Chapter 5122-25 | Certification

Rule 5122-25-01 | Applicability.

• Effective: August 1, 2026
• Promulgated Under: 119.03

(A) Statement of applicability

In general, the rules in this chapter apply to any person or government entity that provides or seeks to provide one or more certifiable services or supports, including (1) a person or government entity that operates or seeks to operate an opioid treatment program, (2) a person or government entity that operates or seeks to operate a class one residential facility as defined in section 5119.34 of the Revised Code, and (3) a board of alcohol, drug addiction, and mental health services that is, under section 340.037 of the Revised Code, approved by the director to provide any certifiable service or support. Paragraph (B) of this rule contains the exemptions from that general rule and paragraph (C) of this rule sets forth the specific standard that applies to federally-qualified health centers (FQHCs) and FQHC look-alikes.

A person or government entity to whom this chapter applies is referred to as a "provider."

(B) Exemptions

All of the following are exempt from the provisions of this chapter:

(1) In accordance with division (B) of section 5119.35 of the Revised Code, an individual who holds a valid license, certificate, or registration issued by this state authorizing the practice of a health care profession that includes the performance of any service that is required to be certified as described in this section, regardless of whether the service is performed as part of a sole proprietorship, partnership, or group practice.

(2) In accordance with division (B) of section 5119.35 of the Revised Code, an individual who provides any service that is required to be certified as described in this section as part of an employment or contractual relationship with a hospital outpatient clinic that is accredited by an accreditation agency or organization approved by the director of behavioral health.

(3) A person or government entity where a rule specifically exempts that person or government entity from the rule obligation.

(C) Specific standard applicable to federally-qualified health centers (FQHCs) and federally-qualified health center look-alikes (FQHC look-alikes)

(1) An FQHC or FQHC look-alike is subject to the rules in this chapter when the FQHC or FQHC look-alike provides or seeks to provide one or more of the following certifiable services or supports as part of the FQHC or FQHC look-alike designation as "out of scope":

(a) Mental health day treatment as described in rule 5122-29-06 of the Administrative Code.

(b) Forensic evaluation service as described in rule 5122-29-07 of the Administrative Code.

(c) Behavioral health hotline service as described in rule 5122-29-08 of the Administrative Code.

(d) Residential and withdrawal managements substance use disorder services as described in rule 5122-29-09 of the Administrative Code.

(e) Substance use disorder qualified residential treatment program (QRTP) for youth as described in rule 5122-29-09.1 of the Administrative Code.

(f) Crisis intervention service as described in rule 5122-29-10 of the Administrative Code.

(g) Employment service as described in rule 5122-29-11 of the Administrative Code.

(h) Driver intervention program as described in rule 5122-29-12 of the Administrative Code.

(i) SUD case management services as described in rule 5122-29-13 of the Administrative Code.

(j) Mobile response and stabilization service as described in rule 5122-29-14 of the Administrative Code.

(k) Peer support services as described in rule 5122-29-15 of the Administrative Code.

(l) Peer run organization as described in rule 5122-29-16 of the Administrative Code.

(m) Community psychiatric supportive treatment as described in rule 5122-29-17 of the Administrative Code.

(n) Therapeutic behavioral health services and psychosocial rehabilitation as described in rule 5122-29-18 of the Administrative Code.

(o) Prevention services as described in rule 5122-29-20 of the Administrative Code.

(p) Supplemental behavioral health services as described in rule 5122-29-27 of the Administrative Code.

(q) Intensive home-based treatment (IHBT) service as described in rule 5122-29-28 of the Administrative Code.

(r) Assertive community treatment as described in rule 5122-29-29 of the Administrative Code.

(2) An FQHC or FQHC look-alike is not subject to the rules in this chapter when the FQHC or FQHC look-alike provides or seeks to provide one or more of the following certifiable services or supports as part of the FQHC or FQHC look-alike designation as "in scope, other activities," including the provision of medication-assisted treatment as defined in section 340.01 of the Revised Code and the prescribing of one or more psychotropic drugs as defined in section 5119.19 of the Revised Code:

(a) General services as described in rule 5122-29-03 of the Administrative Code.

(b) Consultation service as described in rule 5122-29-19 of the Administrative Code.

(c) Referral and information service as described in rule 5122-29-22 of the Administrative Code.

Last updated August 3, 2026 at 8:23 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031
Prior Effective Dates: 10/1/2003, 2/1/2016, 10/31/2019

Rule 5122-25-02 | Certification procedure - initial application.

• Effective: August 1, 2026
• Promulgated Under: 119.03

(A) This rule specifies the procedure a provider is to follow when applying for initial certification of at least one certifiable service or support.

If the provider is already certified for at least one certifiable service or support and seeks to add one or more certifiable services or supports to the menu of services or supports it provides, the provider has two options:

(1) If the provider is seeking to add services or supports during its certification term, submit an update application to the department using the procedure in rule 5122-25-03 of the Administrative Code.

(2) If the provider is seeking to add services or supports when renewing certification for other services or supports, submit a renewal application to the department using the procedure in rule 5122-25-04 of the Administrative Code and indicate the desire for the certification of the additional services or supports in that application.

(B) A provider is to submit an application for initial certification to the department through the department's licensure and certification tracking system. If a provider has a parent organization that operates multiple providers, each provider under that parent organization is to submit its own application.

The application for initial certification consists of all of the following:

(1) An initial application form mandating all of the following information:

(a) The provider's legal name as it is filed with the Ohio secretary of state and, if applicable, any other name under which the provider does business.

(b) The provider's federal tax identification number (FTID). If the provider has a parent organization, the FTID listed is to be the FTID of the provider and not the FTID of the parent organization.

(c) If applicable, the numbers of all certificates or licenses the provider already possesses from the department.

(d) The addresses and telephone numbers for each physical (i.e., brick and mortar) site at which the provider intends to provide certifiable services or supports and the address the provider uses to receive legal notices and correspondence. For purposes of this subparagraph, each provider is to own or lease at least one physical site in Ohio where certifiable services and supports are to be provided. All of the following do not qualify as a physical site:

(i) A co-working or shared workspace used on an "as-needed basis";

(ii) A library;

(iii) A restaurant, cafe, or similar environment;

(iv) A school, except where a school-based provider has an office on the premises of a school or a school operates a permanent site for the delivery of one or more certifiable services or supports; or

(v) A site which would be considered the client's natural environment (e.g., home or county department of job and family services location).

