Programs certified under the Part 820 Residential Services Certification are approved to provide certain elements of care in a residential setting. A program may apply for any combination of Elements (Stabilization, Rehabilitation and/or Reintegration) and must complete an application identifying specific services and staffing for each proposed Element of Care.
Current residential treatment providers are encouraged to transition from Part 819 - Chemical Dependence Residential Services and/or Part 816.9 Medically-monitored Withdrawal and Stabilization certification to Part 820 - Residential Services. OASAS will provide a one-time payment of up to $205,000 to assist in program conversions. Providers should utilize the guidance documents on this page to formulate their transition and implementation plans. For technical assistance contact your Regional Office and [email protected].
Residential redesign is intended to increase flexibility for programs to provide services within residential settings based on the needs of each resident. LOCADTR 3.0 is a tool that is used by substance use treatment providers, Medicaid Managed Care plans, and other referral sources to determine the most appropriate level of care for a resident with a substance use disorder, can be used to assist in the identification of the Element of care most appropriate to the needs of the individual prospective resident.
Residents should enter treatment at the Element that most meets their needs and may move through the Elements as their individual needs require. The Elements are not linear, and not all residents will need to move from one Element to another or require all Elements. Movement between Elements is based on the clinical needs of the resident and not time in treatment.
A program may apply for any combination of elements under the new 820 regulations (stabilization, rehabilitation and/or reintegration), and must complete the application and certification process for each element of care that is proposed. Updated 05/25/22.
Clinical & Fiscal Guidance
Part 820 Residential Program: Fiscal & Programmatic Updates: OASAS hosted a webinar for Part 820 providers to address the availability of the Medicaid Tx per diem payment. This webinar includes programmatic guidance for the Reintegration element and time limited rate enhancements for all elements.
Guidance addressing the appropriateness of OASAS program participants who become involved in work activities that are not directly related to their treatment and rehabilitation.
Guidance on integrating person-centered, strength based, trauma-informed practices to ensure health and safety in residential settings. References to the prohibition on body cavity searches included in this guidance document will be effective upon adoption of pending amendments to Parts 815 and 836.