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Addiction Treatment Center Resources - Illinois

Frequently Asked Questions

Overview

1. What kinds of facilities require a license?

Substance use disorder treatment facilities are licensed according to the level of care and services they are capable of providing to their patients. Any behavioral health facility that offers treatment services for substance abuse requires a license. There are two types of services. Read More

2. What kinds of facilities provide addiction services in Illinois and what are the levels of care?

In Illinois, services include Medically Managed Detoxification, Medically Managed Intensive Inpatient, Medically Monitored Detoxification, Inpatient Subacute/Residential care, Intensive Outpatient/Partial Hospitalization, Read More

3. What does it mean to be "licensed" or "accredited" in this industry?

A license means that a facility or professional may operate or may deliver services with the advance and continuous authorization of a designated government agency, which is done to ensure protection of public health, safety, and welfare. Healthcare and residential facilities and healthcare professionals .... Read More

 

Licensing

4. Which body authorizes and oversees substance abuse treatment facilities in the State of Illinois?

In Illinois, the Department of Human Services Division of Alcoholism and Substance Abuse (IDHS/DASA) is responsible for ensuring that persons who ... Read More

5. What information must be provided in an application for a license? 

Submission of an application for a new license must be made using the following form: Read More

6. What kinds of licenses are available?

An organization may apply for an intervention and/or a treatment license. Both services may be offered at the same facility, which will be authorized by a single license issued to that facility. The license certificate for the facility will specify all levels of care and a designation of adult and or adolescent services. Read More

7. Can a facility offer services off-site?

Treatment or intervention services may be offered off-site when ... Read More

8. When can a facility make referrals to other service providers?

All referrals made for treatment or intervention services must be made only to licensed organizations unless ... Read More

9. How long does the licensing process usually take?

Licensure applications are deemed received by Illinois Department of Human Services Division of Alcoholism and Substance Abuse (IDHS/DASA) on the postmarked date. IDHS/DASA will notify ... Read More

 

Renewal

10. Does a license have to be renewed?

Each license issued by Illinois Department of Human Services Division of Alcoholism and Substance Abuse (IDHS/DASA) is effective for /// Read More

 

On-site Review

11. What kinds of inspections might there be for licensure determination?

Submission of an application carries implied consent to permit inquiry into the data furnished. This will likely be triggered when an anomaly or disparity is discovered in ... Read More

12. How can a facility prepare for inspections, on-site reviews and audits?

While the criteria are periodically updated, key subjects of review may include: (i) medication management (security and storage, self-administration, logging of administration, labelling, and destruction) ; (ii) policies and procedures detailing compliance with federal, state, and local laws and regulations (including confidentiality, non-discrimination, and patient rights); ... Read More

13. What kinds of changes could affect licensing once granted?

IDHS/DASA requires notification of the following changes: Read More

14. What are the sanctions for failing to meet a regulatory requirement?

It is possible to include a request in writing an exception to any of the regulatory standards. This should be sent from the designated facility representative to the Associate Director of the Illinois Department of Human Services Division of Alcoholism and Substance Abuse (IDHS/DASA), indicating ... Read More

 

Zoning and Land Use

15. What are the protections afforded to small group homes used for the purpose of residential substance abuse treatment?

The regulation of land use and zoning is traditionally reserved to state and local governments, except to the extent that ... Read More

16. Are there any proximity restrictions regulating how close treatment centers may be to each other? Can I open a residential treatment center right next to one that is already there?

