1. SUD Licensure Pennsylvania Department of Drug and Alcohol Programs Patricia De Leo

2. Facility Types  709 ~ Free Standing  710 ~ Inpatient Hospital Activities  711 ~ Healthcare Facilities

3. Free Standing Facility (709’s)  Drug and alcohol services are provided in a “stand alone” facility.  Services Include:  Intake – Evaluation – Referral (709.41)  Inpatient non-hospital residential treatment and rehabilitation (709.51)  Inpatient non-hospital short-term detoxification (709.61)  Inpatient non-hospital transitional living facilities (709.71)  Partial Hospitalization (709.81)  Outpatient (709.91)

4. Hospital Based (710’s)  Drug and alcohol services are provided in a hospital.  Services include:  Inpatient hospital detoxification  Inpatient hospital treatment and rehabilitation

5. Healthcare Facilities (711’s)  Drug and alcohol services are provided in a healthcare facility.  Healthcare Facilities include:  Psychiatric Hospitals  Rehabilitation Hospitals  Ambulatory Surgical Facilities  Long-term Care Nursing Facilities  Cancer Treatment Centers using radiation therapy on an ambulatory basis  Services include:  Intake – Evaluation – Referral (711.41)  Inpatient non-hospital residential treatment and rehabilitation (711.51)  Inpatient non-hospital short-term detoxification (711.61)  Inpatient non-hospital transitional living facilities (711.71)  Partial Hospitalization (711.81)  Outpatient (711.91)

6. Chapter 704 Staffing Requirements

7. Project / Facility Director Qualifications  A degree from an accredited college with a major in medicine, chemical dependency, psychology, social work, counseling, nursing (with a specialty in nursing/health administration, nursing/counseling education or a clinical specialty in the human services), public administration, business management or other related field and experience in a human service agency, preferably in a drug and alcohol setting, which includes supervision of others, direct service and program planning.  Master’s Degree requires 2 years of experience  Bachelor’s Degree requires 3 years of experience  Associate’s Degree requires 4 years of experience

8. Clinical Supervisor Qualifications  A degree from an accredited college with a major in medicine, chemical dependency, psychology, social work, counseling, nursing (with a clinical specialty in administration or the human services) or other related field and clinical experience in a health or human service agency which includes 1 year of working directly with the chemically dependent.  Master’s Degree requires 2 years of clinical experience  Bachelor’s Degree requires 3 years of clinical experience  Associate’s Degree requires 4 years of clinical experience or  Full certification as an addictions counselor by a statewide certification body which is a member of a national certification body or certification by another state government’s substance abuse counseling certification board and 3 years of clinical experience in a health or human service agency which includes 1 year of working directly with the chemically dependent person.  The individual shall also complete a Department approved core curriculum training which includes a component on clinical supervision skills.

9. Counselor Qualifications  Current licensure in this Commonwealth as a physician.  A degree from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing (with a clinical specialty in the human services) or other related field which includes a practicum in a health or human service agency, preferably in a drug and alcohol setting. If the practicum did not take place in a drug and alcohol setting, the individual’s written training plan shall specifically address a plan to achieve counseling competency in chemical dependency issues.  A Master’s Degree requires a practicum  A Bachelor’s Degree requires 1 year of clinical experience (a minimum of 1,820 hours)  An Associate’s Degree requires 2 years of clinical experience (a minimum of 3,640 hours)  Current licensure in this Commonwealth as a registered nurse and a degree from an accredited school of nursing and 1 year of counseling experience (a minimum of 1,820 hours)  Full certification as an addictions counselor by a statewide certification body which is a member of a National certification body or certification by another state government’s substance abuse counseling certification board.

10. Counselor Assistant Qualifications  A person who does not meet the educational and experiential qualifications for the position of counselor may be employed as a counselor assistant if the requirements of at least one of the following paragraphs are met.  A Master’s Degree in a human service area.  A Bachelor’s Degree in a human service area.  Licensure in this Commonwealth as a registered nurse.  An Associate’s Degree in a human service area.  A high school diploma or General Education Development (GED) equivalent.

