Ohio Administrative Code

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 p…

(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 …

(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…

(A) Initial certificationA 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 certifica…

The purpose of this chapter is to state the obligations for written policies and procedures for providers that provide certifiable services or supports. Last updated August 3, 2026 at 8:25 AM Authorized By: R.C. 5119.36 Amplifies: R.C. 5119.36 Five Year Review Date: 8/1/2031 Prio…

(A) Statement of applicabilityIn 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 tre…

(A) Each provider is to have a leadership structure. The leadership structure is to identify who is responsible for managing all of the following:(1) Governance;(2) Provider administration (i.e., planning, management, and operational activities); and(3) The provision of certifiab…

(A) Each provider is to develop and comply with a written manual of policies and procedures regarding all activities of the provider and certifiable services and supports delivered by the provider.(B) The policy and procedure manual will be available for review by staff, individu…

(A) As used in this rule:(1) "Individuals with disabilities" has the same meaning as in 34 U.S.C. 40104.(2) "Personnel" or "staff member" means any paid or unpaid person, volunteer, contract worker, student intern, or other person who is part of a provider's workforce, including …

(A) A provider is to have a written policy on staff member access to, and disclosure of, an individual client's records, treatment information, diagnosis, and other protected health information. That policy is to be consistent with federal and state laws and regulations, includin…

(A) A provider is to have policies and procedures addressing the security of its clinical records system.(B) If a provider maintains electronic health records (EHRs), the system or module for maintaining the EHRs is to be certified in accordance with Title XXX of the Public Healt…

(A) The purpose of this rule is to ensure that each provider plans and develops certifiable services and supports to meet the needs of the populations they serve.(B) A provider is to define in writing its mission, vision, and goals.(C) A provider is to develop a written descripti…

Each provider designated by a board of alcohol, drug addiction, and mental health services to screen, refer, or admit individuals to a state-operated psychiatric hospital is to have a signed continuity of care agreement describing the roles and responsibilities of the board, hosp…

(A) The purpose of this rule is to ensure that each provider maintains a clean, safe, and therapeutic environment to support the provision of certifiable services and supports and minimize the risk of harm to clients, visitors, and others.(B) A provider is to designate the person…

(A) The purpose of this rule is to establish standards to ensure that providers promptly and accurately notify the department of incidents specified in appendix A to this rule. This rule also mandates providers to review and analyze all incidents to identify issues and implement …

A provider certified by the department that intends to voluntarily close has certain responsibilities to fulfill with respect to its clients, the department, and boards of alcohol, drug addiction, and mental health services.(A) Responsibilities to clientsA provider has all of the…

(A) A provider is to have written policies and procedures regarding the purchasing, receipt, storage, distribution, return, and destruction of medication that include accountability for and security of prescription and over-the-counter medications located within any of its facili…

(A) This rule is applicable to all certified providers and licensed class one residential providers. The purpose of this rule is to state the general standards applicable to the use of seclusion, mechanical restraint, or physical restraint.The provisions of this rule and rule 512…

(A) The purpose of this rule is to state the specific requirements applicable to restraint and seclusion.(B) The requirements for the use of mechanical restraint or seclusion do not apply:(1) To mechanical restraint use that is only associated with medical, dental, diagnostic, or…

A provider is to have written policies, procedures, and processes to ensure certifiable services and supports are accessible and available. Those policies, procedures, and processes are to address all of the following:(A) The continuity of care for an individual who is already a …

(A) As used in this rule:(1) "Client advocate" means the individual designated by a provider with responsibility for ensuring compliance with the client rights and grievance procedure rule as implemented within each provider or board. "Client advocate" has the same meaning as cli…

(A) As used in this chapter and Chapter 5122-29 of the Administrative Code, "telehealth services" or "telehealth" have the same meaning as "telehealth services" in section 5119.368 of the Revised Code.(B) No in-person visit is necessary to initiate telehealth services. The decisi…

(A) Statement of applicabilityIn 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 tre…

(A) Except as provided in rule 5122-27-02.1 of the Administrative Code, a provider is to create and maintain an individual client record for each client that contains, at a minimum, all of the following:(1) Findings from the assessment of the client done by the provider or the pr…

This rule governs how providers are to maintain records for behavioral health hotline services as defined in rule 5122-29-08 of the Administrative Code and prevention services as defined in rule 5122-29-20 of the Administrative Code. Maintenance of records mandates for forensic e…

