Withdrawal Management Programs / Detoxification Programs

Detoxification programs are licensed under Minnesota Rules, parts 9530.6510 to 9530.6590 (Rule 32) to provide short-term care on a 24-hour-a-day basis for the purpose of detoxifying clients, coordinating access to a substance use disorder assessment, and providing referrals for substance use disorder treatment.

Withdrawal management programs are licensed under Minnesota Statutes, Chapter 245F, which are similar to detoxification program requirements but contain higher medical service standards to assist with more acute withdrawal and contain additional program service requirements to encourage all patients to enter programs for ongoing recovery.

A program may choose to be licensed as a detoxification program under Minnesota Rules, parts 9530.6510 to 9530.6590 (Rule 32) or as a withdrawal management program under Minnesota Statutes, chapter 245F. A program may also choose to be licensed concurrently under both Rule 32 and 245F.

Detoxification programs

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Requirements

Requirements for detoxification programs: Minnesota Rules, parts 9530.6510 to 9530.6590 (Rule 32)

Requirements for all programs: Minnesota Statutes, Chapter 245A (Human Services Licensing Act)

Requirements for background studies: Minnesota Statutes, Chapter 245C (Human Services Background Studies Act)

Reporting requirements for maltreatment of minors: Minnesota Statutes, Chapter 260E

Reporting requirements for maltreatment of vulnerable adults: Minnesota Statutes, Sections 626.557 and 626.5572
Forms and documents
HIV minimum standards
Effective January 1, 2024 license holders must incorporate these resources into their trainings, policies, and procedures as follows:
- Maintain a list of referral sources for referring clients to HIV-related services and update the list annually. The resources in HIV Training & Resources for Substance Use Disorder Programs may be used for this purpose. Programs must use the current version of this document to comply with the annual update requirement.
- Have and implement written policies and procedures for working with HIV-infected clients and referring clients to individual HIV counseling and services. These policies and procedures should be consistent with the information in What You Should Know About Substance Use Disorder and HIV.
- Orient Clients to the HIV minimum standards within 72 hours of admission to the program. The orientation must include all contents in HIV Training & Resources for Substance Use Disorder Programs.
- Orient Staff to HIV minimum standards within 72 hours of employment. This orientation must include:
  - all of the contents in HIV Training & Resources for Substance Use Disorder Programs and
  - your program's policies and procedures for working with HIV-infected clients and referring clients to individual HIV counseling and services when needed.
- Train staff annually to HIV minimum standards. This training must include:
  - information on each of these topics: HIV Basics, HIV transmission and prevention, Substance use and HIV, Opioid overdose prevention, and Resources for support with HIV or SUD. You may use the contents in the HIV Training and Resources for Substance Use Disorder Programs or develop your own content for each of the topics outlined above and
  - your program's policies and procedures for working with HIV-infected clients and referring clients to individual HIV counseling and services when needed.
Additional content for any orientation or training is available in the resource What You Should Know About Substance Use Disorder and HIV.
Contact a licensor
Self-monitoring checklist
Additional resources

Withdrawal management programs

Withdrawal management programs are licensed under Minnesota Statutes, chapter 245F to provide short-term medical services on a 24-hour-a-day basis for the purpose of stabilizing intoxicated patients, managing their withdrawal, and facilitating access to substance use disorder treatment as indicated by a comprehensive assessment.

Withdrawal management programs are required to provide a higher level of medical services and more program services than are required in detoxification programs.

Withdrawal management programs may provide one or both of the two different levels of withdrawal management care. The two levels of care are clinically managed and medically monitored.

Apply for a license
Requirements

Requirements for withdrawal management programs: Minnesota Statutes, chapter 245F

Requirements for all programs: Minnesota Statutes, Chapter 245A (Human Services Licensing Act)

Requirements for Background Studies:  Minnesota Statutes, Chapter 245C (Human Services Background Studies Act)

Reporting requirements for maltreatment of minors:  Minnesota Statutes, Chapter 260E

Reporting requirements for maltreatment of vulnerable adults:  Minnesota Statutes, Sections 626.557 and 626.5572
Forms and documents
HIV minimum standards
Effective January 1, 2024 license holders must incorporate these resources into their trainings, policies, and procedures as follows:
- Maintain a list of referral sources for referring clients to HIV-related services and update the list annually. The resources in HIV Training & Resources for Substance Use Disorder Programs may be used for this purpose. Programs must use the current version of this document to comply with the annual update requirement.
- Have and implement written policies and procedures for working with HIV-infected clients and referring clients to individual HIV counseling and services. These policies and procedures should be consistent with the information in What You Should Know About Substance Use Disorder and HIV.
- Orient Clients to the HIV minimum standards within 72 hours of admission to the program. The orientation must include all contents in HIV Training & Resources for Substance Use Disorder Programs.
- Orient Staff to HIV minimum standards within 72 hours of employment. This orientation must include:
  - all of the contents in HIV Training & Resources for Substance Use Disorder Programs and
  - your program's policies and procedures for working with HIV-infected clients and referring clients to individual HIV counseling and services when needed.
- Train staff annually to HIV minimum standards. This training must include:
  - information on each of these topics: HIV Basics, HIV transmission and prevention, Substance use and HIV, Opioid overdose prevention, and Resources for support with HIV or SUD. You may use the contents in the HIV Training and Resources for Substance Use Disorder Programs or develop your own content for each of the topics outlined above and
  - your program's policies and procedures for working with HIV-infected clients and referring clients to individual HIV counseling and services when needed.
Additional content for any orientation or training is available in the resource What You Should Know About Substance Use Disorder and HIV.
Contact a licensor
Self-monitoring checklist
Additional resources