Verified October 10, 2026 against the statutes, regulations and sources cited below. The state decides every application. All states
What operators miss in Ohio
- An OTP license applicant and its owners, sponsor and medical director must show three years of good standing everywhere they have run an OTP.
- The department inspects licensed OTPs at least every two years.
Does Ohio license behavioral health and addiction treatment programs?
Ohio certifies community mental health and addiction services providers. Initial applicants since October 3, 2023 and renewals since October 1, 2025 must be accredited by The Joint Commission, CARF, COA or another body the director accepts; prevention services are excepted. A certification fee applies.
- State certification
- Certification of certifiable services and supports
- Issued by Ohio Department of Behavioral Health
Citation: Ohio Rev. Code 5119.36
What does accreditation do for a Ohio license?
Accreditation is a condition of initial and renewed certification. With current, appropriate accreditation and the fee paid, the director certifies without further evaluation. Providers report accreditation changes within ten days.
- Accreditation required
Citation: Ohio Rev. Code 5119.36(B)-(D)
What does an opioid treatment program need in Ohio?
A new OTP location may not sit within 500 feet of a school, licensed child care center or child-serving agency unless each one sends a letter of support.
- State opioid treatment authority: Ohio Department of Mental Health and Addiction Services (SAMHSA still lists the former name)
- State license: A separate department OTP license, issued only to a certified community addiction services provider; it lasts two years, or one year when the director has compliance concerns.
- 131 opioid treatment programs in 2024 (N-SUMHSS)
Citation: Ohio Rev. Code 5119.37(C)(4), (D)
How does Ohio treat recovery residences?
Each recovery housing operator files a department form within 30 days after the first resident moves in.
- Registration
- NARR affiliate: Ohio Recovery Housing
Citation: Ohio Rev. Code 5119.391
Opening or expanding a program in Ohio?
We confirm what Ohio 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.