Regulation detail

Mich. Admin. Code R 325.1301 to R 325.1399

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Mich. Admin. Code R 325.1301 to R 325.1399 changed

Substance Use Disorder Services Program

Jurisdiction: MI Agency: Michigan Department of Health and Human Services, Behavioral and Physical Health and Aging Services Administration
OUTPATIENT (85%) SUD_IOP (35%) SUD_PHP (25%) SUD_RESIDENTIAL (95%)
Plain-English summary

These Michigan administrative rules govern the licensing and operation of substance use disorder (SUD) services programs, specifically covering methadone/opioid treatment programs, residential SUD programs, and residential withdrawal management (detox) programs. Operators must obtain a state license, undergo prelicensure and post-licensure surveys, renew annually, and cooperate with complaint investigations. The rules set out staffing qualifications (certified counselors, licensed clinicians, medical directors), define admission/discharge/aftercare processes, and establish requirements for mobile methadone units. General administrative provisions such as application procedures, fee payment, and waiver processes apply across all covered program types.

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Regulation text
Page 1 
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 
 
BUREAU OF COMMUNITY AND HEALTH SYSTEMS 
 
SUBSTANCE USE DISORDERS SERVICE PROGRAM 
 
(By authority conferred on the director of the department of licensing and 
regulatory affairs by section 6234 of the public health code, 1978 PA 368, MCL 
333.6234, and Executive Reorganization Order Nos. 1991 -3, 1994 -1, 1996 -1, 
1996-2, 1997 -4, 2009 -1, and 2011-4, MCL 333.26321, 333.26322, 330.3101, 
445.2001, 333.26324, 333.26327, and 445.2030) 

PART 1. DEFINITIONS 

R 325.1301 Definitions. 
 Rule 1301. (1) As used in these rules: 
 (a) “Admission” means the point at which an individual is formally accepted 
into a substance use disorder services program and services are initiated. 
 (b) “Aftercare” means the process of providing recommendations to a 
recipient for continued support after discharge from the program. 
 (c) “Article 6” means article 6 of the public health code, MCL 333.6230 to 
333.6251. 
 (d) “Article 15” means article 15 of the public health code, MCL 333.16101 to 
333.18838. 
 (e) “Certified counselor” means an individual who is employed or volunteers 
to work by providing counseling to recipients, and who is certified as an alcohol 
and drug counselor by an organization approved or recognized by the department. 
 (f) “Complaint investigation” means a visit or an inspection of a licensee 
based on a complaint with an allegation of noncompliance or violation of the public 
health code, the mental health code, or these rules. 
 (g) “ Counseling services” means services that include behavioral health 
counseling by a health professional as defined in these rules in a substance use 
disorder services program. 
 (h) “Department” means the department of licensing and regulatory affairs. 
 (i) “Discharge” means the point at which the recipient's active involvement 
with a substance use disorder services program is terminated and the program 
has provided the necessary aftercare recommendations. 
 (j) “Evidence-based practice or services” means a practice or service offered 
by a licensee based on a national or international medical professional association, 
public health agency, governmental body, or accrediting organization document 
that is available to the department on request. 
Page 2 
 (k) “Follow-up” means activities designed for a screening, assessment, 
referral, and follow up program to determine the present status of individuals 
previously discharged by the program. 
 (l) “Full-time” means employment of not less than 35 hours per week. 
 (m) “License” means a license issued by the department under article 6 to 
establish, conduct, or maintain a substance use disorder services program. License 
does not include a program located in a facility operated by a local, state, or federal 
government, even if the program is not owned or operated by a state or federal 
government. 
 (n) “Licensed counselor” means an individual engaged in counseling 
recipients in a substance use disorder services program and who is licensed under 
part 181 of the public health code, MCL 333.18101 to 333.18117, and providing 
services in compliance with the scope of the individual’s license. 
 (o) “Licensed marriage and family therapist” or “LMFT” means an individual 
engaged in counseling recipients in a substance use disorder services program 
and who is licensed under part 169 of the public health code, MCL 333.16901 to 
333.16915, and providing services in compliance with the scope of the individual’s 
license. 
 (p) “Licensed master’s social worker” or “LMSW” means an individual 
engaged in counseling recipients in a substance use disorder services program 
and who is licensed under part 185 of the public health code, MCL 333.18501 to 
333.18518, and providing services in compliance with the scope of the individual’s 
license. 
 (q) “Licensed psychologist” means an individual engaged in the practice of 
psychology of recipients in a substance use disorder services program and who is 
licensed under part 182 of the public health code, MCL 333.18201 to 333.18237, 
and providing services in compliance with the scope of the individual’s license. 
 (r) “Licensee” means a person, as that term is defined by section 1106 of the 
public health code, MCL 333.1106, that holds the license issued under article 6 to 
operate a substance use disorder services program. Unless otherwise specified in 
these rules, a licensee does not include a person individually licensed under article 
15 to provide psychological, medical, or social services through the individual’s 
license and whose recipients are limited to those of the individual licensed 
professional maintaining and operating the office. 
 (s) “Licensure survey” means a visit to an applicant or licensee to evaluate 
compliance with the public health code, the mental health code, or these rules. 
 (t) “Limited certified counselor” means an individual who is employed or who 
volunteers to work providing counseling to recipients, and who has completed a 
minimum set of state -approved requirements before completing the necessary 
prerequisites to become a certified alcohol and drug counselor by an organization 
approved or recognized by the department. 
 (u) “Medical director” means an individual licensed to engage in the practice 
of medicine or the practice of osteopathic medicine and surgery under part 170 or 
part 175 of the public health code, MCL 333.17001 to 333.17097 and 333.17501 
to 333.17556. 
Page 3 
 (v) “Mental health code” means the mental health code, 1974 PA 258, MCL 
330.1001 to 330.2106. 
 (w) “Methadone program” means a substance use disorder services program 
engaged in opioid treatment of an individual with an opioid agonist treatment 
medication registered under 21 USC 823(g)(1), methadone. 
 (x) “Mobile unit” means a state -approved mobile unit assigned to a state -
licensed methadone program location. The state-licensed program is considered the 
parent organization and provides supervision and administration of the mobile unit. 
 (y) “Nurse” means a licensed practical nurse, registered professional nurse, 
or advanced practice registered nurse licensed under part 172 of the public health 
code, MCL 333.17201 to 333.17242. 
 (z) “Pharmacist” means an individual licensed to engage in the practice of 
pharmacy under article 15. 
 (aa) “Physician” means an individual licensed to engage in the practice of 
medicine or the practice of osteopathic medicine and surgery under article 15. 
 (bb) “Physician’s assistant” means an individual who is licensed to practice 
as a physician’s assistant under part 170 of the public health code, MCL 333.17001 
to 333.17097. 
 (cc) “Public health code” means the public health code, 1978 PA 368, MCL 
333.1101 to 333.25211. 
 (dd) “Recipient” means an individual who receives services from a licensed 
substance use disorder services program in this state. 
 (ee) “Regional entity” means an agency designated by this state to coordinate 
substance use disorder services in a specified region. 
 (ff) “Residential program” means a substance use disorder services program 
offering a residential setting that is staffed and provides substance use disorder 
treatment or rehabilitation services onsite. 
 (gg) “Residential withdrawal management program” means a substance use 
disorder services program in a residential setting offering either clinically managed 
or medically monitored withdrawal management services for the purposes of 
detoxification. 
 (hh) “Staff” means an individual who is not a recipient and who works, with or 
without remuneration, for a licensed substance use disorder services program. 
 (ii) “Substance” means an agent or a chemical that, upon entering a human 
body, alters the body's physical or psychological status, or both. Substance 
includes alcohol and other drugs. 
 (jj) “Substance use disorder services program” or “program” means a non-
governmental or private individual or entity offering or purporting to offer substance 
use disorder treatment and rehabilitation services that include methadone 
programs, residential programs, and residential withdrawal management 
programs. 
 (kk) “United States Food and Drug Administration” or “FDA” means the 
federal agency of the United States Department of Health and Human Services. 
 (2) A term defined in the public health code or the mental health code has the 
same meaning when used in these rules. 
 
History: 2018 AACS.; 2020 AACS; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 
Page 4 

R 325.1302 Certified counselor; limited certified counselor. 
 Rule 1302. A certified counselor or a limited certified counselor may provide 
alcohol or drug counseling to recipients in , but not limited to, a substance use 
disorder services program licensed by the department under part 62 of the public 
health code, MCL 333.6230 to R 333.6251. A certified counselor or limited 
certified counselor who offers alcohol counseling or drug counseling and who 
does not provide other counseling services under any other circumstances is not 
licensed under part 181 of the code unless otherwise provided by law. 
 