If the physical location is leased by the provider, any room where clients are seen is not to be shared with other lessees or individuals who are not affiliated with the provider.

(e) The provider's governing structure and the names and contact information for each member of the provider's governing body, board of directors, or similar body.

(f) The provider's table of organization.

(g) The name and email address of the provider's executive director, chief executive officer, or president.

(h) The name and email address of the individual who serves as the provider's primary contact.

(i) The provider's history of licensure or certification for certifiable services or supports or their equivalent in this state and all other jurisdictions where the applicant provides mental health services, addiction services, or recovery supports.

(j) A list of the certifiable services or supports specified in Chapter 5122-29 of the Administrative Code that are to be provided during the term of certification, along with identification of each service or support that is accredited by, or for which an application for accreditation is pending with, one or more of the following national accrediting organizations specified in division (B)(3) of section 5119.36 of the Revised Code, the status of that accreditation (e.g., full, provisional, conditional, etc.), and the name of each national accrediting organization accrediting each service or support:

(i) The joint commission;

(ii) The commission on accreditation of rehabilitation facilities;

(iii) The council on accreditation; or

(iv) Any other national accrediting organization the director considers appropriate.

For a provider that solely operates or seeks to operate opioid treatment programs exclusively serving clients who are enrolled as opioid treatment program participants (meaning the provider does not operate or seek to operate any site that serves clients who are not enrolled as opioid treatment program participants), the department will accept opioid treatment program national accreditation as sufficient evidence of national accreditation for purposes of compliance with division (B) of section 5119.36 of the Revised Code for the following certifiable services and supports needing to be certified under rule 5122-40-04 of the Administrative Code: general services as described in rule 5122-29-03 of the Administrative Code, substance use disorder (SUD) case management services as described in rule 5122-29-13 of the Administrative Code, and crisis intervention service as described in rule 5122-29-10 of the Administrative Code.

(k) The number of beds for each residential and withdrawal management substance use disorder services location.

(l) A description of the provider's purpose, mission, and goals.

(m) Notification if the provider plans to use seclusion and restraint as defined in rule 5122- 26-16 of the Administrative Code.

(n) Any other information the department requests for the purpose of determining that the provider's services and supports meet certification standards.

(2) If requested by the department, any of the following corporate information:

(a) A copy of the provider's articles of incorporation and all amendments thereto;

(b) Identification of the statutory corporate agent for service; and

(c) If an out-of-state corporation, a copy of the corporation's registration with the Ohio secretary of state to do business in Ohio.

(3) For each jurisdiction where the provider already provides certifiable services or supports or their equivalent, whether any adverse action, as defined in section 5119.367 of the Revised Code, was taken against the provider, any owner or principal of the provider, or any subsidiary of the provider or owner within the three-year period immediately preceding the date of application.

(4) The applicable non-refundable fee or fees specified in rule 5122-25-12 of the Administrative Code.

(5) A copy of each national accrediting organization survey report and any modifications to the survey reports, if applicable.

(6) A copy of each certificate, license, or plaque issued by a national accrediting organization.

(7) A copy of each accreditation award notification letter issued by a national accrediting organization.

(8) Copies of approved physical inspections, either initial or renewal, for each physical (i.e., brick and mortar) site at which the provider intends to provide certifiable services or supports, including:

(a) A building inspection by a local certified building inspector or a certificate of occupancy issued by the department of industrial relations, to be re-inspected whenever there are major alterations or modifications to the building or facility. An additional building inspection is mandated for any major change in the use of space that would make the building or facility subject to review under different building code standards;

(b) An approved fire inspection conducted within the previous twelve months, free of deficiencies, that was conducted by a certified fire authority or, where none is available, by the division of the state fire marshal of the department of commerce;

(c) A water supply and sewage disposal inspection, if these systems are not connected with public services, to certify compliance with rules of the department of health and any other state or local regulations, rules, codes, or ordinances;

(d) A current boiler certificate of operation, if applicable;

(e) A current elevator permit, if applicable; and

(f) A food service license or permit, if required by the department of health.

(C) Upon receipt of an application for initial certification, the department will review it to determine whether it is complete and compliant. If the application is incomplete or not compliant, the department will notify the provider of the corrections or additions that are needed and may return the application to the provider. Return of the application or failure to issue a certificate is not a denial of an application for certification.

A provider that fails to respond to a request to submit corrections or additions to an application for initial certification within forty-five days of the request is to automatically be considered to have withdrawn its application. If the provider desires to seek certification again, the provider is to file a new application for initial certification.

(D) Following the department's determination that an application for initial certification is complete and compliant and that the standards specified in section 5119.36 of the Revised Code and rules adopted under that section are satisfied, the director will, in accordance with division (A) of section 5119.36 of the Revised Code, inform the board of alcohol, drug addiction, and mental health services serving the alcohol, drug addiction, and mental health service district in which the provider's certifiable services or supports will be provided of the receipt of the application. On the board's request, the director is to provide the board with a copy of the application. In addition, the director will determine, in accordance with paragraph (D)(1) of this rule, whether an on-site review is needed or permitted and take the appropriate action. If necessary pursuant to paragraph (D)(2) of this rule, the department will complete a written statement of noncompliance.

(1) On-site reviews

(a) The director may conduct an on-site review of the provider if the director needs additional information to determine whether the standards in section 5119.36 of the Revised Code and any rules adopted under that section are satisfied.

Otherwise, if the director determines that the standards specified in section 5119.36 and any rules adopted under that section are satisfied without the need for additional information, the director will issue the certification without further evaluation of the services or supports.

If the director chooses to conduct an on-site review under these circumstances, the director may conduct the on-site review in cooperation with a board of alcohol, drug addiction, and mental health services that seeks to contract or has a contract with a provider under section 340.036 of the Revised Code. It is up to the department's discretion as to whether the department will notify a provider in advance of such an on-site review.

(b) If the director determines that national accreditation does not exist for at least one of the certifiable services or supports or equivalent services or supports for which the provider is seeking certification, however, an on-site review is mandatory. Under these circumstances, it is the director's obligation to conduct an on-site review of the provider for certifiable services or supports for which national accreditation does not exist.

(c) In addition to an on-site review conducted under paragraph (D)(1)(a) or (D)(1)(b) of this rule, the department may, as authorized by division (H) of section 5119.36 of the Revised Code, conduct an on-site review or otherwise evaluate a provider at any time based on cause, including complaints made by or on behalf of individuals receiving certifiable services or supports and confirmed or alleged deficiencies brought to the director's attention. The department has the discretion to determine whether it will notify a provider in advance of such an on-site review. In conducting an on-site review under these circumstances, the department may do so in cooperation with a board of alcohol, drug addiction, and mental health services that seeks to contract or has a contract with the provider under section 340.036 of the Revised Code.

