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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Rule 5122-29-09 | Residential, withdrawal management, and inpatient substance use disorder services.


(A) Residential substance use disorder services shall be provided in accordance with the American society of addiction medicine's (ASAM) level of care three and ASAMs level of care three-withdrawal management, and associated sub levels as appropriate to the needs of the individual being served; as published in the ASAM criteria, third edition, 2013.

(B) A provider certified to provide this service, may provide ASAM level of care two-withdrawal management.

(C) Each provider rendering services pursuant to this rule, and not providing less intensive levels of care, is required to have an affiliation agreement with at least one provider certified by the Ohio department of mental health and addiction services for the purpose of referral to less intensive levels of care. Each provider shall have written policies and procedures to ensure its referral process is appropriately implemented and managed and shall include, at a minimum, the following:

(1) Referral decisions made to the appropriate level of care as determined utilizing the American society of addiction medicine criteria protocols for levels of care. Documentation of referral shall appear in the client record.

(2) Discharge plan stipulating specific recommendations and referrals for alcohol and drug addiction treatment. The discharge plan shall be documented in the client record.

(3) Follow-up communications with client and the service provider to which client is referred. These contacts shall be documented in the client's record.

(D) Each provider of this service shall provide, in addition to the required ASAM level of care:

(1) Food for clients, to include at least three nutritionally-balanced meals and at least one nutritious snack per day, seven days per week;

(2) The opportunity for clients to get eight hours of sleep per night; and,

(3) Services in facilities that are clean, safe, and therapeutic.

(E) Time for meals, unstructured activities, free time, or time spent in attendance of self-help groups, such as alcoholics anonymous or narcotics anonymous shall not be considered for the purposes of meeting ASAM level of care requirements for services.

(F) Providers shall promote interpersonal and group living skills. Clients shall be connected to resources for education, job training, job interviews, employment stabilization and obtaining alternative living arrangements.

(1) A service provider may require clients to perform tasks of a housekeeping nature as specified within service provider guidelines.

(2) Housekeeping tasks shall not be considered for the purposes of meeting ASAM level of care requirements for services.

(G) All component practitioner services must be provided in accordance with Chapter 5122-29 of the Administrative Code.

(H) A health history, including food allergies and drug reactions, shall be completed on or before admission to a provider of this service.

(I) Each provider organized of this service to serve individuals under the age of eighteen shall provide services in a manner that is developmentally appropriate, addresses educational needs, promotes family involvement, and meets the specific developmental needs of the youth.

(J) Services provided pursuant to this rule shall be provided and supervised by staff who are qualified according to rule 5122-29-30 of the Administrative Code.

Last updated March 15, 2022 at 12:53 PM

Supplemental Information

Authorized By: 5119.36
Amplifies: 5119.36
Five Year Review Date: 7/1/2028
Prior Effective Dates: 7/1/1991, 7/10/1992, 7/1/2001, 6/13/2004, 11/17/2005, 7/1/2006, 7/2/2007, 10/4/2010, 2/14/2011, 2/22/2011 (Emer.), 5/19/2011, 7/1/2012, 1/1/2018