Chemical Health

Using the licensing information lookup

Chemical dependency treatment programs information

Detoxification programs information

Statutes and rules

Licensing requirements- Variance request form

Updates and legislative changes

Frequently asked questions

Vulnerable Adults Maltreatment Reporting Policy form

Maltreatment of Minors Reporting Policy form

Vulnerable Adult Determination Form

Other Licensing Requirements
The Minnesota Department of Health licenses and regulates certain facilities as it relates to sanitation and safety of the buildings and to the health, treatment, comfort, safety, and well-being of the persons being served. Depending on the type of service that you intend to provide in your facility, you may need a license from each state agency. Additional information for MDH licensing information may be found on their website for:

Supervised Living Facility

Food, Beverage and Lodging (FBL) License

Chemical dependency treatment programs (DHS Rule 31)

Chemical dependency treatment rules set standards for licensing chemical dependency treatment programs providing outpatient adolescent treatment, residential treatment for adults, treatment for intravenous drug abusers, treatment for people with chemical and mental health problems and treatment for parents with their children. Residential adolescent chemical dependency treatment is licensed under the children’s residential facilities rule.

Rule 31 – Minnesota Rules, part 9530.6405 to 9530.6505

Self-monitoring checklist for Rule 31

Use of Electronic records keeping – Assurance Statement form

Additional Forms for Rule 31 Programs serving Clients with their Children:

The following is a general overview of the chemical dependency treatment program requirements but does not include all specific requirements.

(For specific requirements, see Minnesota Rules, parts 9530.6405 to 9530.6505 (DHS Rule 31) and Minnesota Statutes, Chapters 245A (Human Services Licensing Act), 245C (Human Services Background Studies), and Minnesota Statutes, sections 626.556 (Reporting of Maltreatment of Minors), 626.557 (Reporting of Maltreatment of Vulnerable Adults), and 626.5572 (Definitions of terms used in 626.557.)

Required policies/services

The applicant must develop and implement written policies in the following areas:

Treatment planning and documentation process. This includes a comprehensive assessment, assessment summary, initial service plans, treatment plans, progress notes and plan reviews.

Required treatment services. This includes a description of treatment services, including the required service of:

  • • Individual and group counseling to help the client identify and address problems related to chemical use and develop strategies to avoid inappropriate chemical use after discharge;
  • • Client education strategies to avoid inappropriate chemical use and health problems related to chemical use and the necessary changes in lifestyle to regain and maintain health. Client education must include information concerning the human immunodeficiency virus and other sexually transmitted diseases, drug and alcohol use during pregnancy, hepatitis, and tuberculosis;
  • • Transition services to help the client integrate gains made during treatment into daily living and to reduce reliance on the license holder's staff for support
  • • Services to address issues related to co-occurring mental illness
  • • Service coordination to help the client obtain the services and to support the client’s need to establish a lifestyle free of the harmful effects of substance.
  • Additional treatment services

    A license holder may provide or arrange the following additional treatment services:

    Relationship counseling provided by a qualified professional to help the client identify the impact of the client’s substance use disorder on others and to help the client and persons in the client's support structure identify and change behaviors that contribute to the client’s substance use disorder

    Therapeutic recreation to provide the client with an opportunity to participate in recreational activities without the use of mood-altering chemicals and to learn to plan and select leisure activities that do not involve the inappropriate use of chemicals

    Stress management and physical well-being to help the client reach and maintain an acceptable level of health, physical fitness and well-being

    Living skills development to help the client learn basic skills necessary for independent living

    Employment or educational services to help the client become financially independent

    Socialization skills development to help the client live and interact with others in a positive and productive manner

    Room, board and supervision provided at the treatment site to give the client a safe and appropriate environment in which to gain and practice new skills.

    Health Care services

    An applicant must submit a complete description of the health care services, nursing services, dietary services and emergency physician services offered by the license holder.

    Medication services

    An applicant must have policies and procedures for the administration of medications, assistance with self-medication and procedures related to control of drugs.

    Required staff qualifications

    The program must have a treatment director, alcohol and drug counselor supervisor and the appropriate number of qualified alcohol and drug counselors based on the needs of clients.

    Treatment director - Must be at least 18 years of age and have two years of freedom from chemical use problems. In addition, the treatment director must have at least one year of work experience in direct service to individuals with chemical use problems or one year of work experience in the management or administration of direct service to individuals with chemical use problems and have a baccalaureate degree or three years of work experience in administration or personnel supervision in human services.

    Alcohol and drug counselor supervisor - Must be at least 18 years of age and have two years of freedom from chemical use problems. In addition, the drug counselor supervisor must also meet the qualifications of an alcohol and drug counselor.

    Alcohol and drug counselor - Must be at least 18 years of age and have two years of freedom from chemical use problems. In addition, the counseling staff must meet one of the six possible combined licensed, education, certification and experience requirements, such as completion of a bachelor's degree including 480 hours of alcohol and drug counseling education from an accredited school or educational program and 880 hours of alcohol and drug counseling practicums.

    Registered nurse - Must be licensed as a registered nurse, be at least 18 years of age and have two years of freedom from chemical use problems.

    Consulting staff - The program must also document the availability of a licensed mental health professional to provide diagnostic assessment and treatment planning assistance.

    Programs providing specialized services to adolescents, clients with their children, persons with chemical substance abuse and mental health disorders, or intravenous drug abusers must meet the staff qualification requirements to serve those populations

    Records

    Client records - Intake information, a comprehensive assessment, an individual abuse prevention plan, an individual treatment plan, progress notes and a summary of termination of services.

    Personnel records - Staff person’s completed application, documentation that the staff person meets the position requirements, education and experience, documentation of orientation and training, and documentation of a completed background study.

