105 CMR 164.005
Definitions
The following definitions shall apply to 105 CMR 164.000, unless an alternative
interpretation is specifically provided:
24-hour Diversionary Withdrawal Management Service. 24-hour substance use disorder
treatment services provided in freestanding or hospital-based settings with 24-hour, seven-day
per week nursing and medical supervision that include withdrawal symptom management as part
of medically supervised withdrawal and/or induction onto maintenance treatment.
Accreditation. The process of evaluation and approval by an accrediting body.
Accreditation Survey. An on-site review and evaluation of a substance use disorder treatment
program by an accrediting body.
Accrediting Body. An independent, not-for-profit organization or governmental entity that has
been approved by the Commissioner to accredit substance use disorder treatment programs.
Acupuncture Withdrawal Treatment Services. A treatment program providing acupuncture
services for individuals experiencing the dysfunctional effects of the use of alcohol and/or other
drugs, whose primary need is to manage withdrawal symptoms, and thereafter, support services
for maintenance of sobriety.
Acupuncturist. An individual licensed by the Board of Registration in Medicine in accordance
with M.G.L. c. 112, §§ 150 through 156.
Administrator. The Executive Director, Program Director or other individual responsible for the
day-to-day operations of a facility or program.
Adolescent. A child 13 through 17 years of age.
Advanced Practice Registered Nurse. An individual licensed by the Massachusetts Board of
Registration in Nursing in accordance with M.G.L. c. 112, § 80B.
Advertisement. In accordance with Consumer Protection regulations 940 CMR 6.00: Retail
Advertising (including the terms Advertise and Advertising), any oral, written, graphic, or
pictorial representation made by a Licensed or Approved Provider in the course of the
solicitation of consumers of services or which encourages a person to utilize services.
Advertisement includes any representation made in any media including digital or electronic
media, newspaper, magazine, or other publication or on radio or television or contained in any
notice, handbill, sign, billboard, banner, poster, display, circular, pamphlet, catalog, or letter, or
printed on or contained in any tag or label, which is attached to or accompanies any product
offered for sale. Advertisement includes any representation disseminated within Massachusetts
if the advertisement is directed to consumers in Massachusetts.
Aftercare Coordinator. An individual responsible for identifying appropriate continuing care and
post discharge services and resources while working to ensure a smooth transition to the next
phase in the adolescent's or transition age youth's recovery plan.
Alcohol and Drug-free Housing or ADF Housing. A form of group housing, also known as a
sober home or recovery residence, that provides an environment free from alcohol and drugs for
individuals recovering from a substance use disorder who, as a condition of occupancy, agree
not to use alcohol or other substances. ADF housing does not include a halfway house,
residential rehabilitation unit, treatment unit, withdrawal management facility, or other facility
licensed by the Department under 105 CMR 164.000.
American Psychiatric Association. A professional organization of psychiatrists which defines
and codifies psychiatric conditions for purposes of diagnosis.
American Society of Addiction Medicine or ASAM. A medical society of physicians engaged
in addiction treatment, education, research and program improvement.
Applicant. Anyone requesting or renewing a license or approval from the Department to operate
a substance use disorder treatment program.
Application. Any application for initial or renewal licensure, approval, amendment or closure.
Approval. A certification, in writing, whether full or provisional, issued by the Department to
a provider to operate within a facility or program licensed by the Department, or to a department,
agency or institution of the Commonwealth or subdivision thereof, or to a penal facility, which
authorizes it to operate a program subject to 105 CMR 164.000.
Approved Provider. Any entity holding an approval from the Department to operate a substance
use disorder treatment program.
Audit. A professional independent review, examination and verification of financial and
accounting records and supporting documents by a professional, such as a Certified Public
Accountant, to verify their accuracy and render an opinion as to their fairness, consistency, and
conformity with Generally Accepted Accounting Principles (GAAP) and to recommend
necessary changes in controls, policies, or procedures.
Bureau. The Bureau of Substance Addiction Services of the Department of Public Health,
including its staff.
Business Day. A day on which the offices of the Commonwealth are open for regular business.
Case Aide. An individual responsible for daily management within a 24-hour structured
Substance Use Disorder treatment program.
Case Manager or Core Coordinator. An individual responsible for assisting patients or residents
to obtain needed services by providing information, referral coordination and follow-up.
Case Record. A unified, comprehensive collection of documentation concerning a patient or
resident in a substance use disorder treatment program.
