Why the names differ
There is no single national license for residential behavioral health treatment. Each state licenses or certifies it under its own laws, often through two different agencies: a health or behavioral health department for adult programs, and a child welfare or human services department for programs serving children and youth. The same level of care can be a “residential treatment center” in one state, a “general residential operation” in another, and a “behavioral health residential facility” in a third.
Names also change inside a state. Arizona's Department of Child Safety, for example, notes that its behavioral health residential facilities were formerly referred to as therapeutic group homes.[1]
Federal designations in every state
Two federal designations sit on top of state licenses for youth programs. A psychiatric residential treatment facility (PRTF) is a Medicaid category for inpatient psychiatric services to people under 21, and a qualified residential treatment program (QRTP) is a child welfare category under the Family First Prevention Services Act. A program needs a state license first; the federal designation decides how it can be paid. The PRTF vs QRTP guide covers both.
State by state
The main license or certification categories for adult and youth residential behavioral health programs in all 51 jurisdictions (the 50 states and the District of Columbia), with the agency and official sources for each. Some states certify or approve programs rather than license them, and the entries say so. Jump to a state:
Alabama
- Adults: Department of Mental Health certification rather than a license, including Level III.5 Clinically Managed High Intensity Residential Treatment Program for Adults and Level III.3 Clinically Managed Medium Intensity Residential Treatment Program for Adults
- Children and youth: Residential Child Care Facility license under the Minimum Standards for Residential Child Care Facilities (child care institutions, group homes, and related settings)
- Agency: Alabama Department of Mental Health, Office of Certification (adult); Alabama Department of Human Resources, Office of Licensing (youth)
- Rules: Ala. Admin. Code r. 580-9-44-.23 and 580-9-44-.25 (adult); DHR Minimum Standards for Residential Child Care Facilities, revised August 27, 2019 (youth)
- Sources: Ala. Admin. Code r. 580-9-44-.23; Minimum Standards for Residential Child Care Facilities
Alaska
- Adults: Department approval rather than a license for residential substance use disorder treatment services
- Children and youth: Residential Psychiatric Treatment Center (RPTC); Residential Child Care Facility
- Agency: Alaska Department of Health (Division of Behavioral Health for adult SUD services; Residential Licensing for youth facilities)
- Rules: 7 AAC 50 (youth residential facilities)
- Source: Residential Psychiatric Treatment Centers
Arizona
- Adults: Behavioral Health Residential Facility (BHRF); Behavioral Health Inpatient Facility (BHIF) for continuous inpatient treatment
- Children and youth: Behavioral Health Residential Facility (BHRF), which may serve residents under 18; Behavioral Health Inpatient Facility (BHIF)
- Agency: Arizona Department of Health Services (ADHS)
- Rules: A.A.C. Title 9, Chapter 10 (Article 7 for BHRFs)
- Source: Arizona Administrative Code, Title 9, Chapter 10
Arkansas
- Adults: Substance abuse treatment program license, residential program category
- Children and youth: Psychiatric Residential Treatment Facility (PRTF); Residential Child Care Facility
- Agency: Arkansas Department of Human Services (Division of Provider Services and Quality Assurance, Office of Long-Term Care, for PRTFs; child welfare licensing for residential child care facilities)
- Rules: 20 CAR Part 433, Licensure Standards for Substance Abuse Treatment Programs (adult); Act 636 of 2025 (PRTFs)
- Sources: Psychiatric Residential Treatment Facilities (PRTF); 20 CAR Part 433
California
- Adults: Alcoholism or Drug Abuse Recovery or Treatment Facility (24-hour residential, nonmedical); Social Rehabilitation Facility for mental health, certified as a short-term crisis, transitional, or long-term residential treatment program
- Children and youth: Short-Term Residential Therapeutic Program (STRTP)
