Weekly sweep report

AMENDED IDAPA 16.07.17 ↗ OUTPATIENT SUD_RESIDENTIAL

• **Sections 003 and 004 were removed from the current version.** The previous version included a standalone section on Administrative Appeals (Section 003) and an Incorporation by Reference section (Section 004); both have been dropped from the table of contents in the current version, which may affect how staff direct participants seeking to appeal eligibility denials. • **Sections 100, 103, and 104 were removed or reserved.** The previous version had active content at Section 100 (Accessing Substance Use Disorders Services), Section 103 (Notice of Changes in Eligibility), and Section 104 (Notice of Decision on Eligibility and Right to Appeal). All three are now reserved or eliminated, meaning those specific procedural notice requirements are no longer codified in this rule. • **Sections 300 (Services for Adolescents), 350 (Recovery Support Services), 410 (Outpatient Treatment Services), 415 (Medication-Assisted Treatment), and all Quality Assurance/Inspections sections (416–419) have been removed.** This is a significant reduction in scope — requirements for adolescent services, outpatient treatment, MAT, recovery support, inspections, investigations, and findings are no longer contained in this rule. • **Section 009 (Criminal History and Background Check Requirements) was updated** to add a new subsection explicitly addressing the waiver process for individuals who receive an unconditional denial or denial after exemption review. Certified individuals from Department-recognized certifying bodies can now apply for a Behavioral Health waiver, and uncertified individuals with denials can do the same. Importantly, individuals awaiting waiver decisions may only work or access participants **under supervision** — facilities must enforce this restriction operationally. • **Practical impact:** Facilities should verify whether the removed sections (adolescent services, outpatient, MAT, recovery support, inspections) have been relocated to a separate rule or simply eliminated. Relying on this rule alone for compliance in those areas is no longer appropriate. Immediate review of your criminal history/background check intake procedures is also warranted given the updated waiver language.

AMENDED IDAPA 16.07.17 ↗ OUTPATIENT SUD_RESIDENTIAL

• **Section 003 (Administrative Appeals) removed from the table of contents and body:** The previous version had a standalone Section 003 addressing administrative appeals. The current version removes this as a numbered section (it now appears only in the preamble). Facilities should note that appeal rights language is no longer embedded in the numbered rule body, which may affect how you reference it in participant-facing documentation. • **Sections 100, 103, and 104 removed or reserved:** The previous version included Section 100 ("Accessing Substance Use Disorders Services"), Section 103 ("Notice of Changes in Eligibility"), and Section 104 ("Notice of Decision on Eligibility and Right to Appeal") as active provisions. All three are now reserved or eliminated. This means the specific procedural requirements around notifying participants of eligibility changes and appeal rights are no longer codified in this rule — facilities need to verify whether these obligations have moved elsewhere or been eliminated. • **Section 004 (Incorporation by Reference) removed:** The previous version had a dedicated section incorporating the ASAM criteria by reference. That section is gone from the current table of contents, though ASAM is still referenced within definitions. Facilities should confirm whether the ASAM criteria remain formally incorporated and enforceable under this rule. • **Large portions of the services framework removed:** Sections 300 (Services for Adolescents), 350 (Recovery Support Services), 410 (Outpatient Treatment Services), 415 (Medication-Assisted Treatment), and the entire Quality Assurance and Inspections sections (416–419) have been eliminated from the current version. Facilities providing adolescent services, recovery support, outpatient treatment, or MAT should immediately determine whether these requirements have migrated to another rule or have been substantively dropped. • **Section 009 (Criminal History and Background Checks) updated:** The current version adds explicit language (effective 7-1-25) clarifying that certified individuals denied through the Criminal History Unit — including those denied after an exemption review — may apply for a Behavioral Health waiver, and must work only under supervision until the waiver is processed. This is a new, actionable staffing requirement with a specific effective date.

RENAMED Ga. Comp. R. & Regs. 82-5-1 ↗ IDD_RESIDENTIAL PSYCH_FACILITY

The two versions of Rule 82-5-1-.02 are substantively identical; no definitions, requirements, timelines, or compliance obligations were added, removed, or modified — the texts are word-for-word the same based on the provided excerpts.

AMENDED Ga. Comp. R. & Regs. 82-8-1 ↗ CRISIS_STABILIZATION PSYCH_FACILITY

• The specific regulatory citation for hospital compliance was removed from Rule 82-8-1-.03(4). The previous version referenced "Georgia Comp. R. & Regs § 111-8-40-.37" as the applicable hospital rules; the current version leaves that citation blank ("Georgia Comp. R. & Regs §"), creating an incomplete reference. Private facilities seeking or maintaining designation should seek clarification from DBHDD on which specific hospital regulation standard now applies, as the anchor for their annual attestation of compliance is no longer clearly identified. • All other substantive requirements remain unchanged — annual attestation, 30-day reporting for CMS/accrediting body findings, 24-hour notice for license loss or suspension, and 30-day advance written notice to voluntarily remove a designation are all still in effect. • **Practical impact:** If your facility is a private hospital that submits an annual compliance attestation, you should contact DBHDD to confirm which hospital regulation standard you are expected to attest compliance with, since the rule no longer specifies it. Do not assume the old citation (§ 111-8-40-.37) is still the correct reference without verification.

RENAMED Mich. Admin. Code R 325.1301 to R 325.1399 ↗ DETOX OTP OUTPATIENT SUD_RESIDENTIAL

The two versions are substantively identical in content; the only differences are minor formatting and whitespace adjustments (e.g., line breaks and spacing within definitions), with no changes to any definitions, requirements, thresholds, or compliance obligations.

AMENDED OAC 5122-27 ↗ CRISIS_STABILIZATION DETOX MH_PHP MH_RESIDENTIAL OTP OUTPATIENT SUD_RESIDENTIAL

• The Five Year Review Date for Rules 5122-27-01 and 5122-27-02 was updated from 3/27/2022 to 8/1/2031, extending the next scheduled regulatory review by approximately nine years — no immediate action required, but facilities should update their internal compliance calendars accordingly. • The "Last updated" timestamps on Rules 5122-27-01 and 5122-27-02 changed from June 11, 2026 to July 21, 2026, indicating the rules were administratively touched in July 2026. • In Rule 5122-27-01's Prior Effective Dates, the date "1/9/2006" was removed from the historical record — this is an administrative correction with no operational impact. • No substantive documentation requirements, timelines, definitions, or compliance obligations changed in any of the three rules; day-to-day recordkeeping, treatment planning, and individual client record practices remain the same.