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Behavioral Health Facility Licensing

Illinois Facility Licensing

The program license, levels of care, opioid treatment program approval, recovery residences, fees and renewal, with citations.

Verified October 10, 2026 against the statutes, regulations and sources cited below. The state decides every application. All states

What operators miss in Illinois

Does Illinois license behavioral health and addiction treatment programs?

No person or program may provide SUD treatment without an IDHS license. A treatment license authorizes categories of service: early intervention, outpatient, intensive outpatient/partial hospitalization, subacute residential/inpatient and withdrawal management. Methadone treatment for opioid use disorder is licensed as an adjunct to a level of care.

  • One license with service components
  • SUD treatment license (with categories of service)
  • Substance use programs: Illinois Department of Human Services, Division of Substance Use Prevention and Recovery (SUPR)

Citation: 20 ILCS 301/15-10; 77 Ill. Adm. Code 2060

How does Illinois license each level of care?

  • Outpatient: Outpatient category on the treatment license.
  • IOP and PHP: Intensive Outpatient/Partial Hospitalization category on the treatment license.
  • Residential: Subacute Residential/Inpatient category on the treatment license.
  • Withdrawal management: Withdrawal Management category on the treatment license.

Citation: 20 ILCS 301/15-10(a)

What does a Illinois license cost?

  • Initial: No application fee (as of October 2026)
  • Renewal: No application fee (as of October 2026)

Citation: 77 Ill. Adm. Code 2060.220

How often does a Illinois license renew?

  • Renews every three years
  • Due At least 30 calendar days before the license expires

What does Illinois require for owners, sales and moves?

  • Ownership change or relocation: A license covers only the premises and organization named and cannot be transferred. It becomes void on an ownership change of more than 25 percent (or a 50 percent board change at a nonprofit) within a year; give at least 10 days' notice and file a new application. Relocation needs 30 days' written notice.

Citation: 77 Ill. Adm. Code 2060.255, 2060.265

What does an opioid treatment program need in Illinois?

  • State opioid treatment authority: Illinois Department of Human Services Division of Substance Use Prevention and Recovery
  • State license: Methadone treatment for opioid use disorder is licensed as an adjunct to a licensed treatment level of care.
  • 96 opioid treatment programs in 2024 (N-SUMHSS)

How does Illinois treat recovery residences?

Recovery homes are a category of service under an IDHS intervention license.

  • State license
  • NARR affiliate: Illinois Association of Extended Care

Citation: 20 ILCS 301/15-10(b)

Opening or expanding a program in Illinois?

We confirm what Illinois requires for your services and levels of care, prepare the application and every attachment for your owner or officer to sign, and track it to a decision. An outpatient program license is $1,995 per site. Every fee is flat and never depends on admissions or census.

Sources

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