History: 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

PART 2: STATE AGENCY REQUIREMENTS 
SUBPART A: LICENSING 

R 325.1303 Application; licensing requirement; review process; 
licensure. 
 Rule 1303. (1) As authorized in article 6 and chapter 2A of the mental health 
code, MCL 330.1260 to 330.1287, an application for initial licensure or licensure 
change, including change in ownership, change in business name, relocation of 
the program, addit ion or deletion of service levels, or addition or deletion of a 
mobile unit, must be made on the most recent applicable form authorized and 
provided by the department. 
 (2) An individual offering substance use disorder services shall be licensed 
under article 6, except as provided in subrule (3) of this rule. 
 (3) A license is not required for an individual licensed under article 15 to 
provide psychological, medical, or social services if both of the following are met: 
 (a) The individual is offering psychological, medical, or social services within 
the scope of the individual’s professional license and not under a group or 
organization offering substance use disorder services. 
 (b) The individual is offering psychological or medical services and not 
providing methadone treatment. 
 (4) If the application is incomplete and requires additional information, the 
department shall notify an applicant in writing within 30 days after receipt of 
application. An application is not considered complete by the department until both 
of the following are received: 
 (a) The application form and required attachments. 
 (b) The application or licensing fee, as applicable. 
 (5) The department shall conduct a prelicensure survey and make a 
determination on an application within 3 months after an application is considered 
complete. A prelicensure survey is required for residential programs, residential 
withdrawal management programs, and methadone programs. Only an application 
review is required for any other program. 
Page 5 
 (6) On determination of compliance with the public health code, the mental health 
code, and these rules, the department shall issue a license that identifies all of the 
following: 
 (a) Name of the licensee. 
 (b) Business name of the substance use disorder services program. 
 (c) Physical address of the substance use disorder services program. 
 (d) Program service categories authorized are any of the following: 
 (i) Methadone program. 
 (ii) Residential program. 
 (iii) Residential withdrawal management program. 
 (7) The department shall conduct a post -licensure survey within 3 months 
after the initial license is issued. 
 (8) A licensee shall post the license and the hours of operation of the program 
in a conspicuous public area of the program. 
 (9) A license is not transferable. 
 (10) A new license must be issued by the department before the transfer of a 
license to a different owner of a program through a change of ownership 
application, or from 1 physical location to another physical location, through an 
application to relocate the program. 
 
History: 2018 AACS.; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1304 Application for mobile unit; requirements; review process; 
approval. 
 Rule 1304. (1) Before operation of a mobile unit, a licensee shall submit an 
application for review and approval on the most recent applicable form authorized 
and provided by the department. 
 (2) If an application is incomplete and requires additional information, the 
department shall notify the licensee in writing within 45 days after receipt of the 
application. 
 (3) An application for a mobile unit must be approved if the mobile unit satisfies 
all of the following requirements: 
 (a) The parent organization is a licensed methadone program. 
 (b) The mobile unit shall return each night to the licensed. 
 (c) The total number of mobile units does not exceed 3 for the parent 
organization. 
 (4) A licensee shall post the mobile unit license in a conspicuous area for 
public view. 
 (5) For purposes of these rules and all compliance purposes, a mobile unit is 
considered part of the licensed site. 
 
History: 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1305 License renewal process. 
Page 6 
 Rule 1305. (1) Renewal of a license must be completed through an electronic 
web-based system authorized and provided by the department. 
 (2) A license is renewed and valid only on electronic payment of the 
applicable renewal fee. 
 (3) A license must be renewed before August 1 of each calendar year, unless 
otherwise specified on the license. 
 (4) The department may require changes or corrections to a license before 
renewal. 
 (5) If a license is not renewed within 30 days after the expiration date, the 
license must be closed. This closure of a license is not subject to appeal. 
 (6) A license cannot be renewed if the location has not offered the covered 
service within the 12 months immediately preceding the renewal period. 
 
History: 2018 AACS.; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1307 Licensure survey and complaint investigation process. 
 Rule 1307. (1) A prelicensure survey is scheduled and announced. 
 (2) All other licensure surveys and complaint investigations are 
unannounced. 
 (3) A licensure survey or complaint investigation may be conducted by the 
department during any hours of operation of the program. 
 (4) A licensure survey or complaint investigation may use information not 
collected from an applicant or licensee during its review. If this information is used, 
an applicant or licensee shall be notified of this information. 
 (5) An applicant or licensee shall grant access to the program and cooperate 
during a licensure survey or complaint investigation for the department to 
determine compliance with applicable statutory and regulatory requirements. The 
department shall consider lack of access or cooperation as evidence of 
noncompliance. 
 (6) The department may forego a licensure survey and conduct a desk review 
if the circumstances do not require an on-site visit. 
 
History: 2018 AACS.; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1309 Waiver from licensure survey. 
 Rule 1309. (1) The department shall provide and make publicly available a 
procedure for when a licensee may be eligible for a waiver from a licensure survey. 
The procedure must include maintaining a list of approved accrediting bodies for 
programs. 
 (2) On or before October 1 of each year, the department shall publish a list 
of programs to receive a licensure survey in the next calendar year. 
 (3) An eligible licensee may request a waiver from licensure survey on or 
before November 1 of each year. A waiver request shall be submitted on a form 
authorized by the department. 
Page 7 
 (4) On or before January 1 of the survey year, the department shall provide 
in writing an approval or denial of the waiver from licensure survey to the licensee. 
 (5) Denial of a waiver from licensure survey is not subject to appeal and will 
result in a licensure survey during the survey year. 
 (6) An approved waiver from licensure survey shall not prohibit the 
department from conducting an onsite licensure survey at any point in the future 
to protect the health, safety, and welfare of individuals receiving care and services. 
 
History: 2018 AACS. 

SUBPART B: PROGRAM COMPLAINT AND COMPLAINT 
INVESTIGATION 

R 325.1311 Program complaint. 
 Rule 1311. (1) A program complaint filed with the department shall be limited 
to allegations that the program did not comply with the public health code, mental 
health code, other state laws, or these rules. 
 (2) A complainant shall provide enough information to identify the specific 
program where the alleged conduct or incident took place. This information 
includes, but is not limited to, the name and address of the program. 
 (3) A program complaint may be filed anonymously. 
 (4) When a program complaint is filed by an individual with the department, it 
must be filed within 12 months of the violation. If it is not filed within 12 months of 
the violation, the department may investigate the program complaint if the 
complainant shows good cause for delayed filing of the program complaint, such 
as lack of knowledge of the violation within the 12-month period. 
 (5) A program complaint shall be submitted using the department’s hotline or 
in writing using the U nited States Postal Service, email, the department’s online 
complaint form, facsimile, or other method provided for on the department’s 
website, www.michigan.gov/lara. 
 (6) A program complaint must be understandable and limited to matters 
involving an alleged violation of an applicable law or rule affecting the complainant, 
the recipient or, in the case of a public interest group, affecting the public or a 
portion of the public. 
 (7) The department shall receive, evaluate, and, if warranted, investigate a 
filed program complaint. The department shall not investigate a program complaint 
that, as alleged, does not violate a law or rule regulated by the department. The 
department shall send a letter of acknowledgement to each complainant upon 
evaluation of the program complaint, except when a program complaint is 
submitted anonymously. 
 (8) The department shall notify the licensee of the nature of the program 
complaint no earlier than the initial visit to the licensee to investigate the program 
complaint. 
 (9) The department shall provide the complainant with the written findings of 
the program complaint investigation, or instructions for how to obtain the written 
Page 8 
findings, no later than 30 days after the conclusion of the program complaint 
process. The department shall inform the complainant of the department’s actions 
if the program does not correct areas of noncompliance, when applicable. This 
subrule does not apply when a program complaint is filed anonymously. 
 
History: 2018 AACS. 

R 325.1313 Complaint investigation of program complaint. 
 Rule 1313. (1) An employee assigned by the department may conduct a 
complaint investigation of a program complaint to ensure compliance with state 
law or rule. 
 (2) Complaint investigations pursuant to these rules may include, but are not 
limited to, all of the following: 
 (a) Observation of the operation of the program. 
 (b) Assessment and copying of relevant books, records, recipient records, 
videos, and other documents maintained by a program. 
 (c) Collection of other information, including otherwise privileged or 
confidential information, from any person who may have information bearing on an 
applicant’s or licensee’s compliance or ability to comply with the requirements for 
licensure. 
 (3) To perform the duties listed in subrule (2) of this rule, an employee 
assigned by the department may use pictures, audio recordings, video recordings, 
and other acceptable technology in a manner authorized for use by the 
department. 
 (4) The department shall provide a program with its written findings no later 
than 30 days after the conclusion of the regulatory activity described in subrule (1) 
of this rule. 
 (5) A licensee shall cooperate with the investigation and provide truthful 
information to the department. 
 (6) A complainant shall be informed of the department findings within 15 days 
of the completion of the complaint investigation. The complaint investigation 
findings are not subject to appeal. 
 (7) Within 45 days of the completion of the complaint investigation, a 
complainant may submit a request for an administrative review by the department 
with specific allegations that the complaint investigation was not conducted in 
accordance with these rules. 
 
History: 2018 AACS. 

SUBPART C: ENFORCEMENT AND HEARING 

R 325.1315 Denial of application; revocation of license. 
 Rule 1315. An application or license may be denied or revoked for 1 or more 
of the 
Page 9 
following reasons: 
 (a) Violation of the public health code, the mental health code, or these rules. 
 (b) Submission of false information to the department that is related and 
material to the requirements of applying for or holding a license. 
 (c) Denial, revocation, suspension, or failure to renew a federal registration to 
distribute or dispense methadone. 
 (d) Disciplinary action, suspension, or revocation of the license issued under 
article 15 for the medical director of the program, or any other health professional 
who is directly responsible for the care of a recipient. 
 (e) Failure of an applicant or licensee to cooperate with the department in 
connection with a licensure survey, complaint investigation, or any other 
investigation or inquiry. 
 (f) Failure to provide information necessary to conduct a thorough assessment 
of an applicant, application, licensee, license, complainants, or complaint 
investigation. 
 
History: 2018 AACS.; 2023 AACS. 

R 325.1317 License suspension. 
 Rule 1317. A license may be subject to a summary suspension for any 
violation of the public health code, mental health code, or these rules that may, 
according to the determination of the department, pose a risk to the public health, 
safety, or welfare of recipients and where remedial action has not been taken by 
the provider , pursuant to section 92 (2) of the administrative procedures act of 
1969, 1969 PA 306, MCL 24.292 (2). 
 