(d) Regardless of whether the department is conducting an on-site review under paragraph (D)(1)(a), (D)(1)(b), or (D)(1)(c) of this rule, the department is to have access to all of the provider's records, regardless of format, to verify compliance with certification standards. In addition, the department may conduct interviews with members of the provider's governing body, staff, and others and, with client permission, the client.

(2) Written statement of noncompliance

If the department determines that a provider fails to comply with any certification standards applicable to the provider, the department is to send to the provider a written statement citing the items that are not in compliance. The statement is to describe the deficiencies and specify the actions needed for correction. The provider's plan of correction is to describe the actions the provider plans to take and a time frame in which the provider plans to correct all deficiencies.

A provider that fails to respond to a request to submit a corrective response (e.g., a plan of correction) within ninety days is to automatically be considered to have withdrawn its application. If the provider desires to seek initial certification again, the provider is to file a new application for initial certification.

Last updated August 3, 2026 at 8:26 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031
Prior Effective Dates: 10/1/2003, 3/25/2004, 8/23/2007, 7/1/2009

Rule 5122-25-03 | Certification procedure - update application.

• Effective: August 1, 2026
• Promulgated Under: 119.03

(A) This rule specifies the procedure a provider is to follow when the provider seeks to update its certification of certifiable services or supports with the department at any time before renewal (i.e., in the midst of a certification term). Reasons for submitting an update application could include a provider seeking to add a certifiable service or support to, or remove a certifiable service or support from, the menu of services or supports the provider provides; changing locations; adding locations; or changing its executive director, chief executive officer, or similar title. In this circumstance, the provider is to submit an "update application" through the department's licensure and certification tracking system. An update application will be an abbreviated version of the application for initial certification described in rule 5122-25-02 of the Administrative Code.

(B) Upon receipt of an update application, the department will review the application to determine whether it is complete and compliant. If the application is incomplete or not compliant, the department will notify the provider of the corrections or additions that are needed and may return the application to the provider. Return of the application or failure to issue certification is not a refusal to certify.

A provider that fails to respond to a request to submit corrections or additions to an update application within forty-five days is automatically considered to have withdrawn the application. If the provider desires to attempt the update again, the provider is to file a new update application.

A provider that seeks to add a certifiable service or support to the menu of services or supports the provider provides by submitting an update application to the department is to have attained provisional, preliminary, inaugural, conditional, or full accreditation for that service or support not later than the date of application if the department determines that the service or support is one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section. The department may then determine whether the provider qualifies for interim certification under the circumstances described in paragraph (A)(2)(a) of rule 5122-25-06 of the Administrative Code or full certification under the circumstances described in paragraph (B)(2)(a) of rule 5122-25-07 of the Administrative Code.

For a provider that solely operates or seeks to operate opioid treatment programs exclusively serving clients who are enrolled as opioid treatment program participants (meaning the provider does not operate or seek to operate any site that serves clients who are not enrolled as opioid treatment program participants), the department will accept opioid treatment program national accreditation as sufficient evidence of national accreditation for purposes of compliance with division (B) of section 5119.36 of the Revised Code for the following certifiable services and supports needing to be certified under rule 5122-40-04 of the Administrative Code: general services as described in rule 5122-29-03 of the Administrative Code, substance use disorder (SUD) case management services as described in rule 5122-29-13 of the Administrative Code, and crisis intervention service as described in rule 5122-29-10 of the Administrative Code.

(C) On-site reviews

(1) The director may conduct an on-site review of a provider submitting an update application if the director needs additional information to determine whether the standards specified in section 5119.36 of the Revised Code and any rules adopted under that section are satisfied with respect to the reason or reasons for which the provider is submitting the update application. Otherwise, if the director determines that the standards specified in section 5119.36 of the Revised Code and any rules adopted under that section are satisfied without the need for additional information, the director may issue the certification without further evaluation of the services and supports.

If the director chooses to conduct an on-site review under these circumstances, the director may conduct the on-site review in cooperation with a board of alcohol, drug addiction, and mental health services that seeks to contract or has a contract with a provider under section 340.036 of the Revised Code. It is up to the department's discretion as to whether the department will notify a provider in advance of such an on-site review.

(2) If the provider is seeking to add one or more services or supports to the menu of services or supports the provider provides and the director has determined that national accreditation does not exist for at least one of the services or supports the provider is seeking to add, an on-site review is mandatory. Under these circumstances, it is the director's obligation to conduct an on-site review of the provider for certifiable services or supports for which national accreditation does not exist.

(3) In addition to an on-site review conducted under paragraph (C)(1) or (C)(2) of this rule, the department may, as authorized by division (H) of section 5119.36 of the Revised Code, conduct an on-site review or otherwise evaluate a provider at any time based on cause, including complaints made by or on behalf of individuals receiving certifiable services or supports and confirmed or alleged deficiencies brought to the director's attention. The department has the discretion to determine whether it will notify a provider in advance of such an on-site review. In conducting an on-site review under these circumstances, the department may do so in cooperation with a board of alcohol, drug addiction, and mental health services that seeks to contract or has a contract with the provider under section 340.036 of the Revised Code.

(4) Regardless of whether the department is conducting an on-site review under paragraph (C)(1), (C)(2), or (C)(3) of this rule, the department is to have access to all of the provider's records, regardless of format, to verify compliance with certification standards. In addition, the department may conduct interviews with members of the provider's governing body, staff, and others and, with client permission, the client.

Last updated August 3, 2026 at 8:26 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031
Prior Effective Dates: 1/1/2004, 11/24/2011

Rule 5122-25-04 | Certification procedure - renewal application.

• Effective: August 1, 2026
• Promulgated Under: 119.03

(A) This rule specifies the procedure a provider is to follow when applying for renewal certification of one or more certifiable services or supports.

(B) A provider is to submit an application for renewal certification to the department through the department's licensure and certification tracking system. If a provider has a parent organization that operates multiple providers, each provider under that parent organization is to submit its own application for renewal. A provider is to submit an application for renewal certification not less than one hundred twenty days before the expiration of the current certificate.

The application for renewal certification consists of all of the following:

(1) A renewal application form mandating all of the following information:

(a) The provider's legal name as it is filed with the Ohio secretary of state and, if applicable, any other name under which the provider does business.