There is no regulation preventing multiple facilities from operating in close proximity. However, ... Read More

17. What are the basic physical plant requirements for treatment facilities?

Please note, these regulations relate to space and do not constitute all environmental requirements. Facilities should have policies and procedures designed to prevent fire and safety hazards and minimize the risk of patient self-injury .... Read More

 

Care, Treatment and Services

Admissions Agreement

18. What information should be provided to the patient and what should an admissions agreement contain?

Prior to admission, or in the case of an intoxicated patient, as soon as stabilization occurs, basic information about treatment services must be provided, in simple, non-technical terms and in the patient’s primary language. This should include ...Read More

19. What pre-admission screening is required for facilities in Illinois?

In an effort to ensure a safe environment for staff and patients facilities will screen for ... Read More

 

Placement

20. How does a facility decide whether a patient fits a particular level of care and what services will be received?

Facilities have an obligation to provide adequate and appropriate services to their patients or patients which must be delivered with objectivity, respect and integrity .... Read More

21. What types of non-medical services might be part of a treatment plan?

All facilities should develop a patient education plan that specifies all patient education available. Patient education may be provided individually or in a group. Such education ... Read More

 

Treatment Plan

22. What should go in a treatment plan?

A treatment plan should be based on an evaluation of the patient and incorporate the strategies and services designed to help the patient achieve their treatment goals.

For Levels I-IV of care ... Read More

 

23. What is a Continued Stay Review?

The purpose of a continued stay review is to validate the appropriateness of the patient’s current level of care, or to determine a need to move to another level of care or to discharge .... Read More

 

Medication

24. What rules govern administration and dispensing of patient medications?

Facilities must ensure that patients surrender all medications on admission, and thereafter the following rules apply: Read More

 

Patient Rights

25. What rights are guaranteed to patients?

Patients’ rights must be respected and protected. Each facility has a responsibility to provide patients, or their representatives, with a copy of their rights, in a language they can understand on admission, and inform them of the complaints and appeal process. Read More

 

Discharge

26. What grounds are needed in order to dismiss a patient from a program?

There are four types of discharge. Successful completion of program means that the patient has met the goals of their treatment/recovery plan. Unsuccessful discharge means ... Read More

27. How do I plan for a successful discharge?

A continuing recovery plan, discharge criteria and a discharge summary should be developed for each patient: Read More

28. I need to discharge a patient that relapsed, but am I at risk if he or she overdoses tonight and how can I protect myself?

The discharge of a patient must be handled carefully given the risks if a patient suffers negative health consequences in the aftermath of discharge. It is helpful to address the discharge process in .... Read More 

Privacy

29. How must clients’ privacy be protected?

Client confidentiality is an important issue covered by both federal and state laws. These laws set forth specific requirements regarding how and when patient information may be shared and the protections that must be in place ... Read More

Governance and Staffing

30. Can a substance abuse facility have medical staff?

Any organization providing treatment services must designate a medical director, who is licensed and in good standing to practice medicine in all its branches in Illinois, who will oversee all medical procedures. The medical director may be ... Read More

 

Payment

31. How should I respond to patients who are unable to pay the required deductibles? Can I waive a patient’s financial responsibility?

Patients seeking drug and alcohol rehabilitative services often face financial difficulties, whether as a result of the consequences of their addiction or as a result of the expense of multiple, prior failed treatment programs. As a consequence, many patients (and their families or financial guarantors) claim an inability to pay deductibles, coinsurance, and/or copayments. Waiving or discounting patient financial responsibility can ... Read More

32. What are the key issues insurers raise to demand recoupment of fees from substance abuse treatment programs?

Insurers may demand recoupment of fees based on any defect in the billing claim or supporting documentation and/or based on any noncompliance with federal or state laws. The most common defects in the billing claim that insurers assert are .... Read More

Marketing

33. What marketing practices are prohibited?

The most widespread prohibited marketing practices in addiction treatment appear to revolve around inappropriate inducements and inaccurate marketing claims. Read More

34. What are the limits of gift giving to potential referral sources?

State and federal regulators prohibit the exchange of items of value to induce referrals so the exchange of any item of value, whether it is cash or in kind, must be carefully monitored. Read More

35. What kind of benefits can I offer existing or new patients?

Facilities should avoid giving gifts to patients or referral sources based on anti-kickback statutes which prohibit patient brokering.