11. Staff Development Hours  Project / Facility Director = 12 clock hours  Clinical Supervisor = 12 clock hours  Counselor = 25 clock hours  Counselor Assistant  1 st year of employment = 40 clock hours  Annually thereafter = 30 clock hours

12. General Training Requirements  Staff persons and volunteers shall receive a minimum of 6 hours of HIV/AIDS and at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training using a Department approved curriculum.  Counselors and counselor assistants shall complete the training within the first year of employment. All other staff shall complete the training within the first 2 years of employment.  CPR certification and first aid training shall be provided to a sufficient number of staff persons, so that at least one person trained in these skills is onsite during the project’s hours of operation.

13. Full-time Equivalent (FTE) Maximum Client/Staff and Client/Counselor Ratios  Inpatient nonhospital detoxification (residential detoxification):  There shall be one FTE primary care staff person available for every seven clients during primary care hours.  There shall be a physician on call at all times.  Inpatient nonhospital treatment and rehabilitation (residential treatment and rehabilitation):  Projects serving adult clients shall have one FTE counselor for every eight clients.  Projects serving adolescent clients shall have one FTE counselor for every six clients.  Inpatient hospital detoxification:  There shall be one FTE primary care staff person available for every five clients during primary care hours.

14. Full-time Equivalent (FTE) Maximum Client/Staff and Client/Counselor Ratios  Inpatient hospital treatment and rehabilitation (general, psychiatric or specialty hospital):  Projects serving adult clients shall have one FTE counselor for every seven clients.  Projects serving adolescent clients shall have one counselor for every five clients.  Partial hospitalization:  Partial hospitalization programs shall have a minimum of one FTE counselor who provides direct counseling services to every ten clients.  Outpatients:  FTE counselor caseload for counseling in outpatient programs may not exceed 35 active clients.

15. Chapter 705 Physical Plant Standards

16. Physical Plant Requirements  General requirements for facilities  License  Certificate of Occupancy  Zoning Approval  Building exterior and grounds  Living rooms and lounges  Counseling areas  Sleeping Accommodations  Bathrooms  Food Service  Heating and Cooling  General Safety and Emergency Procedures  Fire Safety  Child Care

17. Certificate of Occupancy (1)The permit number and address of the building, structure or facility (2)The permit holder’s name and address (3)A description of the portion of the building, structure or facility covered by the occupancy permit (4)The name of the building code official who issued the occupancy permit (5)The applicable construction code edition applicable to the occupancy permit (6)The use and occupancy classification under Chapter 3 (Use and Occupancy Classification) of the ‘‘International Building Code,’’ when designated. (7)The type of construction defined in Chapter 6 (Types of Construction) of the ‘‘International Building Code,’’ when designated. (8)Special stipulations and conditions relating to the permit and board of appeals’ decisions and variances for accessibility requirements granted by the Secretary. (9)The date of the final inspection

18. Certificate of Occupancy

19. Zoning Approval  A letter from the local zoning office indicating that drug and alcohol services are permitted / can be provided at the facility’s location.

20. Funding Sources  Single County Authority:  See PACDAA Membership Directory handout  Department of Human Services (medical assistance):  Link the enrollment application (hard copy) and the list of the requirements http://www.dhs.pa.gov/provider/healthcaremedicalassistance/enrollmentinformation/index.ht m#.Vv60DHr3arU http://www.dhs.pa.gov/provider/healthcaremedicalassistance/enrollmentinformation/index.ht m#.Vv60DHr3arU  Here is the link to the electronic application https://provider.enrollment.dpw.state.pa.us  Private Insurance  https://www.highmarkblueshield.com/pdf_file/HighmarkBlueShield-Section3.pdf https://www.highmarkblueshield.com/pdf_file/HighmarkBlueShield-Section3.pdf  https://www.aetna.com/health-care-professionals/join-the-aetna-network.html https://www.aetna.com/health-care-professionals/join-the-aetna-network.html  Self-pay

21. Application Process  Request an application by contacting DDAP at (717) 783-8675  An application will be emailed to you  Complete the application and submit the supporting documentation  Material will be reviewed by the Licensing Division and approved by DDAP’s legal counsel  Physical plant inspection will be conducted  License will be issued