(b) The provider's federal tax identification number (FTID). If the provider has a parent organization, the FTID listed is to be the FTID of the provider and not the FTID of the parent organization.

(c) If applicable, the numbers of all certificates or licenses the provider already possesses from the department.

(d) The addresses and telephone numbers for each physical (i.e., brick and mortar) site at which the provider intends to provide certifiable services or supports and the address the provider uses to receive legal notices and correspondence. For purposes of this subparagraph, each provider is to own or lease at least one physical site in Ohio where certifiable services or supports are to be provided. All of the following do not qualify as a physical site:

(i) A co-working or shared workspace used on an "as-needed basis";

(ii) A library;

(iii) A restaurant, cafe, or similar environment;

(iv) A school, except where a school-based provider has an office on the premises of a school or a school operates a permanent site for the delivery of one or more certifiable services or supports; or

(v) A site which would be considered the client's natural environment (e.g., home or county department of job and family services location).

If the physical location is leased by the provider, any room where clients are seen is not to be shared with other lessees or individuals who are not affiliated with the provider.

(e) The provider's governing structure and the names and contact information for each member of the provider's governing body, board of directors, or similar body.

(f) The provider's table of organization.

(g) The name and email address of the provider's executive director, chief executive officer, or president.

(h) The name and email address of the individual who serves as the provider's primary contact.

(i) The provider's history of licensure or certification for certifiable services or supports or their equivalent in this state and all other jurisdictions where the provider provides mental health services, substance use disorder services, or recovery supports.

(j) A list of the certifiable services or supports that are to be provided during the term of certification, along with identification of each service or support that is accredited by, or for which an application for accreditation is pending with, one or more of the following national accrediting organizations specified in division (B)(3) of section 5119.36 of the Revised Code, the status of that accreditation (e.g., full, provisional, conditional, etc.), and the name of each accrediting organization accrediting each service and support:

(i) The joint commission;

(ii) The commission on accreditation of rehabilitation facilities;

(iii) The council on accreditation; or

(iv) Any other national accrediting organization the director considers appropriate.

For a provider that solely operates or seeks to operate opioid treatment programs exclusively serving clients who are enrolled as opioid treatment program participants (meaning the provider does not operate or seek to operate any site that serves clients who are not enrolled as opioid treatment program participants), the department will accept opioid treatment program national accreditation as sufficient evidence of national accreditation for purposes of compliance with division (B) of section 5119.36 of the Revised Code for the following certifiable services and supports needing to be certified under rule 5122-40-04 of the Administrative Code: general services as described in rule 5122-29-03 of the Administrative Code, substance use disorder (SUD) case management services as described in rule 5122-29-13 of the Administrative Code, and crisis intervention service as described in rule 5122-29-10 of the Administrative Code.

(k) The number of beds for each residential and withdrawal management substance use disorder services location.

(l) Notification if the provider uses seclusion and restraint as defined in rule 5122-26-16 of the Administrative Code.

(m) Any other information the department requests for purpose of determining that the provider's services or supports meet certification standards.

(2) If requested by the department, any of the following corporate information:

(a) A copy of the provider's articles of incorporation and all amendments thereto.

(b) Identification of the statutory corporate agent for service.

(c) If an out-of-state corporation, a copy of the corporation's registration with the Ohio secretary of state to do business in Ohio.

(3) For each jurisdiction where the provider provides certifiable services or supports or their equivalent, whether any adverse action, as defined in section 5119.367 of the Revised Code, was taken against the provider, any owner or principal of the provider, or any subsidiary of the provider or owner within the three-year period immediately preceding the date of application.

(4) The applicable non-refundable certification fee specified in rule 5122-25-12 of the Administrative Code.

(5) Documentation of any existing waivers or variances from the certification standards, issued by the department, and justification for such waivers or variances if the provider is seeking renewal of them.

(6) A copy of each national accrediting organization survey report and any modifications to the survey reports, if applicable.

(7) A copy of each certificate, license, or plaque issued by a national accrediting organization, if applicable.

(8) A copy of each accreditation award notification letter issued by a national accrediting organization, if applicable.

(9) Copies of approved physical inspections, either initial or renewal, for each physical (i.e., brick and mortar) site at which the provider provides certifiable services or supports, including:

(a) A building inspection by a local certified building inspector or a certificate of occupancy issued by the department of industrial relations, to be re-inspected whenever there are major alterations or modifications to the building or facility. An additional building inspection is mandated for any major change in the use of space that would make the building or facility subject to review under different building code standards;

(b) An approved fire inspection conducted within the previous twelve months, free of deficiencies, that was conducted by a certified fire authority or, where none is available, by the division of the state fire marshal of the department of commerce;

(c) A water supply and sewage disposal inspection, if these systems are not connected with public services, to certify compliance with rules of the department of health and any other state or local regulations, rules, codes, or ordinances;

(d) A current boiler certificate of operation, if applicable;

(e) A current elevator permit, if applicable; and

(f) A food service license or permit, if required by the department of health.

(C) Upon receipt of a renewal application, the department will review it to determine whether it is complete and compliant. If the application is incomplete or not compliant, the department will notify the provider of the corrections or additions that are needed and may return the application to the provider. Return of the application or failure to issue certification is not a denial of an application for certification. A provider that fails to respond to a request to submit corrections or additions to an application for renewal certification within forty-five days of the request is to automatically be considered to have withdrawn its application. If the provider desires to seek certification again, the provider is to file a new application for initial certification.

A provider that fails to respond to a request to submit corrections or additions to an application for renewal certification within forty-five days of the request is to automatically be considered to have withdrawn its application. If the provider desires to seek certification again, the provider is to file a new application for initial certification.

(D) Following the department's determination that an application for renewal is complete and compliant and that the standards specified in section 5119.36 of the Revised Code and rules adopted under that section are satisfied, the director, in accordance with division (A) of section 5119.36 of the Revised Code, will inform the board of alcohol, drug addiction, and mental health services serving the alcohol, drug addiction, and mental health service district in which the provider's certifiable services or supports will be provided of the receipt of the application. On the board's request, the director is to provide the board with a copy of the application. In addition, the director will determine, in accordance with paragraph (D)(1) of this rule, whether an on-site review is needed or permitted and take the appropriate action. If necessary pursuant to paragraph (D)(2) of this rule, the department will complete a written statement of noncompliance.