- Agency: Department of Health Care Services (adult substance use disorder facilities, and certification of mental health programs); Department of Social Services, Community Care Licensing Division (STRTPs and social rehabilitation facilities)
- Rules: Cal. Health and Safety Code 11834.01 et seq. and 9 CCR 10501 et seq. (adult SUD); Cal. Health and Safety Code 1502(a)(18) and 1562.01 (STRTPs)
- Sources: Alcohol and other drug program regulations, 9 CCR 10501; Short-Term Residential Therapeutic Program regulations
Colorado
- Adults: Behavioral Health Entity (BHE) license with service endorsements, including residential substance use disorder treatment
- Children and youth: Residential Child Care Facility (RCCF), including psychiatric residential treatment facilities and qualified residential treatment programs as subtypes
- Agency: Behavioral Health Administration (adult, since January 1, 2024); Colorado Department of Human Services, Division of Child Welfare (youth)
- Rules: 2 CCR 502-1 (BHE licensing); 12 CCR 2509-8 (24-hour child care facilities)
- Sources: Laws and rules; Child welfare placement services
Connecticut
- Adults: Private Freestanding Facility for the Care or the Treatment of Substance Abusive or Dependent Persons; Private Freestanding Mental Health Residential Living Center
- Children and youth: Child-care facility licensed as a residential treatment facility
- Agency: Department of Public Health (adult); Department of Children and Families, Licensing Unit (youth)
- Rules: Regs. Conn. State Agencies 19a-495-570 and 19a-495-551 (adult); 17a-145-60 to 17a-145-98 and Conn. Gen. Stat. 17a-145 (youth)
- Sources: Private freestanding mental health residential living centers, 19a-495-551; Children's homes or similar institutions
Delaware
- Adults: Substance use disorder treatment facility license (residential treatment program)
- Children and youth: Residential Child Care Facility, which covers 24-hour care for children with behavioral, emotional, or mental health needs or chemical dependency
- Agency: Department of Health and Social Services, Division of Substance Abuse and Mental Health (adult); Department of Education, Office of Child Care Licensing (youth)
- Rules: 16 Del. Admin. Code 6001 (adult); 14 Del. Admin. Code 935 (youth)
- Sources: 16 Del. Admin. Code 6001; 14 Del. Admin. Code 935, residential child care facilities and day treatment programs
District of Columbia
- Adults: Department of Behavioral Health certification for substance use disorder treatment at residential levels 3.1 to 3.7; Mental Health Community Residence Facility (licensed 24-hour supervised residence)
- Children and youth: Youth Group Home
- Agency: Department of Behavioral Health (adult); Child and Family Services Agency (youth group homes)
- Rules: 22-A DCMR Chapter 63 (SUD certification); 22-A DCMR Chapter 38 (community residence facilities); 29 DCMR Chapter 62 (youth group homes)
- Sources: Chapter 63, Substance Use Disorder Treatment and Recovery Provider Certification Standards; Chapter 62 rulemaking, youth group homes
Florida
- Adults: Residential Treatment Facility (mental health, adults 18 and over); Residential Treatment as a licensable substance use disorder service component
- Children and youth: Residential Treatment Center for Children and Adolescents, including therapeutic group homes
- Agency: Agency for Health Care Administration (mental health residential facilities and youth centers); Department of Children and Families (substance use disorder services)
- Rules: Fla. Stat. 394.875 and Rule 65E-4.016, F.A.C. (adult mental health); Fla. Stat. ch. 397 and Rule 65D-30.007, F.A.C. (SUD); Chapter 65E-9, F.A.C. (youth)
- Sources: Residential Treatment Facilities; Residential Treatment Centers for Children and Adolescents
Georgia
- Adults: Adult Residential Mental Health Program; residential modalities of Drug Abuse Treatment and Education Programs
- Children and youth: Residential Mental Health Facility for Children and Youth; Child-Caring Institution, including qualified residential treatment programs
- Agency: Department of Community Health, Healthcare Facility Regulation Division; Department of Human Services, Office of Inspector General, Residential Child Care Licensing