History: 2018 AACS. 

R 325.1319 Refusal by department to issue or renew license 
 Rule 1319. A person, representative, director, or officer of a licensee, an 
agency, a firm, a corporation, an association, or an organization who has had a 
license revoked or a renewal denied may be refused a license for a period of not 
less than 3 year s after the revocation or renewal denial. The department may 
accept an application from a person, an applicant, or licensee or anyone connected 
directly or indirectly with a licensee who has had a license revoked or a renewal 
denied. The department may reject the application on its face without taking further 
action after notifying an applicant of the rejection and the reason for the rejection. 
The rejection is not subject to appeal. 
 
History: 2018 AACS. 

R 325.1321 Notification of denial of application. 
 Rule 1321. When the department determines that an application shall be 
denied for any of the reasons specified in R 325.1315, or for any other reason 
Page 10 
afforded under the public health code, the mental health code, or these rules, an 
applicant shall be notified in writing of this final agency decision. The denial of an 
application is not subject to appeal. 
 
History: 2018 AACS. 

R 325.1323 Notification of revocation of license or nonrenewal of license; 
compliance 
 conference; opportunity to appeal. 
 Rule 1323. (1) When the department determines that a licensee has 
committed an act or engaged in conduct or practices that warrants the revocation 
of a license or the denial to renew a license, the department shall issue a notice of 
intent that includes all of the following: 
 (a) The reason or reasons for the revocation of a license or the denial to 
renew a license. 
 (b) The date, time, and location for a compliance conference. The compliance 
conference must take place at least 45 days after the date of the notice of intent. 
 (c) Guidance to the licensee that a written appeal of the notice of intent must 
be submitted to the department within 30 days after the date of the notice of intent 
for the compliance conference to occur. 
 (2) The department shall send the notice of intent to the licensee by certified 
mail with return receipt requested. 
 (3) If a licensee does not submit a written appeal of the notice of intent within 30 
days after the date of the notice of intent, the department may revoke or not renew 
the license. This action on the license is final and is not subject to administrative 
appeal. 
 (4) If a licensee submits a timely appeal of the notice of intent, the department 
shall hold the compliance conference as indicated in the notice of intent. The 
licensee shall be afforded an opportunity to show compliance with all lawful 
requirements for a license. 
 (5) If a licensee does not demonstrate compliance at the compliance conference 
or the parties are unable to resolve the issues at the conference, the department shall 
request a formal hearing pursuant to sections 71 to 92 of the administrative 
procedures act of 1969, 1969 PA 306, MCL 24.271 to 24.292, and part 1 of the 
Michigan administrative hearing system administrative hearing rules, R 792.10101 to 
R 792.10137. 
 (6) This rule does not apply when there is failure to renew a license under R 
325.1305. 
 
History: 2018 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1325 Order of summary suspension. 
 Rule 1325. (1) When the department determines that a licensee has 
committed an act or engaged in conduct or practices that justify an order for 
summary suspension of the license because it may pose a risk to the public health, 
Page 11 
safety, or welfare, the department shall notify the licensee, either by personal 
service or certified mail with return receipt requested, of the order to summarily 
suspend the license. The order shall contain the name and license number of the 
licensee, the allegations of risk or harm prompting the summary suspension, and 
the specific date and time the licensee shall cease operations. The order may also 
contain specific actions the licensee must take to address referral of recipients, 
disposition of existing supplies, and recipient records. 
 (2) Upon issuance of the order for summary suspension, the department shall 
promptly request a formal hearing pursuant to section 92(2), MCL 24.292(2) of the 
administrative procedures act of 1969, 1969 PA 306, MCL 24.292 (2). 
 
History: 2018 AACS. 

R 325.1327 Applicability. 
 Rule 1327. (1) The procedures set forth in R 325.1315 to R 325.1325 apply 
to the hearings and penalties related to violations outlined in article 6 of the public 
health code. 
 (2) Unless otherwise provided by article 6 of the public health code, chapter 
2a of the mental health code, MCL 330.1260 to 330.1287, or these rules, the 
procedures for a hearing shall comply with sections 71 to 92 of the administrative 
procedures act of 1969, 1969 PA 306, MCL 24.271 to 24.292, and Part 1 of the 
Michigan administrative hearing system administrative hearing rules, R 792.10101 
to R 792.10137. 
 
History: 2018 AACS. 

PART 3: SUBSTANCE USE DISORDER SERVICES PROGRAM 
REQUIREMENTS 
 
SUBPART A: ADMINISTRATION 

R 325.1329 Ownership; licensee. 
 Rule 1329. (1) An applicant or licensee shall disclose ownership of a program 
to the department on the license application. An applicant or licensee is the 
individual or entity applying to the department to establish, conduct, or maintain a 
substance use disorder services program. 
 (2) An applicant or licensee shall be the legal authority and responsible for 
the management of the program, the provision of all services, and its fiscal 
operations. 
 (3) An applicant or licensee shall establish policies and procedures for the 
management, operation, and evaluation of the program. 
 (4) Acceptance of a license means the licensee shall comply with the public 
health code, mental health code, and these rules. 
 
Page 12 
History: 2018 AACS. 

R 325.1331 Policies and procedures. 
 Rule 1331. (1) An applicant or licensee shall have policies and procedures for 
the services offered. A licensee shall review and update the policies and 
procedures triennially or as necessary, whichever is sooner. Reviews must be 
documented through date and signature on the policy and procedure or by meeting 
minutes that list the specific policies and procedures reviewed. 
 (2) Policies and procedures must include all of the following: 
 (a) Confidentiality. 
 (b) Recipient rights. 
 (c) Referrals, including access to medication -assisted treatment. The policy 
and procedure must facilitate access to medication -assisted treatment if desired 
by the recipient. 
 (d) Admissions. This policy and procedure must include a consent for 
treatment that outlines the benefits and risks of each treatment and rehabilitative 
service offered by the program, other FDA-approved treatments not offered by the 
program, and the ri sk of no treatment consistent with current clinical standards 
supported by national guidelines for evidence-based practices. 
 (e) Discharge, including aftercare. This policy and procedure may not allow 
discharge of a recipient due to a return to use as long as the recipient reengages 
in treatment and complies with program policies and treatment protocol 
prospectively. 
 (f) Naloxone access. This policy and procedure must include protocol to offer 
a naloxone kit to, at a minimum, all recipients with a history of opioid use or who 
are otherwise determined to be at risk for overdose. 
 (g) Follow-up. 
 (h) Intake. 
 (i) Telehealth, telemedicine, or other communication modalities. This policy 
and procedure must conform with applicable state and federal regulations on the 
use of electronic information and telecommunication technologies to support or 
promote long-distance clinical health care, patient and professional health-related 
education, public health, or health administration. 
 
History: 2018 AACS; 2023 AACS. 

R 325.1333 Complaint filed with program; policy and procedure for 
initiation, investigation, and resolution. 
 Rule 1333. (1) An applicant or licensee shall adopt written policies and 
procedures for the initiation, investigation, and resolution of complaints filed with 
the program. These policies and procedures shall be provided by the applicant or 
licensee to each recipient at the time of admission to the program and upon 
request. Program complaint policies and procedures shall contain, at a minimum, 
all of the following: 
Page 13 
 (a) A statement that a recipient, or the recipient’s legal guardian or designated 
representative when that person has standing, may file a complaint to the program, 
the department, or both; and, a statement that the person need not cite a specific 
violation of law or rule. 
 (b) A complainant’s contact information, unless the complainant wants to 
remain anonymous. 
 (c) A process for filing a complaint with the program about potential violations 
of law or rule, including a process to assist the complainant with writing a complaint 
when an oral complaint is not resolved to the complainant’s satisfaction. 
 (d) A process to document when oral complaints are resolved and when 
investigation activities are discontinued. 
 (e) If a standard complaint form is used, a copy of the form must be provided 
to each person at the time of admission or treatment and upon request. 
 (f) The name, title, location, and contact information of the individual who is 
responsible for receiving complaints and conducting complaint investigations for 
the program, as well as the process for communicating with that individual. 
 (g) A requirement that all program complaint investigations be started within 
72 hours of receipt of a complaint or discovery of the allegation or allegations, 
whichever occurs first. 
 (h) A requirement that all program complaint investigations be completed 
within 15 days of receipt of the complaint or discovery of the allegation or 
allegations, whichever occurs first. 
 (i) A requirement that the program shall deliver to the complainant within 30 
days of receipt of the program complaint or discovery of the allegation or 
allegations, whichever occurs first, the written results of the investigation or a 
written status report indicating when the written results of the investigation may be 
expected. The written results shall inform the complainant that the complainant 
may file a program complaint with the department and include the department’s 
contact information. This s ubdivision does not apply to a complaint that is filed 
anonymously. 
 (2) A program shall maintain for 2 years any program complaints filed under 
its complaint procedure, and all program complaint investigation reports and 
correspondence delivered to each complainant. Such records shall be available 
to the department upon request. 
 
History: 2018 AACS. 

R 325.1335 Program assessment and evaluation. 
 Rule 1335. (1) An applicant or licensee shall develop written goals and 
objectives to assess the needs and evaluate the effectiveness of the program and 
services offered. 
 (2) An assessment must identify the staffing needs, supplies, and other 
necessary components to ensure the effectiveness of the delivery of services. 
 (3) A licensee shall review and document the evaluation of the program and 
services offered. The evaluation must be completed annually or when there is a 
change in services or the needs assessment of the recipients, whichever is sooner. 
Page 14 
 (4) A licensee shall make the reports available to the department upon request 
and during any licensure survey or complaint investigation. 
 