(1) On-site reviews

(a) The director may conduct an on-site review of the provider if the director needs additional information to determine whether the standards specified in section 5119.36 of the Revised Code and any rules adopted under that section are satisfied. Otherwise, if the director determines that the standards specified in section 5119.36 of the Revised Code and any rules adopted under that section are satisfied without the need for additional information, the director may issue the certification without further evaluation of the services and supports.

If the director chooses to conduct an on-site review under these circumstances, the director may conduct the on-site review in cooperation with a board of alcohol, drug addiction, and mental health services that seeks to contract or has a contract with the provider under section 340.036 of the Revised Code. It is up to the department's discretion as to whether the department will notify the provider in advance of such an on-site review.

(b) The director is obligated, however, to conduct an on-site review of the provider under both of the following circumstances:

(i) The provider seeks renewal prior to October 1, 2025, and the provider has not yet attained accreditation from a national accrediting organization specified in division (B)(3) of section 5119.36 of the Revised Code to provide each service or support listed in the application for which the director has determined that national accreditation exists for such services or supports. The director is to conduct such an on-site review in cooperation with a board of alcohol, drug addiction, and mental health services that seeks to contract or has a contract with the provider under section 340.036 of the Revised Code.

(ii) The director has determined that national accreditation does not exist for at least one of the certifiable services or supports or equivalent services or supports for which the provider is seeking certification. Under these circumstances, it is the director's obligation to conduct an on-site review of the provider for certifiable services or supports for which national accreditation does not exist.

If the department determines it will conduct an on-site review under this paragraph or paragraph (D)(1)(b)(i) of this rule, the department is to send the provider a letter confirming the date of the on-site review and provide a copy of that letter to the applicable board. At least thirty days before a scheduled on-site review, the provider is to post notices of the on-site review date and the opportunity for the public to participate in a public information interview during the on-site review. The notices are to be posted in the provider's public areas, on bulletin boards near major entrances of provider's facility, and in the treatment or residential areas of provider's facility.

(c) In addition to an on-site review conducted under paragraph (D)(1)(a) or (D)(1)(b) of this rule, the department may, as authorized by division (H) of section 5119.36 of the Revised Code, conduct an on-site review or otherwise evaluate a provider at any time based on cause, including complaints made by or on behalf of individuals receiving certifiable services or supports and confirmed or alleged deficiencies brought to the director's attention. It is up to the department's discretion as to whether the department will notify a provider in advance of such an on-site review. In conducting such an on- site review, the director may do so in cooperation with a board of alcohol, drug addiction, and mental health services that seeks to contract or has a contract with the provider under section 340.036 of the Revised Code.

(d) Regardless of whether the department is conducting an on-site review under paragraph (D)(1)(a), (D)(1)(b), or (D)(1)(c) of this rule, the department is to have access to all of the provider's records to verify compliance with certification standards. In addition, the department may conduct interviews with members of the provider's governing body, staff, and others and, with client permission, the client.

(2) Written statement of noncompliance

If the department determines that a provider fails to comply with any certification standards applicable to the provider, the department is to send to the provider a written statement citing the items that are not in compliance. The statement is to describe the deficiencies and specify the actions needed for correction. The provider's plan of correction is to describe the actions the provider plans to take and a time frame in which the provider plans to correct all deficiencies.

A provider that fails to respond to a request to submit a plan of correction within ninety days is to automatically be considered to have withdrawn its application. If the provider desires to seek renewal certification again and the provider's certificate has not expired or terminated, the provider is to file a new application for renewal certification.

Last updated August 3, 2026 at 8:27 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031
Prior Effective Dates: 1/1/2004, 2/1/2016

Rule 5122-25-05 | Determination of certification status by department.

• Effective: August 1, 2026
• Promulgated Under: 119.03

Following the department's receipt of an application for initial certification or renewal certification, or an update application where the provider is seeking to add, during a certification term, one or more certifiable services or supports to the menu of services or supports it provides, the department will analyze each service or support for which certification has been applied for and determine whether that service or support qualifies for interim certification or full certification.

Last updated August 3, 2026 at 8:27 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031

Rule 5122-25-06 | Interim certification.

• Effective: August 1, 2026
• Promulgated Under: 119.03

(A) The department may determine that a provider qualifies for interim certification of a certifiable service or support at the following times and under the following circumstances:

(1) After the provider has applied for initial certification

(a) When the department determines that the service or support is one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section and the provider has applied for initial certification in accordance with rule 5122-25-02 of the Administrative Code and has attained provisional, preliminary, or conditional accreditation for that service or support from a national accrediting organization specified in division (B)(3) of section 5119.36 of the Revised Code.

(b) When the department determines that the service or support is not one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section and the provider has applied for initial certification in accordance with rule 5122-25-02 of the Administrative Code.

(2) After the provider has filed an update application

(a) When the department determines that the service or support is one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section and the provider has submitted an update application in accordance with rule 5122-25-03 of the Administrative Code (because the provider is seeking to add a new service to the menu of services the provider provides) and the provider has attained provisional, preliminary, or conditional accreditation for that service or support from an accrediting organization specified in division (B)(3) of section 5119.36 of the Revised Code.

(b) When the department determines that the service or support is not one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section and the provider has submitted an update application in accordance with rule 5122-25-03 of the Administrative Code (because the provider is seeking to add a new service to the menu of services the provider provides).

(3) After the provider has applied for certification of an additional service or support in an application for renewal certification

(a) When the department determines that the additional service or support is one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section and the provider has submitted a renewal application in accordance with rule 5122-25-04 of the Administrative Code and has attained provisional, preliminary, or conditional accreditation for the additional service or support from an accrediting organization specified in division (B)(3) of section 5119.36 of the Revised Code.

(b) When the department determines that the additional service or support is not one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section and the provider has submitted a renewal application in accordance with rule 5122-25-04 of the Administrative Code.

(4) Emergency situations

When the department determines that an emergency situation exists or there is an administrative reason necessitating the granting of interim certification of a service or support to a provider who already provides at least one other certifiable service or support.

(B) An interim certification allows a provider to provide a service or support for a limited period of time specified in paragraph (D) of this rule while the provider works to meet all standards for full certification or, as determined by the department, during the period of the emergency situation or other administrative reason.

A certificate is valid only at the locations specified on the certificate. Residential and withdrawal management substance use disorder services provided in accordance with rule 5122-29-09 and driver intervention program provided in accordance with rule 5122-29-12 of the Administrative Code are site specific, meaning that a provider is to request certification at each specific location. All other currently certified services or supports may be provided at any certified location.