- Rules: Ga. Comp. R. and Regs. 111-8-2 and 111-8-19 (adult); 111-8-68 and 290-2-5 (youth)
- Sources: Ga. Comp. R. and Regs. 111-8-2; Ga. Comp. R. and Regs. 111-8-68
Hawaii
- Adults: Special Treatment Facility (therapeutic residential program); Therapeutic Living Program. Substance use disorder programs also need Alcohol and Drug Abuse Division accreditation
- Children and youth: Child Caring Institution, a child welfare license; no youth-specific behavioral health residential license was confirmed
- Agency: Department of Health, Office of Health Care Assurance (adult); Department of Human Services, Child Welfare Services (youth)
- Rules: HAR chapter 11-98 (special treatment facilities)
- Sources: Types of state licensed and federally certified facilities; Administrative rules for programs
Idaho
- Adults: Behavioral Health Program Approval rather than a license; residential substance use disorder programs also need national accreditation
- Children and youth: Children's Residential Care Facility, including adolescent residential substance use disorder programs
- Agency: Idaho Department of Health and Welfare (Division of Behavioral Health for adult approval; Children's Residential Licensing for youth)
- Rules: IDAPA 16.06.02 (youth). Adult rule numbering is under review
- Sources: Behavioral Health Program Approval; Children's residential programs
Illinois
- Adults: Substance use disorder treatment license for residential levels 3.1 to 3.7 (adults and adolescents); Specialized Mental Health Rehabilitation Facility (SMHRF)
- Children and youth: Child Care Institution
- Agency: Department of Human Services, Division of Substance Use Prevention and Recovery (SUD); Department of Public Health (SMHRFs); Department of Children and Family Services (youth)
- Rules: 77 Ill. Adm. Code 2060 (SUD); 210 ILCS 49 and 77 Ill. Adm. Code 380 (SMHRFs); 89 Ill. Adm. Code 404 (child care institutions)
- Sources: 77 Ill. Adm. Code 2060; 89 Ill. Adm. Code 404, Licensing Standards for Child Care Institutions and Maternity Centers
Indiana
- Adults: Sub-Acute Stabilization Facility; Supervised Group Living Facility (certified rather than licensed)
- Children and youth: Child Caring Institution; Private Secure Facility
- Agency: FSSA Division of Mental Health and Addiction (adult certification); Department of Child Services (youth)
- Rules: 440 IAC 7.5 and 440 IAC 6 (adult); 465 IAC 2-9 and 465 IAC 2-11 (youth)
- Source: Sub-Acute Stabilization Facility Certification
Iowa
- Adults: Substance use disorder treatment program license (residential care); Subacute Mental Health Care Facility
- Children and youth: Psychiatric Medical Institution for Children (PMIC), which also needs a comprehensive residential facility for children license
- Agency: Iowa HHS (SUD programs); Department of Inspections, Appeals, and Licensing (PMIC and subacute facilities)
- Rules: 641 IAC 155; Iowa Code ch. 135G; Iowa Code ch. 135H and 481 IAC 41
- Source: Iowa Code chapter 135H
Kansas
- Adults: Substance use disorder treatment facility (residential); Crisis Intervention Center
- Children and youth: Psychiatric Residential Treatment Facility (PRTF); Residential Center
- Agency: KDADS Behavioral Health Licensing (SUD, crisis centers, PRTFs); DCF Foster Care Licensing (residential centers)
- Rules: K.A.R. 26-52 (crisis intervention centers); K.A.R. 28-4-1200 (PRTFs); K.A.R. 28-4-268 (residential centers)
- Source: Psychiatric Residential Treatment Facilities
Kentucky
- Adults: Residential Crisis Stabilization Unit (adults and children); residential Alcohol and Other Drug Treatment Entity
- Children and youth: Level I and Level II Psychiatric Residential Treatment Facility (PRTF); residential child-caring facility
- Agency: Cabinet for Health and Family Services (Office of Inspector General; Department for Community Based Services for child-caring facilities)
- Rules: 902 KAR 20:320 (PRTFs); 902 KAR 20:440 (crisis units); 908 KAR 1:370 (AODE); 922 KAR 1:300 (child-caring)
- Source: 902 KAR 20:320, psychiatric residential treatment facilities
Louisiana
- Adults: Behavioral Health Service (BHS) Provider license, including residential addiction treatment levels
