PURPOSE: This rule identifies the types of substance abuse programs eligible for certification and the applicable requirements.

1. (1) Types of Programs. Certification is available for the following types of alcohol and drug abuse programs and services:

   1. (A) Recovery programs including—

      1. 1. Detoxification in accordance with a

designated level of care. Levels of care include social setting, modified medical, or medical;

1. 2. Outpatient treatment in accordance

with designated levels of care. Levels of care include community-based primary treatment, intensive outpatient rehabilitation, and supported recovery;

1. 3. Opioid treatment;
2. 4. Compulsive gambling treatment;
3. 5. Residential treatment;
4. 6. Institutional corrections; and
5. 7. Comprehensive substance treatment

and rehabilitation (CSTAR);

1. (B) Recovery Programs for Specialized Populations. A specialized program for the treatment and rehabilitation of adolescents or women and children must be certified as a CSTAR program;

2. (C) Offender education and intervention programs including—

   1. 1. Substance Abuse Traffic Offender

Program (SATOP) offering designated levels of service. For persons age twenty-one (21) and older, levels of service include offender management, offender education, weekend intervention, and clinical intervention. For persons under the age of twenty-one (21), levels of service include offender management, adolescent diversion education, and youth clinical intervention. The department shall also certify regional SATOP training centers.

1. 2. Required Educational Assessment and

Community Treatment Program (REACT) offering a Screening and Education level of service;

1. (D) Prevention program offering designated levels of service. Levels of service include primary prevention, targeted prevention, and prevention resource center.

1. (2) Applicable Program Standards. The organization must comply with the standards applicable to each program for which certification is being sought.

2. (3) Other Rules and Standards. In addition to standards for specific programs and services, the organization must comply with other applicable requirements.

   1. (A) The following Core Rules for Psychiatric and Substance Abuse Programs must be met, unless otherwise stipulated in standards 9 CSR 30-3

for specific programs and services:

1. 1. 9 CSR 10-7.010 Treatment Prin-

ciples and Outcomes;

1. 2. 9 CSR 10-7.020 Rights, Responsibil-

ities and Grievances;

1. 3. 9 CSR 10-7.030 Service Delivery

Process and Documentation;

1. 4. 9 CSR 10-7.040 Quality Improve-

ment;

1. 5. 9 CSR 10-7.050 Research;
2. 6. 9 CSR 10-7.060 Behavior Manage-

ment;

1. 7. 9 CSR 10-7.070 Medications;
2. 8. 9 CSR 10-7.080 Dietary Services;
3. 9. 9 CSR 10-7.090 Governing Author-

ity and Program Administration;

1. 10. 9 CSR 10-7.100 Fiscal Manage-

ment;

1. 11. 9 CSR 10-7.110 Personnel;
2. 12. 9 CSR 10-7.120 Physical Plant and

Safety;

1. 13. 9 CSR 10-7.130 Procedures to

Obtain Certification;

1. 14. 9 CSR 10-7.140 Definitions;
2. 15. 9 CSR 10-5.190 Criminal Record

Review; and

1. 16. 9 CSR 10-5.200 Report of Com-

plaints of Abuse and Neglect; and

1. 17. 9 CSR 10-5.220 Health Insurance

Portability and Accountability Act of 1996 (HIPAA).

1. (B) The following Certification Standards for Alcohol and Drug Abuse Programs must be met, unless otherwise stipulated in standards for specific programs and services:

   1. 1. 9 CSR 30-3.022 Transition to En-

hanced Standards of Care;

1. 2. 9 CSR 30-3.100 Service Delivery

Process and Documentation; and

1. 3. 9 CSR 30-3.110 Service Definitions

and Staff Qualifications for Service Delivery.

1. (4) Approval of Programs and Sites by the Department, When Required. For those services funded by the department or provided through a service network authorized by the department, the department shall have authority to determine and approve each proposed program and/or site prior to the actual delivery of services, including the geographic location, plan of service delivery, and facility.

   1. (A) Any organization subject to this approval process shall submit written notice to the department regarding the proposed program and/or site(s). The notice must include the following information:

      1. 1. A determination of need identifying

the unserved or under-served target population and the substance abuse treatment, rehabilitation, and other intervention needs of that population. The department shall consider available data, such as current accessibility to and availability of services, prevalence of substance abuse among the target population, applicable emergency room visits and relevant arrest data;

1. 2. A proposed plan of service delivery

including, but not limited to, geographic location, facility, services offered, and staffing pattern;

1. 3. A business/capitalization plan

demonstrating the organization’s financial ability to provide the proposed services to the target population;

1. 4. A description of planning and coordi-

nation to meet the needs of the target population in areas such as psychiatric services, housing, etc.; and

1. 5. Documentation of the local communi-

ty’s involvement in and support for the proposed service, such as an advisory committee which includes representatives from the target population and local agencies (such as courts, Board of Probation and Parole, Division of Family Services, mental health providers) with evidence of their involvement via letters of support, minutes of meetings, etc.

1. (B) An organization which wishes to change its approved program and/or site(s) must obtain approval from the department prior to such change. Any new or different facility must be equal to or better than the original facility.
2. (C) All opioid treatment programs shall meet the program and/or site approval requirements of this rule, as well as the requirements specified under 9 CSR 30- 3.132.

AUTHORITY: sections 302.540, RSMo Supp. 2002 and 630.050, 630.655 and 631.102, RSMo 2000.* 45 CFR parts 160 and 164, the Health Insurance Portability and Accountability Act of 1996. Original rule filed Feb. 28, 2001, effective Oct. 30, 2001. Amended: Filed March 8, 2002, effective Sept. 30, 2002. Emergency amendment filed April 1, 2003, effective April 14, 2003, expired Oct. 14, 2003. Amended: Filed April 1, 2003, effective Oct. 30, 2003. *Original authority: 302.540, RSMo 1983, amended 1984, 1993, 1996, 2001, 2002; 630.050, RSMo 1980, amended 1993, 1995; 630.655, RSMo 1980; and 631.102, RSMo 1997.