Central Registry System. A centralized database for the collection and maintenance of records
for the purposes of preventing multiple concurrent enrollments, ensuring accurate dosage
delivery, and facilitating disaster management in Opioid Treatment Programs licensed in
Massachusetts.
Certified Alcohol and Drug-free Housing. ADF housing provided by persons or entities trained
and certified by a certifying body.
Chain of Custody. A process of monitoring possession of samples, such as saliva, urine or
blood, to prevent tampering with the sample or the results. Chain of custody begins with
collection of the sample, and continues through final reporting of test results.
Child. Any person younger than 18 years old.
Children's Services Assistant. A person with, at minimum, an Associate in Arts or equivalent
education and training in child development, child psychology, and childhood education and at
least three years of experience working with families and children, substance use and mental
health disorders who works under the supervision of the Child Service Coordinator and assists
in developing the children's part of the service plan, overseeing the children's activities, parenting
classes, and educational needs of the children.
Children's Services Coordinator. A person with, at minimum, a Bachelor's degree in Early
Childhood Education, Special Education, Psychology, or a related field, or a Bachelor's degree
in an unrelated field with four courses or 12 credits in Early Childhood Education, Special
Education, Psychology, or a related field who has experience or knowledge of parent-child
dyadic work.
Clinical Supervision. A regular and specified time set aside to provide training, education and
guidance to direct care staff and to oversee the provision of patient and resident services.
Supervision must be delivered by a staff member qualified to deliver supervision, preferably in
the discipline of the supervisee; must be sufficient to meet the needs of supervised staff, patients,
and residents; and may be provided on an individual or group basis.
Clinician. An individual with a minimum of:
(1) a master's degree in one of the following disciplines or a closely related field: clinical
psychology, education-counseling, medicine, psychology, psychiatric nursing, rehabilitative
counseling, social work, and who has a minimum of one year of supervised substance use
disorder counseling experience; or
a bachelor's degree in any of the listed disciplines and a minimum of two years of
supervised substance use disorder counseling experience; or
a recognized certification or licensure including 4,000 hours of clinically supervised
counseling of individuals with substance use disorders including at least 220 documented
hours of supervision.
Commissioner. Commissioner of Massachusetts Department of Public Health or his or her
designee.
Commonwealth. Every executive office, department, board, commission, division or authority
of the Massachusetts state government or political sub-division of any of the foregoing.
Consultation. The presentation of specific patient cases to clinicians of equal or greater expertise
for the purpose of feedback, direction and guidance.
Continuum of Care. A principle of substance use disorder treatment that includes a range of
substance use disorder treatment services based on six dimensions established by the American
Society of Addiction Medicine: alcohol intoxication/withdrawal potential; biomedical
conditions and complications; emotional/behavioral conditions and complications; treatment
acceptance/ resistance; relapse continued use potential; and recovery environment.
Co-occurring Disorders. Diagnosis of both a substance use disorder and one or more mental
health disorders in one individual.
Co-occurring Enhanced. A program provided in a 24-hour, safe, structured environment, located
in the community, which supports residents' recovery from addiction and moderate to severe
mental health conditions as they reintegrate into the community and return to social,
vocation/employment, and/or educational roles.
Counselor. An individual who has a minimum of a high school diploma or equivalent and a
minimum of one year supervised counseling experience in substance use disorder treatment or
a closely related field.
Day Treatment. An intensive outpatient program providing direct patient services through group,
individual, and family substance use disorder counseling a minimum of 3.5 hours per day three
to seven days per week based upon patient needs.
Deemed Status. The acceptance by the Department of accreditation as evidence of compliance
with one or more requirements of 105 CMR 164.000.
Department. The Massachusetts Department of Public Health.
Direct Care Staff. Personnel who provide direct individual, group, educational, clinical or case
management services to patients or residents of substance use disorder treatment programs.
Disability. A physical or mental impairment that substantially limits one or more of the major
life activities of an individual; a record of such an impairment; or being regarded as having such
an impairment (28 CFR § 35.104, and M.G.L. c. 151B, § 1).
Educational Coordinator. An individual responsible for coordinating the educational progress
of adolescents or transition age youth during treatment, who acts as a liaison between school
districts or placements and the adolescents or transition age youth residents of residential
treatment program, to ensure the residents are receiving and completing work and who support
the residents in completing this educational work while at the residential treatment program.
Emergency. A sudden, calamitous event that seriously disrupts the functioning of a community
or society and causes human, material, and economic or environmental losses that exceed the
community's or society's ability to cope using its own resources.
