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Certificate of Need (CON) or Exemption, Obtaining and Maintaining Regulatory Licensure




Ascension RS will assist your facility with obtaining or maintaining the appropriate behavioral health licensure and assist in filing a CON or exemption. Our team will guide your entity through the licensure and filing process, including best practice recommendations for communicating with state licensure bodies to alert them of the new facility's plans.

Our team will work with you to complete all licensure applications, ensure receipt of CON or exemption, and keep the state aware of all plans as we move forward to meet all applicable state codes (health, life, fire, and safety). The residential treatment center's clinical program will be intentionally designed to meet the licensing and regulatory requirements as well as the goals for treating patients of the center.

Please note that many organizations have existing items from the list below; however, our team will develop these specific to the new program to ensure success.

Items that will be completed by our team during this process are as follows:

  • Preparation/development of all policies and procedures (Facilities Operational Plan)
  • Job descriptions
  • Organizational chart
  • Tentative staffing roster
  • Agency brochures 
  • Program descriptions
  • Schedule of counseling and didactic sessions 
  • Emergency disaster plans
  • Crisis management
  • Client termination policy
  • HIPPA/42 CFR Part 2 compliance
  • Compliance with ADA standards
  • Code of Ethics
  • Facilitate compliance with appropriate fire and safety codes
  • Mission statement
  • Code of Conduct
  • Employee handbook
  • Referral package for potential patients

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