Facilities can offer ... Read More

Recovery Residences

Licensing

36. What is a recovery or sober living home?

Both recovery homes and sober living homes are alcohol and drug free housing with rules, peer-led groups, staff activities and/or other structured operations that are directed toward .... Read More

37. Do we need a license to open a recovery or sober living home?

In Illinois, sober living homes can be unlicensed while "Recovery Homes" must obtain an intervention license from Illinois Department of Human Services Division of Alcoholism and Substance Abuse (IDHS/DASA). Read More

38. When can a licensed Recovery Home make referrals to other service providers?

Recovery Homes must establish a referral network to be utilized by residents for any necessary medical, mental health, substance abuse, vocational or employment resources. Read More

39. How long does the licensing process for Recovery Homes usually take?

Licensure applications are deemed received by Illinois Department of Human Services Division of Alcoholism and Substance Abuse (IDHS/DASA) on ... Read More

Renewal

40. Does a Recovery Home license have to be renewed?

Each license issued by Illinois Department of Human Services Division of Alcoholism and Substance Abuse (IDHS/DASA) is effective for ... Read More

 

On-site Review

41. What kinds of inspections might there be for Recovery Home licensure determination?

Submission of an application carries implied consent to permit inquiry into the data furnished. This will likely be triggered when ... Read More.

42. How can a Recovery Home prepare for inspections, on-site reviews and audits?

While the criteria are periodically updated, key subjects of review may include: (i) policies and procedures detailing compliance with federal, state, and local laws and regulations, including confidentiality and non-discrimination; (ii) program description, detailing program mission, philosophy, objectives and evaluation plan; (iii) Read More.

43. What kinds of changes could affect licensing once granted?

IDHS/DASA requires notification of the following changes: Read More

44. What kinds of services can a Recovery Homes and sober living facilities offer?

Recovery Homes provide a structured alcohol and drug free environment for congregate living that offers regularly scheduled peer-led or community gatherings (self-help groups, etc.) that are held a minimum of five days per week and provide recovery education groups weekly. Recovery Homes must have ... Read More

 

 Zoning and Land Use

45. What are the protections afforded by federal law to small group homes used for the purpose of sober living?

Sober living facilities of any type with six or fewer people are generally ... Read More

46. What plant safety requirements affect Recovery Homes?

Licensed Recovery Homes must comply with all applicable zoning and local building ordinances and maintain appropriate fire, hazard, liability and other insurance coverages, including: Read More

47. Can local governments put special restrictions on Recovery Homes and sober living facilities?

Sober living facilities and Recover Homes in some communities have found growing efforts to regulate them by local ordinance, including registration requirements, concentration (spacing) limits, and other requirements.  Read More   

48. What other aspects should I consider before choosing a location for our Recovery Home or sober living facility?

In siting a Recovery Home or sober living facility, attention should be paid to potential hostility from neighbors. While ... Read More

 

Resident’s Rights and Responsibilities

49. What would our obligations to residents be?

In general, operators of sober living houses should agree to the following: Read More

50. What kind of agreement should we ask our residents to sign?

As a general matter, a housing agreement should include: Read More

51. Can we insist on drug tests and searches?

Recovery Homes and sober living facilities do not have the right to ... Read More

52. Can a Recovery Home or sober living facility bill insurance for required and/or random drug testing?

Recovery Homes and sober living facilities sometimes rely on the drug screening ... Read More

53. Can we make residents' obligations contractually enforceable?

Yes, as long as the obligations are enforceable under Illinois law in general and any applicable laws relating to landlord and tenants. Read More

 

Governance and Staffing

54. What kind of ownership and staffing structures are common with these types of residential arrangements?

Both Recovery Homes and sober living facilities may be structured as ... Read More

55. Are there any other organizations where we could find more information?

Substance Abuse and Mental Health Services Administration http://www.samhsa.gov/ Read More 

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