History: 2018 AACS; 2023 AACS. 

R 325.1337 Data reporting; informal advisory group. 
 Rule 1337. (1) The department may collect information and aggregated data 
from licensees, including, but not limited to, any of the following: 
 (a) Availability of services. 
 (b) Hours of operation. 
 (c) Demographic data. 
 (d) Morbidity and mortality data. 
 (e) Volume of care provided to recipients from all payor sources. 
 (2) Before any data collection under this rule, the department shall establish 
an informal advisory group, with representation from providers of substance use 
disorder services programs, to determine the data elements to be collected. 
 (3) The licensee shall provide the required data on an individual basis for each 
licensed site in a format and media designated by the department. 
 (4) The department may elect to verify the data through onsite review of 
appropriate records. 
History: 2018 AACS; 2023 AACS. 

R 325.1339 Emergency preparedness plan. 
 Rule 1339. An applicant or licensee shall have an all -hazard emergency 
preparedness plan to meet the health and safety needs of its recipient population 
and personnel. The emergency preparedness plan must provide guidance on how 
to respond to emergency situations that could impact the operation of the program, 
such as natural or man -made disasters or other emergent situations. The 
emergency preparedness plan must include all of the following components: 
 (a) A risk assessment. 
 (b) A written emergency response plan. 
 (c) Written policies and procedures that support the successful execution of 
the emergency response plan. 
 (d) A written communication plan. 
 (e) A written training and testing plan. 
 
History: 2018 AACS; 2023 AACS. 

R 325.1341 Proposed program closure. 
 Rule 1341. (1) At least 30 days prior to the proposed closure date of a 
substance use disorder services program, a licensee shall notify the department 
in writing and identify all of the following: 
 (a) The name and address of the program. 
 (b) The proposed closure date. 
Page 15 
 (c) The number of recipients in treatment at the time of notification. 
 (d) The name, title, telephone number, and email address of the individual 
who is designated to serve as the contact person for the closure process. 
 (2) A licensee shall submit a closure plan to the department and the closure 
plan shall include all of the following: 
 (a) A timeline for closure. 
 (b) A method to ensure adequate staffing throughout the closure process. 
 (c) Provisions for the maintenance, storage, safekeeping, or destruction of 
recipient records and, if applicable, by including the name of the organization, the 
address, and the contact information where medical records will be stored. 
 (d) Provisions for notifying all affected state, federal, and local governmental 
authorities of the proposed closure. 
 (e) A method to identify a program or other appropriate location for each 
recipient that includes both of the following: 
 (i) Assessment of recipient needs. 
 (ii) Provision of information to recipients and families about other programs 
based on recipient’s assessment. 
 
History: 2018 AACS. 

R 325.1343 Compliance with other federal, state, and local statutes and 
regulations. 
 Rule 1343. (1) In addition to the requirements of the public health code, 
mental health code, and these rules, an applicant and licensee shall comply with 
other federal, state, or local statutes, rules, and regulations that may directly impact 
the delivery of substance use disorder services, such as compliance with all state 
pharmacy laws related to controlled substa nces, licenses, health occupational 
requirements under article 15 of the public health code , and local governmental 
requirements for residential settings. 
 (2) The department may take action against a licensee for noncompliance 
with other federal, state, or local statutes, rules and regulations that may directly 
impact the delivery of substance use disorder services. The department may act 
at its discretion upon referral and final determinati on of noncompliance by other 
federal, state, or local authorities against a licensee. 
 
History: 2018 AACS. 

SUBPART B: STAFFING 

R 325.1345 Personnel management. 
 Rule 1345. (1) An applicant or licensee shall have written personnel policies 
and procedures. 
 (2) An applicant or licensee shall have a written job description for each staff 
position that identifies all of the following: 
Page 16 
 (a) Job title. 
 (b) Tasks and responsibilities. 
 (c) Education and experience. 
 (d) Skills, knowledge, and training. 
 (e) Licensure or credentialing, as applicable. 
 (f) Any supervisory roles and responsibilities for other staff members, 
including of individuals with a limited or temporary license. 
 (3) P ersonnel policies, procedures, and job descriptions shall be reviewed 
and documented annually by the program director and updated as necessary. 
 (4) An applicant or licensee shall establish an orientation program for staff. 
 (5) An applicant or licensee shall maintain personnel records for each staff 
member. 
 
History: 2018 AACS. 

R 325.1347 Program director. 
 Rule 1347. An applicant or licensee shall designate a program director who 
is responsible for all phases of the operation of the program, selection of staff, and 
quality of care provided in the program. Any delegation of duties by a program 
director to another staff person shall be in writing and shall not be for more than 1 
year. The written delegation shall clearly identify the specific task being delegated. 
Delegation of duties by the program director shall be assigned only to a qualified 
designee and the qualifications shall be identified in the delegation. An applicant 
or licensee may assign a different title to this position. 
 
History: 2018 AACS. 

R 325.1349 Staffing assessment. 
 Rule 1349. (1) An applicant or licensee shall conduct an assessment of 
services offered by the program to identify additional staffing levels beyond 
minimum licensing requirements. The assessment must identify the services 
offered by the program, the staff required to provide those services, licensing and 
credentialing requirements for the staff identified, and the level of staffing needed. 
The assessment must be completed and documented by the applicant or licensee 
annually or when there is a change in s ervices or the needs assessment of the 
recipients, whichever is sooner. 
 (2) The licensee shall maintain staffing levels according to the requirements 
of these rules and the assessment completed by the program outlined in subrule 
(1) of this rule, except in documented short -term instances less than 2 weeks in 
length due to an illness, a vacation, or other leave. This subrule does not preclude 
the licensee from the appropriate use of other staff or professions not identified in 
these rules. If these other staff or professions are not identified in these rules, then 
these individuals cannot be used to meet the minimum staffing requirements set 
forth in these rules. 
Page 17 
 (3) A program that is licensed for residential and residential withdrawal 
management at a single licensed site may share a licensed counselor, LMSW, or 
licensed psychologist, if other staffing requirements are maintained. 
 
History: 2018 AACS; 2023 AACS. 

R 325.1351 Staff development and training. 
 Rule 1351. (1) An applicant or licensee shall establish a staff 
development and 
training program that includes all of the following: 
 (a) Orientation for staff. 
 (b) On-the-job training. 
 (c) In-service education. 
 (d) Opportunity for continuing job-related education. 
 (2) An applicant or licensee shall establish an in-service education program for 
all staff who treat, monitor, or interact with a recipient for care issues at orientation 
and at regular intervals as appropriate but at a minimum of every 3 years. The in -
service education program must include, at a minimum, all of the following: 
 (a) First aid and cardiopulmonary resuscitation (CPR). 
 (b) Training to identify signs and symptoms of a medical emergency. 
 (c) Training on potential medical risks associated with withdrawal from 
substances and combinations of substances and appropriate acute interventions. 
 (d) Medication administration and monitoring , including monitoring of self -
administration of medications such as infusion and injection medications . If the 
program has medical staff who are licensed to administer infusion and injection 
medications, training must include administration and monitoring of infusion and 
injection medications. 
 (e) Emergency response protocols, including medical, psychiatric, and safety 
emergencies. 
 (f) Signs and symptoms of intoxication and withdrawal, including seizures. 
 (g) Vital sign measurement and interpretation. 
 (h) Naloxone administration. 
 (3) An applicant or licensee shall establish an in -service education program 
for all staff who treat, monitor, or interact with a recipient for care issues and 
management staff at orientation and at regular intervals as appropriate but at a 
minimum of ever y 3 years. The in -service education program must include, at a 
minimum, all of the following: 
 (a) Cultural competency and diversity. 
 (b) State and federal rules and regulations regarding confidentiality. 
 (c) Mandated reporting of suspected abuse and neglect. 
 (d) Assessment and management of intention to harm oneself or others. 
 (e) Individualized treatment. 
 (f) Recipient rights. 
 (4) An applicant or licensee shall maintain training records for each staff 
member. 
 
Page 18 
History: 2018 AACS; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1353 Medical director. 
 Rule 1353. (1) An applicant or licensee for methadone or residential 
withdrawal management service categories shall have a physician as the medical 
director. The medical director shall oversee all medical services performed by the 
program. For a program wh ere there is only 1 physician, that physician is 
considered the medical director for purposes of these rules. 
 (2) The medical director shall comply with either of the following: 
 (a) Be certified in addiction psychiatry or addiction medicine by a recognized 
board of the American Board of Medical Specialties, including the American Board 
of Psychiatry and Neurology or the American Board of Preventive Medicine or have 
held a prior certification by the American Board of Addiction Medicine. 
 (b) Received 30 hours of continuing medical education and training 
accredited by the Accrediting Council for Continuing Medical Education within 1 
year after the date of hire in addiction psychiatry or addiction medicine through 
continuing medical education of fered by the American Board of Medical 
Specialties, American Board of Preventative Medicine, American Society of 
Addiction Medicine, American Academy of Addiction Psychiatry, American 
Association for Treatment of Opioid Dependence, American Associat ion of 
Osteopathic Addiction Medicine, the counterparts of these organizations in this 
state, or other national or state programs acknowledged and accepted by the 
department. 
 (3) The medical director shall demonstrate ongoing accredited education 
related to substance use disorders comprised of 30 hours every 3 years. 
 (4) The medical director is responsible for all of the following activities as 
outlined in written policy and procedures or the position description for the medical 
director: 
 (a) Developing admission criteria. 
 (b) Developing treatment protocols. 
 (c) Ensuring adequacy of individual treatment prescriptions developed with 
the participation of professional staff, to include notations of contraindications and 
precautions. 
 (d) Providing or arranging for daily medical coverage to meet recipient needs. 
 (e) Determining the credentials of other physicians working under the medical 
director. 
 (f) Determining the credentials of clinicians who may prescribe pharma -
therapies. 
 (5) A licensee shall maintain a staffing log that documents the dates and times 
when the medical director and other physicians , physician assistant s, and nurse 
practitioners under the direction of the medical director are working at the licensed 
site location. A staffing log must be retained for 1 year. 
 