A certificate is not transferable to any other location, provider site, or building and is valid only for the provider named in the application. The certificate is not transferable to or assumable by any other person or government entity, including any person or government entity that purchases the provider's corporate or managing entity or enters into any similar purchase agreement. A provider is not to grant the use of its certification to another person or government entity.

(C) The department will grant interim certification for a service or support only after it has determined all of the following:

(1) That the provider has submitted a complete and compliant application for initial certification pursuant to the procedure in rule 5122-25-02 of the Administrative Code, a complete and compliant update application pursuant to the procedure in rule 5122-25-03 of the Administrative Code, or a complete and compliant application for renewal certification pursuant to the procedure in rule 5122-25-04 of the Administrative Code, as applicable, and the application materials comply with Chapters 5122-26 to 5122-29 of the Administrative Code.

(2) If national accreditation is mandated for the particular service or support under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section, that the provider has received preliminary, provisional, or conditional national accreditation for that service or support from a national accrediting organization specified in division (B)(3) of section 5119.36 of the Revised Code.

(3) That the provider demonstrates readiness to meet the clinical documentation obligations of Chapter 5122-27 of the Administrative Code by (a) having an electronic health record system that can meet the standards in that chapter or (b) providing samples of paper forms.

(4) That the provider has adequate staff and equipment to provide the particular service or support determined in accordance with Chapter 5122-29 of the Administrative Code.

(5) That if the provider was subject to an on-site review as described in rule 5122-25-02, 5122- 25-03, or 5122-25-04 of the Administrative Code, that the provider corrected all deficiencies identified in the department's written statement of noncompliance.

(6) That the department has not been notified under section 5119.367 of the Revised Code or is not otherwise aware that the provider, any owner or principal of the provider, or any subsidiary of the provider or owner has been the subject of an adverse action, as defined in that section, during the three-year period immediately preceding the date of application.

(7) That the provider has obtained the permits and inspections specified in paragraph (G) of rule 5122-26-12 of the Administrative Code for each building in Ohio that the provider owns or leases and at which the provider intends to provide one or more certifiable services or supports, except if the building is owned or leased by a school as defined in section 5709.07 of the Revised Code.

(D) An interim certificate terminates on the date that is one hundred eighty days from the date of issuance.

(E) An interim certificate may be extended for a single one hundred eighty-day period.

(F) If a provider is unable to attain full certification at the end of an extension period granted under paragraph (E) of this rule, the interim certificate terminates. In extenuating circumstances, however, at the discretion of the director, the director may consider granting the provider emergency administrative certification under rule 5122-25-09 of the Administrative Code. If the applicant desires to seek initial certification again, the provider is to file a new application for initial certification.

(G) An interim certificate also terminates under the following circumstances:

(1) The provider voluntarily relinquishes the certificate;

(2) The provider is unable to obtain full national accreditation; or

(3) The department revokes the certificate in accordance with rule 5122-25-11 of the Administrative Code.

(H) A provider is to produce the certificate for review on the request of a client or the department.

(I) A provider is to immediately notify the department and the applicable board of alcohol, drug addiction, and mental health services in writing of any changes in its operations that affect the provider's continued compliance with the department's certification standards.

(J) Through an update application submitted in accordance with rule 5122-25-03 of the Administrative Code, a provider is to notify the department of a change in its executive director, chief executive officer, or similar title, including the name, telephone number, and electronic mail address of the replacement individual.

(K) A provider is to notify the department, in writing, of any planned changes to the ownership of the provider. Owners are individuals or corporations with a five percent or more ownership or controlling interest. The notification is to be made at least thirty days before the effective date of the ownership change and include ownership information specified by the department.

Last updated August 3, 2026 at 8:27 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031

Rule 5122-25-07 | Full certification.

• Effective: August 1, 2026
• Promulgated Under: 119.03

(A) As used in this rule, "full accreditation," with respect to a particular certifiable service or support, means a national accrediting organization specified in division (B)(3) of section 5119.36 of the Revised Code that the department has identified on its national accreditation webpage has issued an accreditation decision of "accredited" or "accreditation" without additional conditions or modifiers other than three-year or one-year accreditation.

(B) The department may determine that a provider qualifies for full certification of a certifiable service or support during the following times and circumstances:

(1) After the provider has applied for initial certification

(a) When the department determines that the service or support is one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section and the provider has applied for initial certification in accordance with rule 5122-25-02 of the Administrative Code and attained full accreditation for that service or support from a national accrediting organization specified in division (B)(3) of section 5119.36 of the Revised Code.

(b) When the department determines that the service or support is not one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section and the provider has applied for initial certification in accordance with rule 5122-25-02 of the Revised Code.

(2) After the provider has filed an update application

(a) When the department determines that the service or support is one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section and the provider has submitted an update application in accordance with rule 5122-25-03 of the Administrative Code (because the provider is seeking to add a new service or support to the menu of services or supports the provider provides) and the provider has attained full accreditation for that service or support from a national accrediting organization specified in division (B)(3) of section 5119.36 of the Revised Code.

(b) When the department determines that the service or support is not one for which national accreditation is mandated under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section and the provider has submitted an update application in accordance with rule 5122-25-03 of the Administrative Code (because the provider is seeking to add a new service or support to the menu of services or supports the provider provides).

(3) When the provider is transitioning from interim to full certification

When the provider was previously issued an interim certificate under rule 5122-25-06 of the Administrative Code and the provider is able to demonstrate to the department that it has achieved all standards in paragraph (C) of this rule.

(C) A provider maintains full certification when the provider successfully renews full certification in accordance with the procedure in rule 5122-25-04 of the Administrative Code.

The department will issue full certification for a service or support only after it has determined all of the following:

(1) That the provider has submitted a complete and compliant application for initial certification pursuant to the procedure in rule 5122-25-02 of the Administrative Code or a complete and compliant update application pursuant to the procedure in rule 5122-25-03 of the Administrative Code, as applicable, and the application materials comply with Chapters 5122-26 to 5122-29 of the Administrative Code.

(2) If national accreditation is mandated for the particular service or support under division (B)(1) of section 5119.36 of the Revised Code and rules adopted under that section, that the provider has attained full accreditation.

(3) That the provider demonstrates clinical readiness to meet the documentation obligations of Chapter 5122-27 of the Administrative Code by (a) having an electronic health record system that can meet the standards in that chapter or (b) providing samples of paper forms.

(4) That the provider has adequate staff and equipment to provide the particular service or support determined in accordance with Chapter 5122-29 of the Administrative Code.