Executive Director. The individual duly appointed by the governing body of the Licensed or
Approved Provider, who is responsible for the overall operations of the Licensed or Approved
Provider providing substance use disorder treatment services.
Facility. A substance use disorder intervention or treatment provider that is publicly or privately
owned, for-profit or not-for-profit which is not part of or located at a penal institution and which
is not operated by the federal government.
Family Therapist. An individual licensed by the Massachusetts Board of Registration of Allied
Mental Health Professions in accordance with M.G.L. c. 112, § 165.
First Offender Driver Alcohol or Controlled Substance Education Services. An outpatient
program providing psycho-educational and counseling interventions for individuals adjudicated
by a court as first offenders of laws prohibiting driving under the influence of intoxicating liquor
or controlled substances.
Food Service Personnel. Staff who prepare and serve meals, oversee food storage, and are
responsible for sanitary care of food preparation and serving equipment.
Full-time Equivalent or FTE. A minimum of 35 hours per week per each staff position.
Induction. The process of initial dosing with medication for OUD treatment, until the patient
reaches a state of stability; also called initiation.
Intensive 24-hour Diversionary Withdrawal Management. 24-hour substance use disorder
treatment services provided in hospital-based settings that include daily medical management
and primary nursing interventions with 24-hour, seven-day per week nursing and medical
supervision that include withdrawal symptom management as part of medically supervised
withdrawal and/or induction onto maintenance treatment.
Interim Maintenance Treatment. Maintenance treatment provided in an opioid treatment
program in conjunction with appropriate medical services while a patient is awaiting transfer to
a program that provides comprehensive maintenance treatment.
License. Authorization, in writing, issued by the Department upon its determination that the
applicant is responsible and suitable to operate a substance use disorder treatment program.
Licensed Alcohol and Drug Counselor (LADC). An individual who has applied for and has been
deemed qualified under applicable sections of 105 CMR 168.000: Licensure of Alcohol and
Drug Counselors and duly licensed by the Department to provide treatment for individuals with
a substance use disorder as a Licensed Alcohol Drug Counselor I (LADC I), Licensed Alcohol
Drug Counselor II (LADC II) or Licensed Alcohol Drug Counselor (LADC) Assistant.
Licensed Practical Nurse. An individual licensed by Massachusetts Board of Registration in
Nursing in accordance with M.G.L. c. 112, § 74A.
Licensed Provider. Any entity, including its controlling parent (corporation) holding a license
from the Department to operate a substance use disorder treatment program. In the case of a
Licensed Provider which is not a natural person, the term Licensed Provider shall also mean any
shareholder owning 5% or more of the outstanding stock; any limited partner owning 5% or
more of the partnership interests and any general partner of a partnership Licensed Provider; any
trustee of any trust Licensed Provider; any receiver or trustee in bankruptcy; any manager of a
Limited Liability Company and any member of a Limited Liability Company with a 5% or more
membership interest; any sole proprietor of any Licensed Provider which is a sole proprietorship;
any mortgagee in possession; and any executor or administrator of any Licensed Provider which
is an estate.
Limited Liability Company. An unincorporated organization formed under M.G.L. c. 156C.
Maintenance Treatment. Providing medications to achieve and sustain clinical remission of
signs and symptoms of substance use disorder including, but not limited to, opioid use disorder,
and support the individual process of recovery without a specific endpoint.
Massachusetts Prescription Awareness Tool (MassPAT). The online prescription monitoring
program database created pursuant to M.G.L. c. 94C, § 24A.
Medical Clearance. Determination by the Provider's physician, nurse practitioner, physician
assistant, registered nurse, or a licensed practical nurse duly licensed/certified in the
Commonwealth of Massachusetts that treatment by the Provider is appropriate based upon an
individual's condition, and that the individual is not exhibiting withdrawal or other medical
symptoms that would require a higher level of care.
Medical Director. A physician licensed to practice medicine in the Commonwealth of
Massachusetts, with specialized training in addiction medicine, who assumes responsibility for
administering all medical services performed by the program, either by performing them directly
or by delegating specific responsibility to authorized program physicians and qualified healthcare
professionals functioning under the medical director's direct supervision.
Medically Supervised Withdrawal. Dispensing, administering, or prescribing of an FDA-
approved medication for the treatment of substance use disorder including, but not limited to,
opioid use disorder, in gradually decreasing doses to alleviate adverse physical or psychological
effects incident to withdrawal from the continuous or sustained use of opioid drugs. The purpose
of medically supervised withdrawal is to bring a patient maintained on maintenance medication
to a medication-free state within a target period.
