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|Addiction Treatment Center Resources - Tennessee|
Frequently Asked Questions
1. What kinds of facilities require a license?
Any substance abuse facility which offers treatment services for substance abuse requires a license from the Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS). Substance abuse facilities View More
2. What kinds of facilities are exempt from licensure?
The following facilities are exempt from licensure by Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS): View More
3. What kinds of facilities provide addiction services in Tennessee?
4. What does it mean to be ‘licensed’ or ‘accredited’ in this industry?
Licensing means that the facility has been granted a written notice conveying to the public that Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) has issued View More
5. Which body authorizes and oversees substance abuse treatment facilities in the State of Tennessee?
In Tennessee, the Tennessee Department of Mental Health and Developmental Disabilities, Department of Mental Health and Substance Abuse Services (TDMHSAS) is responsible for... View More
6. What are the benefits of licensure?
Licensure is mandatory. However... View More
Certificate of Need (Tennessee ONLY)
7. What information must be provided in my initial application for a license?
Facilities of this type sometimes encounter opposition from nearby residents or from other competing providers. View More
8. What kinds of licenses are available?
There are three types of licenses.
The Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) may grant an initial license to... View More
9. What can a facility do in circumstances where an application is rejected?
Upon receipt of the completed application and the required fees, TDMHSAS will arrange for... View More
10. Does a license have to be renewed?
Licenses expire on the date printed on the face of the license. However,...View More
11. What kinds of inspections might there be for licensure determination?
The Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) can send its representatives to enter and inspect any premises of any facility, or service providing mental health, developmental disabilities substance abuse, ...View More
12. How can a facility prepare for inspections, on-site reviews and audits?
While the criteria are periodically updated, key subjects of review may include: View More
13. Why might a licensing application be unsuccessful?
Licensing applications will be unsuccessful where there is evidence of non-compliance with licensure laws, ordinances, rules and regulations. View More
14. What effect does accreditation or certification on the licensing process?
A facility or service which is voluntarily accredited or certified may be deemed by Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) to be in compliance with...View More
Zoning and Land Use
15. What are the protections afforded to small group homes used for the purpose of residential substance abuse treatment
Sober homes and other transitional living facilities for those recovering from alcoholism and drug addiction are generally subject to local zoning laws and regulations. View More
16. Are there any proximity restrictions regulating how close treatment centers may be to each other? Can I open a residential treatment center right next to one that is already there?
There is no statewide rule or regulation preventing multiple facilities from operating in close proximity. However, many residential treatment facilities have faced...View More
17. Other than spacing considerations, do treatment facilities have any specific obligations to their neighbors?
Opioid treatment facilities are the only classification of substance abuse treatment provider required to develop... View More
18. What are the basic physical plant requirements for treatment facilities?
Please note, these regulations relate to space and do not constitute all environmental requirements. Facilities must also comply with rules designed to...View More
Care, Treatment and Services
19. What information must be disclosed to the service recipient during intake and what should we put in our admissions agreement?
Prior to admission, or in the case of an intoxicated service recipient, as soon as stabilization occurs, basic information about treatment services must be provided, in simple, non-technical terms and in the service recipient’s primary language. This must include... View More
20. How does a facility decide whether a service recipient meets criteria for placement in a particular level of care?
In order to make a determination on whether the services offered by the facility are an appropriate fit to meet the treatment requirements of the service recipient, the facility carries out an assessment of the service recipient’s prevention, treatment and rehabilitation needs. View More
21. What services should be offered at each different type of facility?
Substance abuse treatment facilities must meet the needs of admitted service recipients as identified during the admission assessment process. View More
Facilities must work with the service recipient or the person responsible for the service recipient to develop an “Individualized Program Plan”, identifying the...View More
22. What rules govern administration of service recipient medications?
All medications prescribed or administered must be documented on a medications log sheet including date of prescription and administration, type, dosage, frequency, amount, and reason. View More
Service Recipient Rights
23. What rights are guaranteed to service recipients?
Service recipients’ rights must be respected and protected. Each facility has a responsibility to provide service recipients, or their representatives, with a copy of their rights, in a language they can understand on admission, and inform them of the complaint and appeal process. View More
Seclusion and Restraint
24. What are the rules about restrictive practices of behavior control?
A program may not admit someone whom it is beyond its capacity to safely manage. It is imperative to thoroughly... View More
25. What grounds are needed in order to dismiss a service recipient from a program?
There are four types of discharge. Successful completion of program means that the service recipient has met the goals of their treatment/recovery plan. View More
26. What type of paperwork must accompany a service recipient discharge?
It is important to ensure that sustained achievement of goals continues for service recipients post-treatment, including sobriety and successful transition to a recover oriented lifestyle in the community. View More
27. I need to discharge a service recipient that relapsed, but am I at risk if he or she overdoses tonight and how can I protect myself?
The discharge of a service recipient must be handled carefully given the risks if a service recipient suffers negative health consequences in the aftermath of discharge. View More
28. How must clients’ privacy be protected?
Client confidentiality is an important issue covered by both federal and state laws. These laws set forth specific requirements regarding how and when patient information may be shared and the protections that must be in place ... View More
Governance and Staffing
29. What are the staffing requirements of a substance abuse facility?
Facilities must ensure adequate staff to meet service recipient needs. No service recipient must have responsibility for the care of another service recipient, responsibility for the supervision of other service recipients where on-duty/on-site staff are not present or responsibilities granting them access to confidential information. View More
30. How must I respond to service recipients who are unable to pay the required deductibles? Can I waive a program participant’s financial responsibility?
Many patients seeking alcohol and drug treatment services face financial difficulties, and request or require reductions in program fees, or waiver of their deductibles, copays, or coinsurance before they can afford treatment. View More
31. What are the key issues insurers raise to demand recoupment of fees from substance abuse treatment programs?
Insurers may demand recoupment of fees based on any defect in the billing claim or supporting documentation and/or based on any noncompliance with federal or state laws. The most common defects in the billing claim that insurers assert are... View More
32. What marketing practices are prohibited?
The most widespread prohibited marketing practices in addiction treatment appear to revolve around inappropriate inducements and inaccurate marketing claims. View More
33. What are the limits of gift giving to potential referral sources?
State and federal regulators prohibit the exchange of items of value to induce referrals so the exchange of any item of value, whether it is... View More
34. What kind of benefits can I offer existing or new service recipients?
Facilities must avoid giving gifts to service recipients or referral sources based on anti-kickback statutes which prohibit service recipient brokering.
Facilities must... View More