- Children and youth: Psychiatric Residential Treatment Facility (PRTF, under 21); Therapeutic Group Home (TGH)
- Agency: Louisiana Department of Health, Health Standards Section
- Rules: LAC 48:I Chapter 56 (BHS providers); Chapter 90 (PRTFs); Chapter 62 (therapeutic group homes)
- Source: Behavioral Health Service Providers, LAC 48:I Chapters 56 and 57
Maine
- Adults: Behavioral Health Organization license, with residential service modules such as crisis residential and SUD residential treatment
- Children and youth: Children's Residential Care Facility
- Agency: DHHS Division of Licensing and Certification (adult); DHHS Office of Child and Family Services (youth)
- Rules: 10-144 CMR Chapter 123 (Behavioral Health Organizations Licensing Rule)
- Source: 10-144 CMR Ch. 123, Behavioral Health Organizations Licensing Rule
Maryland
- Adults: Residential Crisis Services; Residential Rehabilitation Program; SUD residential levels 3.1 to 3.7
- Children and youth: Residential Treatment Center (RTC)
- Agency: Maryland Department of Health (Behavioral Health Administration; Office of Health Care Quality for RTCs)
- Rules: COMAR 10.63 (community behavioral health programs, under revision in 2026); COMAR 10.07.04 (RTCs)
- Source: Residential Treatment Centers
Massachusetts
- Adults: Residential Rehabilitation Services (substance use disorder)
- Children and youth: Group care residential program; Intensive Residential Treatment Program (IRTP) for ages 13 to 18
- Agency: DPH Bureau of Substance Addiction Services (adult SUD); Department of Early Education and Care (group care); Department of Mental Health (IRTP)
- Rules: 105 CMR 164.000; 606 CMR 3.00 (revised rule effective November 17, 2026); 104 CMR 27.00
- Source: 105 CMR 164, licensure of substance abuse treatment programs
Michigan
- Adults: Substance use disorder program license with a residential service category
- Children and youth: Child Caring Institution, including residential treatment institutions
- Agency: LARA Bureau of Community and Health Systems (SUD); MDHHS Division of Child Welfare Licensing (youth)
- Rules: Mich. Admin. Code R 400.4101 to R 400.4666 (child caring institutions)
- Source: Substance Use Disorder Licensure
Minnesota
- Adults: Intensive Residential Treatment Services (IRTS); Residential Crisis Stabilization
- Children and youth: Children's Residential Facility; Psychiatric Residential Treatment Facility (PRTF)
- Agency: Minnesota Department of Human Services, Licensing Division
- Rules: Minn. Stat. 245I.23; Minn. R. ch. 2960; Minn. Stat. 256B.0941 (PRTFs)
- Source: Children's residential facilities
Mississippi
- Adults: Crisis Stabilization Unit; SUD Primary Residential and Transitional Residential Services (Department of Mental Health certification)
- Children and youth: Psychiatric Residential Treatment Facility
- Agency: Department of Mental Health (certification); State Department of Health (PRTF licensure)
- Rules: Miss. Admin. Code Title 15, Part 16 (PRTF minimum standards); Department of Mental Health Operational Standards
- Source: Minimum Standards of Operation for Psychiatric Residential Treatment Facilities
Missouri
- Adults: Department of Mental Health certification rather than a license, including CSTAR residential treatment levels
- Children and youth: Residential Care Facility (some faith-based facilities are license-exempt and notify the state instead)
- Agency: Department of Mental Health, Division of Behavioral Health (certification); Department of Social Services, Children's Division (youth)
- Rules: 9 CSR 30-3; 13 CSR 35-71
- Source: Residential program
Montana
- Adults: Substance Use Disorder Facility (residential levels); Mental Health Center with group home or crisis stabilization endorsements
- Children and youth: Residential Treatment Facility (Montana's psychiatric residential treatment category); Youth Care Facility
- Agency: DPHHS Office of Inspector General, Licensure Bureau
- Rules: ARM 37.106 (subchapters 14, 19, and 22); ARM 37.97 (youth care facilities)
- Source: Residential Treatment Facilities licensure
Nebraska
- Adults: Mental Health Substance Use Treatment Center (mental illness or substance use disorder, stays of more than 24 consecutive hours)
- Children and youth: Residential Child-Caring Agency