Medication for Addiction Treatment. Use of a medication approved by the federal Food and
Drug Administration (FDA) for the treatment of a substance use disorder.
Medication for Treatment of Opioid Use Disorder. Use of a medication approved by the FDA
for the treatment of an opioid use disorder.
Medication Unit. A component of an OTP that is geographically separate from a
brick-and-mortar OTP. As such, a medication unit engages in the treatment of opioid use
disorder, including maintenance and/or detoxification treatment with narcotic drugs in Schedules
II-V, at a location or locations remote from, but within the State as, the licensed, certified, and
registered OTP, and operates under the licensure and certification of the Brick-and-Mortar OTP.
Mental and Behavioral Disorders Due to Psychoactive Substance Use. The variety of disorders
defined by the World Health Organization which are attributable to the use of one or more
psychoactive and/or addictive substances.
Mental Health. Any condition pertaining to mental health as defined by the current edition of
the Diagnostic and Statistical Manual of Mental Disorders.
Mental Health Service. A separate, identifiable service providing diagnosis and treatment to
individuals seeking treatment for mental health conditions, which may integrate treatment for
co-occurring substance use disorder, and their families.
Mobile Opioid Treatment Program (Mobile OTP). An OTP operating from a motor vehicle that
serves as a mobile component of the brick-and-mortar OTP. As such, a mobile OTP engages in
the treatment of opioid use disorder, including maintenance and/or detoxification treatment with
narcotic drugs in Schedules II-V, at a location or locations remote from, but within
Massachusetts as, the licensed, certified, and registered OTP, and operates under the licensure,
certification, and registration of the OTP. The Mobile OTP is described in DEA regulation 21
CFR Part 1300.
Office Based Addiction Treatment (OBAT). A type of outpatient service not subject to
105 CMR 164.000 providing medication for addiction that is provided outside of licensed or
approved SUD treatment programs by appropriately licensed clinicians to patients with
addiction. Includes, but is not limited to, MAT in a primary care office, MAT in a hospital clinic
setting, and office based opioid treatment serving under 300 patients.
Office Based Opioid Treatment (OBOT). A type of Office Based Addiction Treatment provided
by a corporate entity, other than a hospital or clinic licensed under M.G.L. c. 111, § 51, or an
opioid treatment program licensed under M.G.L. c. 111E, doing business in the Commonwealth,
which has more than 300 patients receiving treatment for treatment of opioid dependence with
an FDA-approved narcotic medication used for withdrawal management or maintenance by a
qualified health care professional who is registered with the U.S. Department of Justice Drug
Enforcement Agency, as required by 21 U.S.C. § 823(g) (known as DATA 2000), in a health
care professional's office setting or in a primary care center, and is associated with the corporate
entity by contract, fee for service, or other arrangement other than as members of the practice.
Opioid Treatment Program (OTP). A SAMHSA-certified program, usually comprised of a
facility, staff, administration, patients, and services, that engages in supervised assessment and
treatment, using approved medications, of individuals who are addicted to opioids.
Original License. A license, including a provisional license, issued to a facility not previously
licensed; or a license issued to an existing facility, in which there has been a change in ownership
or location.
Outpatient Counseling. An outpatient substance use disorder treatment service designed to help
patients achieve changes in alcohol and/or drug use and addictive behaviors and often address
issues that have the potential to undermine the patient's ability to cope with life tasks without the
addictive use of alcohol, other drugs, or both. Outpatient counseling services may offer several
therapies and service components, including individual and group counseling, motivational
enhancement, family therapy, educational groups, occupational and recreational therapy,
psychotherapy, MAT, or other skilled treatment services.
Outpatient Withdrawal Treatment Service. A program of ambulatory substance use disorder
treatment that provides clinical management of withdrawal symptoms through medical, ancillary
treatment, treatment with FDA-approved medications for the treatment of addiction, and may
include counseling.
Patient. A person applying for admission or admitted to a program providing acute or
ambulatory substance use disorder services.
Penal Facility. An institution, or any part thereof, other than an institution, or any part thereof
operated by the federal government, for the detention or confinement of persons accused or
convicted of crime including, but not limited to, jails, prisons, houses of correction and
correctional institutions, providing services especially designed for the treatment of drug
dependent persons.
Pharmacist. An individual registered by the Massachusetts Board of Registration in Pharmacy
in accordance with M.G.L. c. 112, § 24.
Physician. An individual licensed by the Massachusetts Board of Registration in Medicine in
accordance with M.G.L. c. 112, § 2.
