01/31/2025

Changes to opioid treatment rules to take effect Jan. 31

To provide more person-centered and supportive treatment environments that promote trust, recovery, and engagement, the Ohio Department of Mental Health and Addiction Services (OhioMHAS) has made modifications to Ohio Administrative Code (O.A.C.) rules for Opioid Treatment Programs (OTP) in Ohio. The O.A.C. 5122-40 rule changes will become effective on Friday, Jan. 31.

These rule changes aim to expand access to and improve retention in care, expand the reach of OTPs with mobile units and other services, and foster innovation in evidence- based, person-centered care. The rule changes also align Ohio rules with federal counterparts for OTP admission, scope of practice expansion, toxicology screening, and take-home medications. Ohio has also made modifications to existing rules for OTPs around personnel, trusted third-party pickup, medication delivery to inpatient settings, counseling, and overdose reversal medications for OTPs.

Changes were made to:

• A.C. 5122-40-01 – Definitions and applicability
• A.C. 5122-40-05 – Personnel
• A.C. 5122-40-06 – Medication administration
• A.C. 5122-40-07 – Program policies and patient records
• A.C. 5122-40-08 – Monitoring program
• A.C. 5122-40-09 – Non-medication services
• A.C. 5122-40-10 – Diversion
• A.C. 5122-40-11 – Toxicology
• A.C. 5122-40-15 – Medication units

For more information on the rule changes visit The Register of Ohio and search the rule number in the Quick Search. The final rules will be available from the Ohio Laws & Administrative Rules’ Legislative Service Commission on the effective date of Jan. 31.