(5) That if the provider was subject to an on-site review as described in rule 5122-25-02, 5122- 25-03, or 5122-25-04 of the Administrative Code, that the provider has corrected all deficiencies identified in the department's written statement of noncompliance.

(6) That the department has not been notified under section 5119.367 of the Revised Code or is not otherwise aware that the provider, any owner or principal of the provider, or any subsidiary of the provider or owner has been the subject of an adverse action, as defined in section 5119.367 of the Revised Code, during the three-year period immediately preceding the date of application.

(7) That the provider has obtained the permits and inspections specified in paragraph (G) of rule 5122-26-12 of the Administrative Code for each building in Ohio that the provider owns or leases and at which the provider intends to provide one or more certifiable services or supports, except if the building is owned or leased by a school as defined in section 5709.07 of the Revised Code.

(D) If the provider possesses national accreditation for the certifiable service or support, the department is to issue full certification not later than thirty days after the department determines that it has received a complete and compliant application or an acceptable plan of correction from the provider. If the provider does not possess national accreditation for the certifiable service or support, the department would issue interim certification to the provider as specified in rule 5122-25-06 of the Administrative Code.

(E) Full certification allows a provider to provide a service or support until the full certification expires or is otherwise terminated or revoked by the department, whichever is earlier.

(1) Full certification expires on the date specified by the department which is not to be later than three years from the date of issuance.

(2) Full certification terminates sixty days after the department notifies the provider of its failure to file a complete and compliant application or an acceptable plan of correction or when a provider voluntarily relinquishes its certification or goes out of business.

(3) Full certification is revoked on the date specified by the department pursuant to rule 5122- 25-11 of the Administrative Code.

(F) A certificate is valid only at the locations specified on the certificate. Residential and withdrawal management substance use disorder services provided in accordance with rule 5122-29-09 of the Administrative Code and driver intervention service provided in accordance with rule 5122-29-12 of the Administrative Code are site specific, meaning that a provider is to request certification at each specific location. All other currently certified services or supports may be provided at any certified location.

A certificate is not transferable to any other location, provider site, or building and is valid only for the provider named in the application. The certificate is not transferable to or assumable by any other person or government entity, including any person or government entity that purchases the provider's corporate or managing entity or enters into any similar purchase agreement. A provider is not to grant the use of its certification to another person or government entity.

(G) A provider is to produce the certificate for review on the request of a client or the department.

(H) A provider is to immediately notify the department and the applicable board of alcohol, drug addiction, and mental health services in writing of any changes in its operations that affect the provider's continued compliance with the department's certification standards.

(I) Through an update application submitted in accordance with rule 5122-25-03 of the Administrative Code, a provider is to notify the department of a change in its executive director, chief executive officer, or similar title, including the name, telephone number, and electronic mail address of the replacement individual.

(J) A provider is to notify the department, in writing, of any planned changes to the ownership of the provider. Owners are individuals or corporations with a five percent or more ownership or controlling interest. The notification is to be made at least thirty days before the effective date of the ownership change and include ownership information specified by the department.

Last updated August 3, 2026 at 8:27 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031
Prior Effective Dates: 10/1/2003

Rule 5122-25-08 | Probationary certification.

• Effective: August 1, 2026
• Promulgated Under: 119.03

(A) As used in this rule, "full accreditation," with respect to a particular certifiable service or support, means a national accrediting organization specified in division (B)(3) of section 5119.36 of the Revised Code that the department has identified on its national accreditation webpage has issued an accreditation decision of "accredited" or "accreditation" without additional conditions or modifiers other than three-year or one-year accreditation.

(B) The department may issue probationary certification when the provider has full certification and at least one of the following is true:

(1) The department has identified serious deficiencies during its review of a provider's compliance with certification standards or the provider's documented corrective action is not approved by the department; or

(2) When a national accrediting organization has modified the provider's accreditation status from full accreditation to another accreditation status, except for losing accreditation.

(C) Probationary certification expires on the date that is one hundred twenty days from the date of issuance.

(D) Probationary certification may be extended for a single one hundred twenty-day period.

(E) If a provider is unable to return to full certification or loses national accreditation at the end of an extension period granted under paragraph (D) of this rule, the probationary certification terminates. At this point, the provider may voluntarily relinquish the certificate or the department may revoke the certificate in accordance with 5122-25-11 of the Revised Code.

(F) Nothing in this rule limits the department's ability to bring an administrative hearing prior to issuing probationary certification or an extension thereof under this rule.

Last updated August 3, 2026 at 8:27 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031
Prior Effective Dates: 11/24/2011, 10/31/2019

Rule 5122-25-09 | Emergency administrative certification.

• Effective: August 1, 2026
• Promulgated Under: 119.03

The department may issue emergency administrative certification in emergency situations or for administrative reasons determined by the department. Emergency administrative certification will be issued for a duration of up to ninety days. Subsequent administrative certification periods are at the discretion of the department. The emergency administrative certification expires on the date determined by the department unless a subsequent emergency administrative certificate is issued. Before the certification expires, the department will notify the provider of its options which will vary depending on the circumstances that precipitated the issuance of the emergency administrative certification.

Last updated August 3, 2026 at 8:27 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031

Rule 5122-25-10 | Waivers and variances.

• Effective: August 1, 2026
• Promulgated Under: 119.03

(A) The department may grant a waiver or variance from any certification standard in rules, or portion thereof, for a period of time determined by the department. The period of time is not, however, to exceed the expiration date of the current certification. Requests for waivers and variances that would adversely affect the quality of services, client rights, or the health and safety of clients will not be granted. The department will not grant a waiver or variance from any statutory mandate.

(B) A waiver or variance is to be requested by an individual provider in writing using the form prescribed for this purpose available on the department's website.

(C) Within thirty days of receipt of the written request, the department is to do either of the following:

(1) Provide, in writing, a specific response to the request; or

(2) Provide, in writing, an estimate to the provider of the timeframe in which the department will be able to provide a specific response to the request.

(D) Once a waiver or variance has expired as described in paragraph (A) of this rule, a provider may submit a request for a new waiver or variance by following the procedure in paragraph (B) of this rule. That procedure is to be followed regardless of whether the new waiver or variance request is or is not identical to a prior waiver or variance request the provider has been granted. All other paragraphs of this rule apply with respect to the department's review and determination on the new waiver or variance request.

(E) The department's refusal to grant a waiver or variance, in whole or part, is final and not subject to an adjudication under Chapter 119. of the Revised Code.