Physician Assistant. An individual who is registered by the Board of Registration of Physician
Assistants in accordance with M.G.L. c. 112, § 9I.
Practitioner. A Physician, Physician Assistant, or Advanced Practice Registered Nurse as those
terms are defined in 105 CMR 164.005, acting within applicable scope of service and pursuant
to state and federal law.
Program. A substance use disorder treatment program.
Program Director. The individual employed by the Licensed or Approved Provider who is
responsible for the administrative and programmatic day-to-day operations of a program of
substance use disorder treatment services and may provide supervision of all non-clinical staff.
Program Sponsor. The person responsible for the operation of an opioid treatment program.
Provider. A substance use disorder treatment program, including units within a facility or
program licensed by the Department of Mental Health or the Department, located within a penal
facility, or operated by a department, agency or institution of the Commonwealth or subdivision
thereof.
Provisional License. A license or approval granted by the Department to an applicant for a
period not to exceed six months, in accordance with provisions of 105 CMR 164.011(F).
Psychiatrist. A physician licensed by the Massachusetts Board of Registration in Medicine and
certified by the American Board of Psychiatry and Neurology or an equivalent body.
Psychologist. An individual licensed by the Massachusetts Board of Registration of
Psychologists in accordance with M.G.L. c. 112, §§ 118 through 121.
Qualified Health Care Professional. A Practitioner, Registered Nurse, or Licensed Practical
Nurse trained to do physical assessments, duly licensed, certified or registered as such in the
Commonwealth of Massachusetts, and practicing within the scope of applicable Massachusetts
and federal regulations.
Qualified Service Organization. An individual, partnership, corporation, federal, state or local
government agency, or any other legal entity, which:
(1) provides services to a Licensed or Approved Provider; and
(2) has entered into a written agreement with the Licensed or Approved Provider.
Qualified Service Organization Agreement (QSOA). A signed and dated document describing
the agreed upon terms of a service relationship between the Licensed or Approved Provider and
the qualified service organization, which meets the requirements of 42 CFR Part 2.
Recovery Home. A residential rehabilitation program that conforms to ASAM criteria for
Medium-intensity Residential Services.
Recovery Specialist. A staff person who completes the orientation requirements pursuant to
105 CMR 164.044(B)(1) and population-specific addiction treatment training requirements
pursuant to 105 CMR 164.004(B)(2)(f) to provide guidance and direction to residents or patients,
and oversees resident or patient activities to ensure conformance with program policies.
Referral. A process through which a Licensed or Approved Provider directly refers a patient or
resident for treatment or placement in a substance use disorder treatment program or other
provider type upon securing the patient's or resident's treatment or placement in such a program
or other provider type.
Registered Nurse. An individual licensed by the Massachusetts Board of Registration in Nursing
in accordance with M.G.L. c. 112, § 74.
Resident. A person applying for admission or admitted to a Residential Rehabilitation program
providing substance use disorder services.
Residential Rehabilitation. A Licensed or Approved Provider that provides a therapeutic,
planned regimen of substance addiction treatment and education services for persons in the early
stages of recovery from addiction who require safe and stable living environments in order to
develop recovery skills. Services are provided in a 24-hour live-in setting, with 24-hour per day
staffing.
Satellite Office. An office operating at a site physically separate from the main premises of a
Licensed or Approved Provider that provides outpatient substance use disorder treatment
services. A satellite office must be open to patients at least 20 hours per week and must offer
a minimum of 40 staff hours a week of substance use disorder treatment services.
Second Offender Aftercare. An educational and treatment program of a licensed outpatient
facility for individuals who have been convicted of a second Driving While Under the Influence
offense and who have completed, or are awaiting placement in, a 14-day Driving Under the
Influence (DUI) second offender residential program.
Senior Clinician. An individual who is a LADC I, or other independently licensed individual
who has at least a master's degree in one of the following disciplines or a closely related field:
clinical psychology, education-counseling, medicine, mental health, psychology, psychiatric
nursing, rehabilitative counseling, social work; and two years of supervised substance use
disorder counseling experience; and at least one year full time equivalent year of clinical
supervisory experience.
(1) Prior to January 1, 2026, Senior Clinicians may include an individual who possesses at
least a master's degree in one of the following disciplines or a closely related field: clinical
psychology, education-counseling, medicine, mental health, psychology, psychiatric nursing,
rehabilitative counseling, social work; and two years of supervised substance use disorder
counseling experience; at least one year full time equivalent year of clinical supervisory
experience; and has acted as Senior Clinician for more than two years.