History: 2018 AACS; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

Page 19 
R 325.1355 Medical staffing. 
 Rule 1355. (1) An individual physician, physician’s assistant, or advanced 
practice registered nurse is responsible for all of the following: 
 (a) Ensuring completeness of a recipient record upon admission to the 
program. 
 (b) Reviewing and signing a recipient’s service plan. 
 (c) Signing or countersigning standing and verbal medical orders as required 
by federal or state law and as follows: 
 (i) Documenting verbal orders in a recipient’s record and signed by the 
individual taking the verbal order and countersigned within 72 hours by the 
licensed health professional that gave the verbal order. 
 (ii) Documenting standing orders in a recipient’s record and signed by the 
licensed health professional that gave the standing order. 
 (iii) Ensuring that justification is recorded in a recipient's record when the 
frequency of treatment is changed. 
 (2) Compliance with applicable state requirements for the delivery of 
controlled substances including, but not limited to, possessing a drug control 
license. 
 
History: 2018 AACS; 2023 AACS. 

SUBPART C: SERVICES 

R 325.1357 Program services. 
 Rule 1357. (1) A licensee shall provide all of the following information to the 
recipient upon admission: 
 (a) Services to be offered and the role of the licensee. 
 (b) Services available through referral. 
 (c) Costs associated with services, including any costs to be paid by the 
recipient. 
 (d) Recipient rights and responsibilities. 
 (e) Hours during which services will be available. 
 (f) General overview of treatment and rehabilitation services to be offered 
based upon recipient records. 
 (g) Copy of the complaint process. 
 (h) Copy of the recipients’ rights process. 
 (i) A notice listing the program’s policies and procedures that are available to 
view upon request. 
 (2) A licensee shall update the recipient before any changes to the 
requirements set forth in subrule (1) of this rule. 
 
History: 2018 AACS; 2023 AACS. 

R 325.1359 Support and referral services. 
Page 20 
 Rule 1359. (1) A licensee shall offer support services either onsite, via 
telehealth, or by referral based upon its assessment of the service categories 
offered and recipient needs. The assessment must address all of the following 
support services: 
 (a) Medication-assisted treatment if not offered on site. 
 (b) Support and rehabilitation services, including social, educational, and 
recreational. 
 (c) Job development and placement. 
 (d) Financial counseling. 
 (e) Legal counseling. 
 (f) Nutritional education and counseling. 
 (2) A licensee shall maintain a current list of support services available onsite 
or by referral. A licensee shall review the list with each recipient as part of the 
admission procedure and as part of ongoing treatment planning, management, and 
coordination. 
 
History: 2018 AACS; 2023 AACS. 

SUBPART D: RECIPIENT AND ADMINISTRATIVE RECORDS 

R 325.1361 Recipient records. 
 Rule 1361. (1) A licensee of a treatment and rehabilitation program shall 
keep and 
maintain a record for each recipient, including all of the following: 
 (a) Identification, including name, address, and birth date. 
 (b) History of substance use, including all of the following: 
 (i) Past substance use, including prescribed drugs. 
 (ii) Preferred substances. 
 (iii) Frequency of use. 
 (iv) History of overdose, withdrawal, or adverse drug or alcohol reactions. 
 (v) History of substance use disorder services received, including location 
and dates services were received. 
 (vi) Year of first use of each substance. 
 (c) Admission, including initiation of service date and signed consent for 
treatment, or reasons for denial of admission. 
 (d) Physical disabilities, limitations, and ailments. 
 (e) Information submitted by a referral source, if any. 
 (f) Diagnosis. 
 (g) Medical or clinical diagnostic test findings. 
 (h) Service plans. 
 (i) Progress notes. 
 (j) Notes and observations by other personnel providing care. 
 (k) Discharge from a program, record of discharge, discharge summary, 
transfer to another program, or death documented within 14 days. 
Page 21 
 (l) Emergency contact information, including, but not limited to, guardian and 
durable power of attorney contact information. 
 (m) Consent forms as required and appropriate. 
 (2) The recipient record for residential programs must include all of the 
following: 
 (a) Medical history and physical examination. 
 (b) Medication records that include the medication name, dose, route of 
administration, date, time, and the individual who administered the medication. 
 (c) Documentation of the recipient’s ability to self-administer medications, as 
appropriate, and a record of each incident when a staff member accepts or rejects a 
supply of recipient medications filled by a non -program pharmacy or destroys 
discontinued, outdated, or deteriorated recipient medications. 
 (3) The recipient record for residential withdrawal management or methadone 
must include all of the following: 
 (a) Medical history and physical examination. 
 (b) Physician, physician’s assistant, or advanced practice registered nurse 
orders. 
 (c) Physician, physician’s assistant, or advanced practice registered nurse 
progress notes. 
 (d) Nurse notes. 
 (e) Medication records that include the medication name, dose, route of 
administration, date, time, and the individual who administered the medication. 
 (f) For residential withdrawal management programs, d ocumentation of the 
recipient’s ability to self -administer non-substance use disorder ( SUD) treatment 
medications, as appropriate, and a record of each incident when a staff member 
accepts or rejects a supply of recipient medications filled by a non-program pharmacy 
or destroys discontinued, outdated, or deteriorated recipient medications. 
 
History: 2018 AACS; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1363 Service plan. 
 Rule 1363. (1) Based on the assessment made of a recipient's needs, a 
written service plan, which may include both medical and counseling services, 
must be developed and recorded in the recipient's record. A service plan must be 
developed by a licensed or certified professional as referenced in these rules and 
as promptly after the recipient's admission as feasible, but no later than either of 
the following: 
 (a) The conclusion of the next session attended by the recipient for 
counseling services. 
 (b) Twenty-four hours for methadone, residential, and residential withdrawal 
management programs. 
 (2) A service plan must include the recipient’s signature agreeing to the plan 
and state when updates are made. 
 (3) The service plan must comply with all of the following: 
 (a) Be individualized based on the assessment of the recipient's needs and, 
if applicable, the medical evaluation. 
Page 22 
 (b) Define the sequence, frequency, and duration of the services and 
therapeutic activities to be provided to the recipient, including counseling services 
from a licensed counselor, limited licensed counselor under the supervision of a 
licensed counselor, LMSW, limited LMSW under the supervision of a LMSW, 
licensed psychologist, limited licensed psychologist under the supervision of a 
licensed psychologist, temporary limited licensed psychologist under the supervision 
of a licensed psychologist, post -doctoral education limited licensed psychologist 
under the supervision of a licensed psychologist, LMFT, limited LMFT under the 
supervision of an LMFT, certified counselor, or limited certified counselor. This 
subdivision does not preclude the use of other counseling services where licensing 
or certification is not required. 
 (c) Include referrals for services that are not available in the program , such 
as referrals to external providers or contractors to provide recipient services in the 
program or appropriate transportation to an off -site location during the stay 
including for the administration of infusion or injection medications. 
 (d) Contain objectives that the recipient will attempt to achieve, together with 
a realistic time schedule for their achievement. 
 (4) Review of, and changes in, the service plan must be recorded in the 
recipient's record. The date of the review of change, together with the names of 
the individuals involved in the review, must also be recorded. A service plan must 
be reviewed at least once every 120 days by a licensed or certified professional as 
referenced in these rules, including the service plans under a limited certified 
counselor. 
 
History: 2018 AACS; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1365 Controlled substances and medication records. 
 Rule 1365. A licensee shall maintain controlled substance and medication 
records that include all of the following: 
 (a) Inventory of controlled substances that includes all of the following: 
 (i) Date and quantity received, including lot numbers. 
 (ii) Date and amount dispensed, including lot number, recipient name, 
method of dispensing, and signature of recipient and the dispensing licensed 
health professional. 
 (iii) Disposal record and signatures. 
 (b) Inventory of recipient medications. 
 
History: 2018 AACS; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1367 Administrative records; program requirements. 
 Rule 1367. A program shall maintain the following administrative records, as 
applicable: 
 (a) Daily census records that identify the specific number of recipients 
receiving services. 
 (b) Incident records, including all instances of accidents, injuries, or deaths. 
Page 23 
 
History: 2018 AACS; 2023 AACS. 

R 325.1369 Storage of records; requirements. 
 Rule 1369. (1) Recipient and administrative records shall be preserved and 
be readily available to ensure necessary and immediate access by appropriate 
health care staff to deliver needed care and services. 
 (2) Recipient records shall be secured to ensure confidentiality and protection 
from access by unauthorized persons. 
 (3) Recipient records that contain health care treatment and services shall be 
maintained for at least 7 years from the date of service and in accordance with the 
medical records act, 2004 PA 47, MCL 333.26261 to 333.26271. 
 (4) Administrative records shall be maintained for at least 3 years. 
 
History: 2018 AACS. 

R 325.1371 Recipient and administrative records; confidentiality. 
 Rule 1371. (1) Recipient and administrative records must be available for 
licensure survey and review of content at any time by the department. 
 (2) Records must be maintained as confidential documents with 1 or more of 
the following exceptions: 
 (a) Information required under these rules. 
 (b) Information required by law. 
 (c) Information authorized for disclosure by written release of the recipient or 
the recipient’s designated representative. 
 