(A) A provider mandated by rule 5122-27-02 of the Administrative Code to maintain an individualized client record for a certified service is to develop a comprehensive individualized treatment plan for each client. The provider may also develop an initial individualized treatment…

(A) A provider is to complete progress notes for each client. The progress notes are to document the degree of a client's progress toward achieving the client's treatment goals specified in the client's initial or comprehensive individualized treatment plan. This documentation ma…

(A) When the provider determines the client is no longer active a treatment summary is to be completed within thirty days. This means the documentation should be finalized and included in the client record within that time frame.(B) The treatment summary is to include all of the …

(A) Except in the circumstances described in sections 5119.28 and 5122.31 of the Revised Code when the consent of a current or previous client or that client's parent is not mandated for the disclosure or use of information regarding that current or previous client, a request for…

(A) The purpose of this rule is to establish criteria for assessing the appropriate level of care for each client receiving certifiable services or supports for substance use disorder treatment.(B) A provider is to determine level of care at admission, for continued stay, for cha…

The purpose of this chapter is to state the standards and procedures for performance improvement activities, consumer outcome activities, and research activities for providers providing mental health services and addiction services. Last updated August 3, 2026 at 8:38 AM Authoriz…

(A) Statement of applicabilityIn 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 tre…

(A) The purpose of this rule is to ensure that a provider's leaders have established a planned, systematic, organization-wide approach to performance improvement that is both collaborative and interdisciplinary. It is important that each provider measure the performance processes…

(A) The purpose of this standard is to ensure that research and evaluation activities are conducted in an ethical manner, that each participant's rights regarding such activities are respected and protected, and that evaluation activities enhance the overall performance of the pr…

The purpose of this chapter is to state the requirements for the provision of behavioral health services by providers certified by the Ohio department of mental health and addiction services.The provisions of the rules contained in this chapter are applicable to each provider sub…

(A) "General services" are the assessment activities, medical activities, and counseling and therapy activities as defined in this rule.(B) The general services shall be provided by the professional credentials listed in appendix A of this rule within the scope of practice of tho…

(A) Mental health day treatment is an intensive, structured, goal-oriented, distinct and identifiable treatment service that utilizes multiple mental health interventions that address the individualized mental health needs of the client. Mental health day treatment services are c…

(A) "Forensic evaluation service" means an evaluation resulting in a written expert opinion regarding a legal issue for an individual referred by a criminal court, domestic relations court, juvenile court, adult parole authority, or other agency of the criminal justice system or …

(A) Behavioral health hotline service means a provider's twenty-four hour per day, seven days per week capability to respond to telephone calls, often anonymous, made to a provider for crisis assistance. The person may or may not be a clientof the provider.(B) Behavioral health h…

This rule is to supersede rule 5122-29-09 of the Administrative Code with the effective date of October 31, 2019. This rule will be effective July 1, 2023.(A) Residential substance use disorder services shall be provided in accordance with the American society of addiction medici…

(A) A provider that provides a level three substance use disorder residential or withdrawal management program that is certified by the Ohio department of mental health and addiction services (OhioMHAS) in accordance with rule 5122-29-09 of the Administrative Code (OhioMHAS) and …

(A) Crisis intervention is an interaction with a person in response to a crisis or emergency situation they are experiencing.(B) Twenty-three hour observation bed means face-to-face evaluation, for up to twenty-three hours duration under close medical/nursing supervision, of an i…

(A) The purpose and intent of an employment service is to promote recovery through the implementation of evidence based and best practices which allow individuals to obtain and maintain integrated competitive meaningful employment by providing training, ongoing individualized sup…

(A) A driver intervention program is a program of screening, education, and referral for individuals who are arrested or convicted of operation of a vehicle or water craft under the influence of alcohol or a drug of abuse under section 4511.19 or 1547.11 of the Revised Code or a …

Substance use disorder case management services means those activities provided to assist and support individuals in gaining access to needed medical, social, educational and other services essential to meeting basic human needs. Case management services may include interactions …

(A) As used in this rule:(1) "Certified family peer supporter," "certified youth peer supporter," and "certified peer supporter" have the same meanings as in rule 5122-29-15.1 of the Administrative Code.(2) "Child and adolescent needs and strengths (CANS) assessment" has the same…

(A) Peer support services are services for individuals with a mental illness, intellectual or developmental disabilities, or substance use disorders and their caregivers and families. (B) Peer support services consist of activities that promote resiliency and recovery, self-deter…