(2) This role may also be known as the Clinical Director or the Clinical Supervisor.
Social Model Recovery Home. A Residential Rehabilitation program that conforms to the
ASAM criteria for Low Intensity Residential Services.
State Opioid Treatment Authority (SOTA). Personnel of the Bureau authorized to approve
requests for exceptions to limitations on take-home doses of methadone, and to review hearing
decisions to terminate a patient from an opioid treatment program.
Substance Use Education Program. An education program within a penal facility which focuses
on reducing risk to recidivate and may include information about substance use prevention,
misuse and addiction. Individuals enrolled in a Substance Use Education Program may
simultaneously be enrolled in a Substance Use Disorder Treatment Program and/or receive
individual medical treatment from a licensed provider for Substance Use Disorder management
or treatment. Substance use education programs are not intended to provide treatment directly
and therefore are not subject to licensure under 105 CMR 160.000.
Substance Use Disorder Treatment. An evidence based practice intended to assess status, reduce
symptoms, or mitigate the effects of substance misuse, substance use disorders, that may also
treat co-occurring disorders; reduce risk of relapse and associated harm; or restore or establish
well-being for individuals and families; provided, that said practice shall include, but not be
limited to, care coordination, case management, medical, pharmacological, psychological,
psycho-educational, rehabilitative, or social services and therapies.
Substance Use Disorder Treatment License for Department of Mental Health Licensed Facility.
Authorization, in writing, issued by the Department upon its determination that a mental health
facility licensed by the Department of Mental Health (DMH) under M.G.L. c. 19, § 19, meets
applicable requirements of 105 CMR 164.000 to ensure the safety and adequacy of the substance
use disorder treatment program.
Substance Use Disorder Treatment Program. An organized system of services containing a
mission, philosophy and model of substance use disorder treatment designed to address the needs
of patients or residents.
Substance Use Disorder. Any condition pertaining to substance use disorder as defined by the
current edition of the Diagnostic and Statistical Manual of Mental Disorders.
Supervision. A regular and specified time set aside to provide non-clinical training, education
and guidance to staff. Supervision must be sufficient to meet the needs of supervised staff,
patients, and residents, and may be provided on an individual or group basis.
Therapeutic Community. A Residential Rehabilitation program that conforms to ASAM criteria
for High-intensity Residential Services.
Tobacco Free. An environment free of tobacco use, including e-cigarettes and the use of
smokeless tobacco, such as snuff and chewing tobacco.
Training. Educational programs, workshops and other structured opportunities for staff aimed
at improving skill, knowledge and service provision.
Transfer of Ownership shall include, but not be limited to, the following:
(1) a transfer of a majority interest in the ownership of the substance use disorder treatment
program;
in the case of a for profit corporation, transfer of a majority of any class of the stock
thereof;
in the case of a partnership, transfer of a majority of the partnership interest;
(4) in the case of a trust, change of the trustee or a majority of trustees;
(5) in the case of a not-for profit corporation, such changes in the corporate membership
and/or trustees as the Department determines to constitute a shift in control of the operation
of the Licensed or Approved Provider; or
(6) where foreclosure proceedings have been instituted by a mortgagee in possession.
Transfer of Ownership also means any change in the ownership interest or structure of a
substance use disorder treatment program or the program's parent corporation(s) that the
Commissioner determines to effect a change in control of the operation of the substance use
disorder treatment program. The Commissioner may, in his or her discretion, determine a
proposed transaction does not rise to the level of a transfer of ownership.
Transition Age Youth. A young person 16 through 25 years of age.
Transitional Support Service. A short-term Residential Rehabilitation program.
Viral Hepatitis. For purposes of 105 CMR 164.000, viral hepatitis refers to Hepatitis A,
Hepatitis B and Hepatitis C.
Withdrawal Symptom Management. The process of initial dosing with FDA-approved
medication for the treatment of addiction including, but not limited to, opioid use disorder, until
the patient reaches a state of stability. Withdrawal Symptom Management may also be referred
to as induction.
World Health Organization. An agency of the United Nations which directs and coordinates UN
authority on international public health, and which compiles classifications of diseases and
disorders.
Written Notice.
(1) a letter sent by registered or certified mail; or
a written statement, receipt of which is documented by dated signature of both the
individual sending and the individual receiving the notice. The period of time stated in the
written notice shall be calculated beginning on the first business day following receipt of
written notice.
PART ONE: LICENSING AND APPROVAL PROCEDURES AND REQUIREMENTS