History: 2018 AACS; 2023 AACS. 

SUBPART E: SUPPLIES AND PHYSICAL PLANT 

R 325.1373 Physical plant, supplies, equipment, and furnishings. 
 Rule 1373. (1) An applicant or licensee shall provide space, supplies, 
equipment, and furnishings needed to offer the service categories specified in the 
license. 
 (2) An applicant or licensee who offers treatment and rehabilitation services 
shall maintain the space, supplies, equipment, and furnishings in a clean, sanitary, 
safe, and usable condition, as well as in compliance with applicable local and state 
fire, safety, and sanitation codes. 
 (3) For programs where recipients reside, an applicant or licensee shall 
maintain space that is properly identified and, where necessary, separated based 
upon license type, use, service categories, and other factors where distinct and 
separate space is necessary. 
 
Page 24 
History: 2018 AACS. 

R 325.1375 Security of controlled substances, medications, and 
dispensing area. 
 Rule 1375. (1) An applicant or licensee offering treatment and rehabilitation 
services shall have a policy and procedure to maintain secured and, if necessary, 
climate-controlled storage and dispensing areas for controlled substances and 
medications. 
 (2) The policy and procedure must identify who and when authorized staff are 
allowed access to secured and, if necessary, climate -controlled storage and 
dispensing areas and when recipients are allowed access to dispensing area. 
 (3) The policy and procedure must be reviewed and documented annually by 
the program director and updated as necessary. 
 
History: 2018 AACS; 2026 MR 11, Eff. June 3, 2026. 

PART 4: SPECIAL REQUIREMENTS BY SERVICE CATEGORIES 

R 325.1377 Rescinded. 
 
History: 2018 AACS; 2023 AACS. 

R 325.1379 Rescinded. 
 
History: 2018 AACS; 2023 AACS. 

R 325.1381 Counseling service requirements. 
 Rule 1381. Counseling services must be based on a documented assessment 
of the recipient's needs and a subsequent agreement between the recipient and 
the provider about the services to be offered. 
 
History: 2018 AACS; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1383 Methadone program requirements. 
 Rule 1383. (1) Methadone program services must be based on a documented 
assessment of the recipient's needs and a subsequent agreement between the 
recipient and the provider about the services to be offered. 
 (2) An applicant or licensee shall employ a licensed counselor, LMSW, 
licensed psychologist, or LMFT. 
 (3) A licensee shall establish, maintain, and publicly post hours for counseling 
services. 
Page 25 
 (4) A licensed counselor, limited licensed counselor under the supervision of 
a licensed counselor, LMSW, limited LMSW under the supervision of a LMSW, 
licensed psychologist, limited licensed psychologist under the supervision of a 
licensed psychologist, tempo rary limited licensed psychologist under the 
supervision of a licensed psychologist, post -doctoral education limited licensed 
psychologist under the supervision of a licensed psychologist, LMFT, limited LMFT 
under the supervision of an LMFT, certified counselor, or limited certified counselor 
under the supervision of a licensed or certified individual listed in these rules shall 
be available to provide counseling services as required in a recipient service plan. 
 (5) A licensee shall ensure that any licensed counselor, limited licensed 
counselor, LMSW, limited LMSW, licensed psychologist, limited licensed 
psychologist, temporary limited licensed psychologist, post -doctoral education 
limited licensed psychologist, LMFT, limited LMFT, or certified counselor is not 
responsible for more than 65 recipients. 
 (6) A licensee shall ensure that a limited certified counselor is not responsible 
for more than 32 recipients. 
 (7) An applicant or licensee shall employ a medical director. If the medical 
director is not onsite during all hours of operation, then the licensee shall establish 
specific timeframes in which the medical director shall be onsite. 
 (8) During all hours that recipients are receiving medication, a licensee shall 
have onsite a physician, physician’s assistant, advanced practice registered nurse, 
registered professional nurse, or licensed practical nurse under the supervision of 
a registered professional nurse or physician. 
 (9) The medical director, physician, physician’s assistant, or advanced 
practice registered nurse shall document that the recipient has been diagnosed 
with a substance use disorder. 
 (10) Before any medications are prescribed, the medical director, a physician, 
physician’s assistant, or advanced practice registered nurse shall complete and 
document the medical and drug history and physical examination of the recipient. 
In addition, any modi fication to medications or course of treatment must be 
documented in the recipient record and ordered by a physician, physician’s 
assistant, or advanced practice registered nurse. 
 (11) Within 30, 60, and 90 days of treatment, and not less than every 90 days 
thereafter, the medical director, a physician, physician’s assistant, or advanced 
practice registered nurse shall meet with the recipient to review the treatment to 
date and any recommended adjustments to the service plan. 
 (12) A licensee shall comply with all requirements set forth in 42 CFR 8. 
 (13) A licensee shall document in the service plan the phase the recipient is 
in, including short -term withdrawal management, long -term withdrawal 
management, or maintenance. 
 (14) A licensee shall have a policy and procedure for labeling take -home 
medications that includes all of the following: 
 (a) The name of the medication. 
 (b) The program's name, address, and phone number. 
 (c) Recipient name or code number. 
 (d) Medical director's name. 
Page 26 
 (e) Directions for use. 
 (f) Date to be used by. 
 (g) A cautionary statement that the drug should be maintained out of the 
reach of children. 
 (15) A licensee shall have a policy and procedure to address withdrawal of a 
recipient from the program that includes all of the following: 
 (a) Criteria for decreasing levels of medication and frequency of counseling. 
 (b) Criteria for ending treatment when medication and counseling are no 
longer necessary. 
 (c) Criteria for when medication and counseling is still necessary and the 
treatment at the program is being ended either voluntarily or involuntarily, including 
both of the following: 
 (i) Documentation in the recipient record of the reasons for voluntary or 
involuntary withdrawal from the program. 
 (ii) Referral options to continue treatment at another program. 
 
History: 2018 AACS; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1385 Residential program requirements. 
 Rule 1385. (1) Residential programs must be based on a documented 
assessment of a recipient's needs and a subsequent agreement between the 
recipient and the provider about the services to be offered. 
 (2) An applicant or licensee shall employ a full -time licensed counselor, 
LMSW, licensed psychologist, or LMFT. 
 (3) A licensed counselor, limited licensed counselor under the supervision of 
a licensed counselor, LMSW, limited LMSW under the supervision of a LMSW, 
licensed psychologist, limited licensed psychologist under the supervision of a 
licensed psychologist, tempo rary limited licensed psychologist under the 
supervision of a licensed psychologist, post -doctoral education limited licensed 
psychologist under the supervision of a licensed psychologist, LMFT, limited LMFT 
under the supervision of an LMFT, certified counselor, or limited certified counselor 
under the supervision of a licensed or certified individual listed in these rules must 
be available to provide counseling services as required in recipient service plan. 
 (4) A licensee shall ensure that any licensed counselor, limited licensed 
counselor, LMSW, limited LMSW, licensed psychologist, limited licensed 
psychologist, temporary limited licensed psychologist, post -doctoral education 
limited licensed psychologist, LMFT, Limited LMFT, or certified counselor is not 
responsible for more than 20 recipients. 
 (5) A licensee shall ensure that a limited certified counselor is not responsible 
for more than 10 recipients. 
 (6) A licensee shall have at least 1 trained staff member onsite, during all 
hours of operation, that meets the training requirements set forth in R 325.1351. 
 (7) An applicant or licensee shall have a policy and procedure for the safety 
of the recipients to address recipients that leave and return to the residence . The 
policy and procedure must identify methods for searching recipients and their 
possessions upon their return to the residence. 
Page 27 
 (8) A licensee shall provide and ensure recipient participation in not less than 
15 hours per week of support services to meet the needs of the recipients. Not 
less than 10 of the 15 hours must be in the form of treatment or rehabilitation 
evidence-based practice or services. Participation must be documented in the 
recipient record. 
 
History: 2018 AACS; 2023 AACS. 

R 325.1387 Rescinded. 
 
History: 2018 AACS; 2023 AACS. 