    Background studies

    All individuals having direct contact with clients must have a background study conducted by DHS. Before an initial license is issued, the person(s) who signed the application and the individual(s) with the highest level of decision-making authority over the program must have a background study clearance notification from DHS. Additional information related to Background studies is provided in the License Application.

    To begin the initial licensing process, the applicant must:

    Submit completed License Application for Rule 31 chemical dependency treatment program and

    Submit a nonrefundable initial license application fee. The fee is $550.

    Detoxification programs (DHS Rule 32)

    Detoxification program rules establish minimum standards for licensing detoxification programs not operated in and by hospitals. Detoxification programs are licensed to provide short-term care on a 24-hour basis for the purpose of detoxifying clients and facilitating access to chemical dependency treatment programs as indicated by an assessment of client needs.

    Rule 32 – Minnesota Rules, part 9530 to 9530.6590

    Self monitoring checklist for Rule 32

    The following is a general overview of the detoxification program requirements but does not include all specific requirements.

    (For specific requirements, see Minnesota Rules, parts 9530.6510 to 9530.6590 (DHS Rule 32) and Minnesota Statutes, Chapters 245A, 245C, and Minnesota Statutes, sections 626.556, 626.557 and 626.5572.)

    Required plans, policies, and services

    Required program services.

  • • Chemical Use screening. Each client admitted must be screened to determine whether the client suffers from substance use disorder.
  • • Chemical Use assessment. The license holder must provide or arrange for the provision of a chemical use assessment for each client determined by the screening to suffer from substance use disorder. The assessment must include documentation of the appropriateness of an involuntary referral through the civil commitment process.
  • • Referrals. The license holder must provide referrals to appropriate chemical dependency services as indicated by the chemical use assessment.
  • • Client Education: The license holder must provide education for obtaining assistance regarding:
  • o substance use disorder, including the effects of alcohol and other drugs and specific information about the effects of chemical use on unborn children
  • o tuberculosis and reporting known cases of tuberculosis disease to health care authorities
  • o HIV as required in Minnesota Statutes, section 245A.19.
  • • Health services. The program must have written procedures for assessing and monitoring client health, and a standardized data collection tool for collecting health related information about each client. If the client was intoxicated at the time services were initiated, the procedure must include a follow-up screening conducted between four and 12 hours after service initiation that collects information relating to health complaints and behavioral risk factors that the client may not have been able to communicate clearly at service initiation. The procedures must specify the physical signs and symptoms that, when present, require consultation with a registered nurse or a physician and that require transfer to an acute care medical facility. The procedures must specify the actions to be taken to address specific complicating conditions including pregnancy or the presence of physical signs or symptoms of any other medical condition.
  • • Medication services. An applicant must have policies and procedures for the administration of medications, assistance with self-medication and procedures related to control of drugs.
  • Required written policies, procedures, and forms

  • • The license holder must develop a written policy and procedure manual that contains all of the materials identified in Minnesota Rules, part 9530.6455. The manual must be immediately accessible to staff, and also accessible to consumers of the services and other authorized parties.
  • • The policies, procedures, and forms that must be submitted with a new application for a license to provide Detoxification Services are listed in the license application form titled Rule 32 Additional Required Documents Checklist.
  • Required staff qualifications

    The program must have a program director, medical director, registered nurse, chemical dependency assessor and the appropriate number of qualified technicians based on a 1 to 10 staffing ratio.

    Program director - Must be at least 18 years of age and have two years of freedom from chemical use problems. The license holder must employ or contract with a person, on a full-time basis, to serve as program director. In addition, the director must have at least one year of work experience in direct service to individuals with chemical use problems or one year of work experience in the management or administration of direct service to individuals with chemical use problems and have a baccalaureate degree or three years of work experience in administration or personnel supervision in human services.

    Registered nurse - Must be licensed as a registered nurse, be at least 18 years of age and have two years of freedom from chemical use problems.

    Medical director - A license holder must have a medical director available for medical supervision. The medical director is responsible for ensuring the accurate and safe provision of all health-related services and procedures. A license holder must obtain and document the medical director's annual approval of the several health care-related policies.

    Technician(s) - Must be at least 18 years of age and have six months of freedom from chemical use problems. In addition, a technician employed by a detoxification program must demonstrate competency in the following areas: (1) knowledge of the client bill of rights; and (2) knowledge of and ability to perform basic health screening procedures with intoxicated clients.

    Records

    Client records - Intake information, documentation of the client's presenting problem, chemical use screening, the most recent assessment, an individual abuse prevention plan, documentation of referrals and documentation of observations.

    Personnel records - Staff person’s completed application, documentation that the staff person meets the position requirements, education and experience, and documentation of a completed background study.

    Background studies

    All individuals having direct contact with clients must have a background study conducted by DHS. Before an initial license is issued, the person(s) who signed the application and the individual(s) with the highest level of decision-making authority over the program must have a background study clearance notification from DHS.

    To begin the initial licensing process, the applicant must:

    Submit completed License application for Rule 32 licensure forms provided by DHS, and

    Submit a nonrefundable initial license application fee. The fee is $550.

    Statutes and rules

    The following Minnesota Statutes and Rules apply to these services:

    Minnesota Statutes, Chapter 245A (Human Services Licensing Act)

    Minnesota Statutes, Chapter 245C (Human Services Background Studies Act)

    Minnesota Statutes, section 626.556 (Maltreatment of Minors Reporting Act)

    Minnesota Statutes, sections 626.557 and 626.5572 (Vulnerable Adults Act)

    Minnesota Rules, parts 9530.6405 to 9530.6505 (Chemical Dependency Rule 31)

    Minnesota Rules, parts 9530.6510 to 9530.6590 (Detoxification Programs Rule 32)


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