Last updated August 3, 2026 at 8:28 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031
Prior Effective Dates: 2/1/2016

Rule 5122-25-11 | Refusal and revocation of certification.

• Effective: August 1, 2026
• Promulgated Under: 119.03

(A) The director may refuse to certify certifiable services and supports, refuse to renew certification, or revoke certification if any of the following applies to the provider:

(1) The provider is not in compliance with the rules in this chapter or Chapters 5122-24, 5122-26, 5122-27, 5122-28, or 5122-29 of the Administrative Code;

(2) The provider has been cited for a pattern of serious noncompliance or repeated violations of statutes or rules during the current certification period or any previous certification period;

(3) The provider has been found to be in violation of section 5119.36 or 5119.396 of the Revised Code;

(4) The provider submits false or misleading information as part of a certification application, renewal, on-site review, or investigation or submits false or misleading information to the department of medicaid or a board of alcohol, drug addiction or mental health services;

(5) The provider does not have adequate staff and equipment to provide the certifiable services or supports;

(6) The provider, whether through its directors, officers, employees, agents, or contractors, falsifies client records in any way;

(7) The provider becomes aware of an employee falsifying information on client records which have been billed to the department of medicaid or the department of medicaid's contractor and fails to pay back the funds within thirty days or notify the department of medicaid within thirty days;

(8) The provider is aware of an employee who has abused or neglected a client and has failed to take appropriate disciplinary action to correct the situation;

(9) The department has been notified under section 5119.367 of the Revised Code, or is aware that the provider, any owner or principal of the provider, or any subsidiary of the provider or owner has been the subject of an adverse action, as defined in that section, taken during the three-year period immediately preceding the date of notification or date of becoming aware of the adverse action;

(10) The provider misuses or fails to properly account for the disbursement of local, state, or federal funds;

(11) The provider fails to provide timely access to its records as requested by the department;

(12) The provider has not fulfilled the certification fee prerequisite, unless exempt from the fee;

(13) If applicable, the provider does not possess current and appropriate accreditation for the services for which it seeks certification or has been providing services; or

(14) The provider altered or modified its certificate.

(B) The department's refusal to certify certifiable services or supports, refusal to renew certification, or decision to revoke certification is subject to appeal under Chapter 119 of the Revised Code.

(C) If the director proposes to take action under section 5119.36 of the Revised Code or this rule on an initial or renewal application, the director is to notify the board of alcohol, drug addiction, and mental health services serving the alcohol, drug addiction, and mental health service district in which the certifiable services or supports will be or were provided, and provide the board an opportunity to respond with respect to that initial or renewal application.

(D) Any provider that has had its certification revoked pursuant to this rule is not eligible to apply to the department for certification for at least five years from the date of revocation without the written consent of the department. Any provider with a principal or subsidiary who was a principal or subsidiary of another organization that had its certification revoked is not eligible to apply to the department for certification for at least five years from the date of revocation without the written consent of the department.

(E) Any person or government entity for which the department has refused to certify certifiable services and supports or has refused to renew certification pursuant to this rule is not eligible to apply to the department for certification for at least three years from the date of refusal without the written consent of the department. Any provider, any owner or principal of the provider, or any subsidiary of the provider or owner that had its certification refused is not eligible to apply to the department for certification for at least three years from the date of refusal without the written consent of the department.

(F) The date on which certification was refused or revoked is the date specified by the department in writing to the provider. On and after such date, the provider is not to provide certifiable services.

(G) Not later than thirty days after the issuance of a final order for disciplinary action, the department shall provide notice of that action to the applicable board of alcohol, drug addiction, and mental health services.

Last updated August 3, 2026 at 8:28 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031
Prior Effective Dates: 7/1/2009, 10/31/2019

Rule 5122-25-12 | Certification fees.

• Effective: August 1, 2026
• Promulgated Under: 119.03

(A) Initial certification

A provider applying for initial certification of one or more certifiable services or supports, pursuant to the procedure in rule 5122-25-02 of the Administrative Code, is to pay the following at the time of submitting the application for initial certification to the department:

(1) A base application fee of one thousand dollars, regardless of the number of services and supports for which certification is sought.

(2) For each service or support for which national accreditation does not exist for the service or support, as determined by the department, a per service or support fee of two hundred dollars.

A provider does not owe a per service or support fee for each service or support for which the department determines that national accreditation exists for the service or support.

(B) Update certification

A provider that seeks to add one or more certifiable services or supports to the menu of services and supports it provides, pursuant to the procedure in rule 5122-25-03 of the Administrative Code, is to pay the following at the time of submitting the update application:

(1) A base application fee of two hundred fifty dollars.

(2) For each service or support for which national accreditation does not exist for the service or support, as determined by the department, a per service or support fee of two hundred dollars.

A provider does not owe a per service or support fee for each service or support for which the department determines that national accreditation exists for the service or support.

(C) Renewal certification

A provider applying for renewal certification of one or more certifiable services and supports, pursuant to the procedure in rule 5122-25-04 of the Administrative Code, is to pay the following at the time of submitting the application for renewal certification:

(1) A base application fee of five hundred dollars.

(2) For each service or support for which national accreditation does not exist for the service or support, as determined by the department, a per service or support fee of two hundred dollars.

A provider does not owe a per service or support fee for each service or support for which the department determines that national accreditation exists for the service or support.

(D) If any certification application is denied for being incomplete, a new application may be submitted but the provider may have to pay a new certification fee in accordance with this rule. The department may waive the new certification fee at its discretion.

(E) If the department notifies a provider that the application materials are non-compliant, the provider may submit an application corrective action plan with no penalty. If the department notifies a provider that the resubmitted documentation is non-compliant, the provider may again submit an application corrective action plan with no penalty. If the department notifies a provider that a third application plan of correction is needed, the provider will incur a two hundred fifty dollar resubmission fee. The department may waive this fee at its discretion if the application only needs minor corrections. Each subsequent notification of a non-compliant application and application plan of correction prerequisite will incur a five hundred dollar resubmission fee. The department may waive this fee at its discretion if the application only mandates minor corrections.

(F) Any certification fee paid by a provider pursuant to the rule is to be paid into the sale of goods and services fund created pursuant to section 5119.45 of the Revised Code.

Last updated August 3, 2026 at 8:28 AM

Supplemental Information

Authorized By: R.C. 5119.36
Amplifies: R.C. 5119.36
Five Year Review Date: 8/1/2031
Prior Effective Dates: 7/1/2009