R 325.1388 Residential withdrawal management program requirements. 
 Rule 1388. (1) Residential withdrawal management programs must be based 
on a documented assessment of the recipient's needs and a subsequent 
agreement between the recipient and the provider about the services to be offered. 
 (2) A program offering clinically managed withdrawal management services 
shall offer peer and social support services only and not offer or administer 
schedule II -V controlled substances, as classified under 21 USC 812, for the 
management of withdrawal, including methadone and buprenorphine. 
 (3) A program offering medically monitored withdrawal management services 
shall offer medical and nursing care and may administer medications for the 
management of withdrawal. 
 (4) A residential withdrawal management program shall meet all of the 
following requirements: 
 (a) An applicant or licensee shall employ a medical director. 
 (b) Before treatment, a licensee shall provide a recipient, or a person acting 
on the individual's behalf, information about all relevant, available medical 
treatment options related to the recipient’s assessment, including relevant forms 
of medication -assisted treatment, as well as the risks and benefits of each 
treatment option. The service plan must contain a written document that the 
recipient has been informed of the risks and benefits of all relevant treatment 
options, and identify the option selected by the recipient. 
 (c) A physician, physician’s assistant, or advanced practice registered nurse 
shall review and assess each recipient upon admission and every 72 hours after 
the initial review and assessment to determine if the recipient is suitable for the 
services being offered. If a recipient is referred from a licensed acute care hospital, 
psychiatric unit, or hospital directly to a licensed residential withdrawal 
management program, the transfer documentation, including the health 
assessment from the transferring hospital, may be used as the initial assessment 
for admission if all of the following are met: 
 (i) The transfer record must be reviewed and signed by the program’s 
physician, physician assistant, or advanced practice nurse and documented in the 
recipient’s record within 24 hours of admission. 
Page 28 
 (ii) The transfer record must be accessible in the recipient’s record at the 
time of admission. 
 (iii) The transfer record must include that the recipient was referred directly 
to a licensed residential withdrawal management program. 
 (d) A licensee shall perform an initial test for opioids, benzodiazepine, 
methadone and methadone metabolites, buprenorphine and buprenorphine 
metabolites, barbiturates, amphetamines, cocaine, and other drugs based on a 
recipient assessment and local dr ug use pattern and trends upon admission with 
results documented in the recipient service plan within 48 hours after collection of 
that information. 
 (e) An applicant or licensee shall employ the equivalent of a full-time licensed 
counselor, LMSW, licensed psychologist, LMFT, or certified counselor. 
 (f) A licensed counselor, limited licensed counselor under the supervision of 
a licensed counselor, LMSW, limited LMSW under the supervision of a LMSW, 
licensed psychologist, limited licensed psychologist under the supervision of a 
licensed psychologist , temporary limited licensed psychologist under the 
supervision of a licensed psychologist, post -doctoral education limited licensed 
psychologist under the supervision of a licensed psychologist, LMFT, limited LMFT 
under the supervision of an LMFT, certified counselor, or limited certified counselor 
under the supervision of a licensed or certified individual listed in these rules shall 
be available to provide counseling services as required in the recipient service 
plan. 
 (g) A licensee shall ensure that any licensed counselor, limited licensed 
counselor, LMSW, limited LMSW, licensed psychologist, limited licensed 
psychologist, temporary limited licensed psychologist, post -doctoral education 
limited licensed psychologist , LMFT, limited LMFT, or certified counselor is not 
responsible for more than 20 recipients. 
 (h) A licensee shall ensure that a limited certified counselor is not responsible 
for more than 10 recipients. 
 (5) A residential withdrawal management program offering clinically managed 
withdrawal management services shall also meet all of the following requirements: 
 (a) An applicant or licensee shall have a screening and referral protocol used 
by a physician, physician’s assistant, or advanced practice registered nurse to 
identify and transfer to a medically monitored program or other appropriate setting 
an individual who meets any of the following: 
 (i) Is medically unstable. 
 (ii) Has a history of seizure disorder. 
 (iii) Has a history of alcohol, benzodiazepine, or other sedative withdrawal 
related complications. 
 (iv) Has a blood pressure measurement above or below the program’s 
accepted range for the individual. 
 (v) Has current suicidal ideations or attempted suicide in the past month. 
 (vi) Is pregnant. 
 (b) A licensee shall have on -call, during all hours of operation, a physician, 
physician’s assistant, advanced practice registered nurse, registered professional 
nurse, or licensed practical nurse under the supervision of a registered 
Page 29 
professional nurse or physician. The physician, physician’s assistant, advanced 
practice registered nurse, registered professional nurse, or licensed practical 
nurse under the supervision of a registered professional nurse or physician must 
be available to be onsite within 30 minutes of notification of an emergent health 
concern. 
 (c) A licensee shall have at least 1 trained staff member onsite, during all 
hours of operation, that meets the training requirements set forth in R 325.1351(2). 
 (d) A licensee shall log all emergency transfers to another health facility, 
along with the reason for transfer. These logs must be made available to the 
department as requested during a survey or complaint investigation. 
 (6) A residential withdrawal management program offering medically 
monitored withdrawal management services must also meet both of the following 
requirements: 
 (a) A licensee shall have a physician, physician’s assistant, or advanced 
practice registered nurse complete and document the medical and drug history, as 
well as a physical examination of the recipient, before administering any 
medications. In addition , any modification to medications or course of treatment 
must be documented in the recipient record and ordered by a physician, 
physician’s assistant, or advanced practice registered nurse. 
 (b) A licensee shall have onsite during all hours of operation a physician, 
physician’s assistant, advanced practice registered nurse, registered professional 
nurse, or licensed practical nurse under the supervision of a registered 
professional nurse or physician. 
 
History: 2023 AACS. 

R 325.1389 Rescinded. 
 
History: 2018 AACS; 2023 AACS. 

PART 5: RECIPIENT RIGHTS 

R 325.1391 Recipient rights. 
 Rule 1391. A recipient shall have all of the following rights: 
 (a) The right to appropriate services regardless of race, color, national origin, 
religion, sex, age, mental or physical disability, marital status, sexual preference, 
sexual identity, or political beliefs , as well as the use of a prescribed non -SUD 
medication for withdrawal management, or a condition that can be self -managed, 
which includes, but is not limited to, self -administering pharmacotherapy for 
hemophilia, or managed effectively by an external provider. 
 (b) The right to services without being deprived of any rights, privileges, or 
benefits guaranteed by state or federal law or by the state or federal constitutions. 
Page 30 
 (c) The right to file grievances, recommend changes in program policies or 
services to the program staff, governmental officials, or another individual within or 
outside the program without program interference. 
 (d) The right to review, copy, or receive a summary of the individual’s program 
records, unless, in the judgment of the program director, this action will be 
detrimental to the recipient or to others for either of the following reasons: 
 (i) Granting the request for disclosure will cause substantial harm to the 
relationship between the recipient and the program or to the program's capacity to 
provide services in general. 
 (ii) Granting the request for disclosure will cause substantial harm to the 
recipient. 
 (e) The right to review nondetrimental portions of the record or a summary of 
the nondetrimental portions of the record if the program director determines that the 
action described under subdivision (d) of this subrule would be detrimental. If a 
recipient is denied the right to review all or part of the individual’s record, the reason 
for the denial must be stated to the recipient. An explanation of what portions of the 
record are detrimental and for what reasons must be stated in the recipient record 
and signed by the program director. 
 (f) The right to receive services free from physical or mental abuse or neglect 
or sexual abuse from staff, including any of the following: 
 (i) An intentional act by a staff member that inflicts physical injury on a 
recipient or results in sexual contact with a recipient that includes the intentional 
touching of the recipient's intimate parts, such as primary genital area, groin, inner 
thigh, buttock, or female breast or the intentional touching of the clothing covering 
the immediate area of the recipient's intimate parts, and if that intentional touching 
can reasonably be construed as being for the purpose of sexual arousal or 
gratification. 
 (ii) A communication made by a staff member to a recipient, the purpose of 
which is to curse, vilify, intimidate, or degrade a recipient or to threaten a recipient 
with physical injury. 
 (iii) A recipient suffers injury, temporarily or permanently, because the staff 
member or other individual responsible for the recipient's health or welfare has been 
found negligent. 
 (g) The right to review a written fee schedule in programs where recipients 
are charged for services. Policies on fees and revisions of these policies must be 
approved by the licensee and recorded in the administrative record of the program. 
 (h) The right to receive an explanation of the individual’s bill, regardless of 
the source of payment. 
 (i) The right to information concerning any experimental or research 
procedure proposed as a part of the individual’s treatment services, and the right 
to refuse to participate in the experiment or research without jeopardizing the 
individual’s continuing services. A program shall comply with state and federal 
rules and regulations concerning research that involves human subjects. 
 
History: 2018 AACS; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

Page 31 
R 325.1393 Service plan; specific recipient rights. 
 Rule 1393. (1) A recipient shall be allowed to participate in the development 
of his or her service plan. 
 (2) A recipient has the right to refuse treatment and to be informed of the 
consequences of that refusal. When a refusal of treatment prevents a program 
from providing services according to ethical and professional standards, the 
relationship with the reci pient may be terminated by the licensee on reasonable 
notice. 
 (3) A recipient has the right to maintain an active ongoing non-SUD treatment 
prescribed by a physician. A recipient may receive or self-administer appropriate 
medications, including infusion or injection medications, as prescribed by a 
physician. If an individual has documentation from a physician to self -administer 
prescribed medication, then the recipient shall be allowed to self-administer. If a 
recipient cannot administer the individual’s own medication, the program shall 
ensure that medication is administered by or under the supervision of personnel 
who are qualified and trained either from the facility or through referral to an 
external provider. If a recipient has a physician order for a medication that is part 
of an active, on-going non-SUD treatment plan and filled by an outside pharmacy, 
the recipient shall be allowed to bring the medication into the program, provided 
the facility’s medical staff can ensure the integrity of the prescription, and that the 
medication is sealed, not tamper evident, and not expired. 
 (4) A recipient shall be informed if a program has a policy for discharging 
recipients who fail to comply with program rules and shall receive, at admission 
and on request, a notification form that includes written procedures that explain all 
of the following: 
 (a) The types of infractions that can lead to discharge. 
 (b) Who has the authority to discharge recipients. 
 (c) How and in what situations prior notification is to be given to the recipient 
who is being considered for discharge. 
 (d) The mechanism for review or appeal of a discharge decision. 
 (5) A copy of the notification form signed by the recipient must be maintained 
in the recipient's case file. 
 (6) The benefits, side effects, and risks associated with the use of any 
medications must be fully explained to the recipient in language that is understood 
by the recipient. 
 (7) A recipient has the right to give prior informed consent, consistent with 
federal confidentiality regulations, for the use and future disposition of products of 
special observation and audiovisual techniques, such as 1-way vision mirrors, tape 
recorders, televisions, movies, or photographs. 
 
History: 2018 AACS; 2023 AACS; 2026 MR 11, Eff. June 3, 2026. 

