-of-use or ownership review. Submit required permit applications before work begins, including applicable fire-alarm, sprinkler, electrical, and plumbing approvals. Fire Safety permit instructions.
6. Address project review: Vermont's Certificate of Need program evaluates covered healthcare projects using statutory criteria and monetary thresholds. The Green Mountain Care Board accepts jurisdictional-determination requests to establish whether a particular project requires review. Certificate of Need program.
7. Renew certification on time: DSU certification lasts no more than three years. Submit renewal at least sixty days before expiration, including the requested operating policies, staff roster, and grievance log. Certification term and renewal requirements.

Official sources

• DSU provider certification
• Certification rule
• Treatment standards
• Certificate of Need program