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North Dakota

Navigating Behavioral Health and Substance Use Disorder Facility Licensing in North Dakota: A Step-by-Step Guide

 

You can’t start a compliant and successful mental health or substance use treatment program without first ensuring you are adhering to the state’s licensing requirements. Whether you’re seeking to open an outpatient facility (providing outpatient, intensive outpatient/ IOP, or partial hospitalization/ PHP) or a residential facility (detox/ withdrawal management, high intensity or low intensity residential) navigating North Dakota regulatory landscape can be complex and time-consuming.

At Arrow Consulting, we specialize in guiding providers through every stage of the licensing process – ensuring your facility meets all regulatory standards and is fully prepared to deliver high-quality, legally compliant care.

 

Step-by-Step Guide to Getting Licensed in North Dakota

  1. Decide what service you want to provide and which license you’ll need
    Decide whether your facility will provide mental health services or substance use disorder services. This decision determines the regulations you must follow and guides your application process.
  2. Review the regulations for the service you’ll provide
    Consult the appropriate licensing agency’s website to understand the current regulations and requirements (see below about which licensing agency if right for your program). It’s also important to see if there are any barriers to getting licensed (like the Determination of Need process in Massachusetts or the Certificate of Need process in Connecticut). Historically this has not been relevant in North Dakota but it’s important to check!
  3. Get your documents and processes in order
    Compile the documents required for your North Dakota application. You’ll definitely need:
  • Organizational formation documents
  • Staffing plans
  • Facility floor plans/ building documents 
  • Relevant policies and procedures
  1. Once you finalize your application, submit it to the state
  • Mental Health Facilities (Residential, PHP, IOP): Submit to NDHHS Behavioral Health Division
  • Substance Use Disorder Facilities (Detox, Residential, PHP, IOP): Submit to NDHHS Behavioral Health Division
  • See below for more information on these agencies
  1. Prepare for Inspection
    North Dakota requires an on-site inspection to verify compliance with facility, staffing, and program standards. Make sure your facility is in good shape and your leadership is prepared!
  2. Make any corrections and start providing services
    You may need to make some revisions to policies or other items as discussed with the state. Once you have completed your plan of correction, you will be issued your license and may commence providing services to your community.

 

Understanding Behavioral Health Facility Licensing Requirements in North Dakota

Licensing for Substance Use Disorder (SUD) Facilities

Substance use disorder treatment facilities in North Dakota are licensed by the North Dakota Department of Health and Human Services, Behavioral Health Division.

PHP and IOP for SUD:
PHP and IOP programs for substance use disorder treatment must provide structured, intensive services and comply with North Dakota requirements for:

  • Qualified staffing
  • Therapeutic programming
  • Patient care standards
  • Emergency preparedness

Detox and Residential Treatment:
Detox programs in North Dakota must meet state standards for:

  • Medically supervised withdrawal management
  • On-site licensed professionals (e.g., physicians and nurses)
  • Patient safety and clinical oversight
  • Staffing qualifications
  • Facility operations and compliance with NDHHS regulations

 

Licensing for Mental Health Facilities

Mental health facilities are licensed by the North Dakota Department of Health and Human Services, Behavioral Health Division.

PHP and IOP for Mental Health:
Mental health PHP and IOP programs must meet state standards for:

  • Therapeutic services
  • Staffing qualifications
  • Patient safety
  • Quality care

Residential Treatment Facilities in Mental Health:

Facilities providing residential mental health services must meet state standards for:

  • 24/7 care in a structured environment
  • Therapeutic services
  • Staffing qualifications
  • Patient safety
  • Quality care




Let Arrow Consulting handle the entire process for you – ensuring a smooth, compliant, and efficient licensing experience.