R 325.1395 Residential and residential withdrawal management 
programs; specific recipient rights. 
 Rule 1395. (1) In a residential and residential withdrawal management 
program, a recipient has the right to associate and have private communications 
Page 32 
and consultations with his or her licensed health professional, attorney, or person 
of his or her choice. 
 (2) A program shall post its policy concerning visitors in a public place. 
 (3) Unless contraindicated by program policy or an individual service plan, a 
recipient is allowed visits from family members, friends, and other persons of his 
or her choice at reasonable times, as determined by the program director or 
according to posted visiting hours. A recipient shall be informed in writing of visiting 
hours upon admission to the program. 
 (4) To protect the privacy of all other recipients, a program director shall 
ensure, to the extent reasonable and possible, that the visitors of recipients will 
see or have contact with only the individual they have reason to visit. 
 (5) A recipient has the right to be free from physical and chemical restraints, 
except those authorized in writing by a physician, physician’s assistant, or 
advanced practice registered nurse for a specified and limited time. Written policies 
and procedures that set forth the circumstances that require the use of restraints 
and designate the program personnel responsible for applying restraints must be 
approved in writing by a physician, physician’s assistant, or advanced practice 
registered nurse and shall be adopted by the licensee. Restraints may be applied 
in an emergency to protect the recipient from injury to self or others. The restraints 
must be applied by designated staff. This action must be reported immediately to 
a physician, physician’s assist ant, or advanced practice registered nurse and 
reduced to writing in the recipient record within 24 hours. 
 (6) A recipient has the right to be free from doing work the program would 
otherwise employ someone else to do unless the work and the rationale for its 
therapeutic benefit are included in program policy or in the service plan for the 
recipient. 
 (7) A recipient has the right to a reasonable amount of personal storage space 
for clothing and other personal property. All of these items must be returned to the 
recipient upon discharge from the program. 
 (8) A recipient has the right to deposit money, earnings, or income in his or 
her name in an account with a commercial financial institution. A recipient has the 
right to get money from the account and to spend it or use it as he or she chooses, 
unless r estricted by program policy or by the service plan for the recipient. A 
recipient has the right to receive all money or other belongings held for him or her 
by the program within 24 hours of discharge from the program. 
 
History: 2018 AACS; 2023 AACS. 

R 325.1397 Program policy and procedures. 
 Rule 1397. (1) An applicant or licensee shall have a policy and procedure to 
ensure compliance with recipient rights requirements. The policy and procedures 
shall be reviewed and documented annually and updated as necessary. The 
policy must address all of the following: 
 (a) Identification of a staff member to function as the program’s rights advisor. 
If the rights advisor has other duties assigned, the policies and procedures must 
Page 33 
address how complaints are filed and investigated using other trained staff. The 
rights advisor shall do all of the following: 
 (i) Attend training concerning recipient rights procedures. 
 (ii) Receive and investigate all recipient rights complaints. 
 (iii) Communicate directly with the regional entity employee designated for 
recipient rights when a complaint cannot be resolved at the program level. 
 (b) Outline the method of filling recipient requests to review, copy, or receive 
a summary of recipient treatment or prevention service case records. 
 (c) Provide simple mechanisms for notifying recipients of their rights, 
reporting apparent rights violations, determining whether in fact violations have 
occurred, and ensuring that firm, consistent, and fair remedial action is taken in the 
event of a violation of these rules. 
 (2) Copies of recipient rights policies and procedures shall be provided to 
staff. Each staff member shall review the policies and procedures and shall sign 
a form that indicates that he or she understands and shall abide by the policies 
and procedures. A signed copy shall be maintained in the staff personnel file. 
 (3) A program may choose to restrict specific rights of a recipient based on 
the program policies and procedures. These restrictions are permissible only 
when there is a documented therapeutic purpose and timeframe in the recipient’s 
record. A restriction shall not be for more than 30 days without being renewed in 
writing in the recipient record and shall be signed by a licensed health professional. 
 (4) As part of the admission procedure to a program, a recipient shall receive 
all of the following: 
 (a) If incapacitated, the procedures described in this subrule as soon as 
feasible, but not more than 72 hours after admission to an approved service 
program. 
 (b) A written description of the recipient rights. 
 (c) A written description of any restrictions of the rights based on program 
policy. 
 (d) An oral explanation of the rights in language that is understood by the 
recipient. 
 (e) A form that indicates that the recipient understands the rights and 
consents to specific restrictions of rights based on program policy. The recipient 
shall sign this form. A copy of the form shall be provided to the recipient and also 
become a part of the recipient's record. 
 (f) A recipient rights complaint violation form shall be provided to the recipient 
after completing the consent form. 
 (5) Rights of recipients shall be displayed on a poster provided by the 
department in a public area of all licensed programs. The poster shall indicate the 
program rights advisor's name and phone number. 
 
History: 2018 AACS. 

R 325.1399 Recipient rights violations; complaints; procedures; 
remedies. 
Page 34 
 Rule 1399. (1) A complaint of a recipient rights violation shall be made on a 
form provided by the department and shall be distributed to the recipient by the 
program. 
 (2) When circumstances prevent completion of the procedures outlined in 
subrules (3) and (5) of this rule, the program rights advisor or the regional entity 
rights consultant shall submit a written report to the department stating the reasons 
for tardiness and the actions being taken to expedite completion of the procedures. 
 (3) An initial complaint of a recipient rights violation shall be investigated by 
the program rights advisor, except in instances where the recipient requests that 
the initial complaint be reviewed by the regional entity rights consultant. The 
investigation shall be initiated within 10 working days of receipt of the complaint by 
the program rights advisor or the regional entity rights consultant. 
 (4) A written report and recommended remedial actions, if any, shall be 
completed within 25 working days of receipt of the initial complaint. Copies of the 
report shall be submitted within 5 working days of completion to the complainant 
and the regiona l entity. This report shall serve as notice of the program rights 
advisor's final recommendation for resolution of the complaint. 
 (5) Recommended remedial action shall include time limits for 
implementation. The regional entity rights consultant shall monitor the 
implementation of remedial actions recommended by the program rights advisor 
and shall notify the program rights advis or of situations where time limits appear 
unreasonably short or long or where unforeseen problems cause a delay in 
implementation of recommended remedial actions. 
 (6) If a complainant is not satisfied with the program rights advisor’s findings, 
conclusions, recommended remedial action, or implementation of recommended 
remedial action, the complainant may appeal within 15 working days of receipt of 
the written report to the regional entity rights consultant on forms provided by the 
department and distributed to programs by the regional entity. Copies of these 
appeals shall be distributed to the complainant, the program, and the department 
within 5 working days of receipt of the appeal by the regional entity rights 
consultant. 
 (7) An appeal received by the regional entity shall be reviewed by the regional 
entity rights consultant within 10 working days of receipt, unless the time limitation 
is waived in writing by the complainant. The regional entity rights consultant may 
hold an informal conference involving the complainant and the program director to 
determine the basis of the complaint and the position of the program. 
 (8) If the regional entity rights consultant determines that the findings, 
conclusions, and recommended remedial action or implementation of 
recommended remedial action by the program resolves the problem that caused 
the complaint, this determination, i ncluding the rationale for the determination, 
shall be submitted in a written report to the complainant, the program, and the 
department within 15 working days of receipt of the appeal. This report shall serve 
as notice of the regional entity rights consu ltant's final recommendation for 
resolution of the complaint. 
 (9) If the regional entity rights consultant determines that the findings, 
conclusions, and recommended remedial action or implementation of 
Page 35 
recommended remedial action by the program do not appear to resolve the 
problem that caused the complaint, or if the regional entity rights consultant feels 
the issues cannot be satisfactorily resolved at an informal conference, then the 
regional entity rights consultant shall initiate an investigation of the case within 15 
working days of receipt of the appeal. 
 (10) A written report and recommended remedial action to be implemented 
by the program director shall be completed by the regional entity rights consultant 
within 25 working days of receipt of the appeal at the regional entity. Copies of the 
report shall be submitted within 5 working days of completion to the complainant 
and the program. This report shall serve as notice of the regional entity rights 
consultant's final recommendation for resolution of the complaint. 
 (11) Any recommended remedial action shall include time limits for 
implementation and shall be evaluated by the regional entity rights consultant for 
its effectiveness in resolving the problem that caused the complaint. 
 (12) The complainant may appeal, within 15 working days of receipt of the 
written report, to the department on a form provided by the department and 
distributed by the regional entity. The department shall distribute copies of the 
appeal to the program and regional entity within 5 working days of receipt. The 
department shall review the appeal within 10 working days of the receipt of the 
appeal. The department may hold an informal conference of concerned parties to 
explore the issues. 
 (13) If the department concurs with the regional entity, the complainant shall 
be so notified within 15 working days of receipt of the appeal by the department. 
Such notification shall include the rationale for the decision. If the complainant is 
not satisfied with the decision of the department, the complainant shall also be 
informed that he or she may subsequently request from the department director a 
hearing under the administrative procedures act of 1969 , 1969 PA 306, MCL 
24.201 to 24.328. This r equest may be made in a letter to the director from the 
complainant within 15 working days of receipt of the notification from the 
department. 
 (14) If the director decides to reinvestigate the case, the complainant shall be 
notified of this within 10 working days of receipt of the appeal. Copies of this 
notification shall be sent to the program rights advisor and to the regional entity 
rights consultant. 
 (15) A written report of the investigation procedures, findings, and 
administrative or licensing action recommended to the department director and 
resulting from the department's investigation shall be completed within 25 working 
days of receipt of the appeal and shall be submitted to the director. Copies shall 
be distributed to the regional entity rights consultant and to the program rights 
advisor. Findings and recommended action shall be submitted to the complainant 
within 30 working days of receipt of the appeal. 
 
History: 2018 AACS.