- Agency: Department of Health and Human Services, Division of Public Health, Licensure Unit
- Rules: Neb. Rev. Stat. 71-423 and 175 NAC 18 (adult); 391 NAC 7 (youth)
- Source: Mental Health Substance Use Treatment Centers
Nevada
- Adults: Facility for the treatment of alcohol or other substance use disorders
- Children and youth: Psychiatric residential treatment facility (residents under 21)
- Agency: Division of Public and Behavioral Health, Bureau of Health Care Quality and Compliance
- Rules: NRS 449.00455 (adult); NRS 449.1195 (youth); NAC chapter 449
- Source: NRS chapter 449
New Hampshire
- Adults: Substance Use Disorder Residential Treatment Facility, in three tiers
- Children and youth: Residential child care program licensed as Specialized Care or as a Child Care Institution
- Agency: Department of Health and Human Services (Health Facilities Administration for adult; Child Care Licensing Unit for youth)
- Rules: He-P 826 under RSA 151:2 (adult); He-C 4001 and RSA 170-E:25 (youth)
- Source: He-P 826, Substance Use Disorder Residential Treatment Facilities
New Jersey
- Adults: Residential Substance Use Disorders Treatment Facility (adults and adolescents)
- Children and youth: Residential Child Care Facility (13 or more children, including emotional, behavioral, psychiatric, and substance use treatment)
- Agency: Department of Health (adult); Department of Children and Families, Office of Licensing (youth)
- Rules: N.J.A.C. 8:111 (adult); N.J.A.C. 3A:55 (youth)
- Source: N.J.A.C. 3A:55, Manual of Requirements for Residential Child Care Facilities
New Mexico
- Adults: Crisis Triage Center (residential stays of up to eight days)
- Children and youth: Residential treatment centers and group homes for children and adolescents, under the licensing requirements for child and adolescent mental health facilities
- Agency: Health Care Authority, Division of Health Improvement (adult); Children, Youth and Families Department, Behavioral Health Services Licensing and Certification Authority (youth)
- Rules: 7.30.13 NMAC (crisis triage centers); 7.20.11 and 7.20.12 NMAC (youth)
- Source: 7.20.12 NMAC
New York
- Adults: OASAS residential services (stabilization, rehabilitation, and reintegration); OMH Crisis Residence
- Children and youth: Residential Treatment Facility for children and youth (ages 5 to 21); Children's Crisis Residence
- Agency: Office of Addiction Services and Supports (OASAS); Office of Mental Health (OMH)
- Rules: 14 NYCRR Part 820 (OASAS residential services); Part 589 (crisis residences); Part 584 (residential treatment facilities)
- Source: Part 820, residential services
North Carolina
- Adults: Residential Treatment/Rehabilitation for Individuals with Substance Abuse Disorders; Facility Based Crisis Service
- Children and youth: Psychiatric Residential Treatment for Children and Adolescents (PRTF); Residential Treatment Staff Secure for Children or Adolescents
- Agency: Department of Health and Human Services, Division of Health Service Regulation, Mental Health Licensure and Certification Section
- Rules: 10A NCAC 27G .3400 and .5000 (adult); .1900 and .1700 (youth)
- Source: Mental health licensure service categories
North Dakota
- Adults: Licensed substance abuse treatment program at residential levels of care
- Children and youth: Psychiatric residential treatment facility for children; Qualified Residential Treatment Program (QRTP)
- Agency: North Dakota Health and Human Services
- Rules: NDAC article 75-09.1 (adult); N.D.C.C. ch. 25-03.2 and NDAC 75-03-17 (PRTFs); NDAC 75-03-40 (QRTPs)
- Source: NDAC 75-03-17
Ohio
- Adults: Residential facility, class one (accommodations, supervision, personal care, and mental health services), which can also serve children
- Children and youth: Psychiatric Residential Treatment Facility (PRTF); Children's Residential Center
- Agency: Ohio Department of Behavioral Health (formerly OhioMHAS) for residential facilities and PRTFs; Ohio Department of Children and Youth for children's residential centers
- Rules: Ohio Rev. Code 5119.34 and OAC 5122-30 (residential facilities); OAC 5122-41 (PRTFs); OAC 5180:2-9 (children's residential centers)
- Source: Ohio Revised Code 5119.34
Oklahoma
- Adults: Department of Mental Health and Substance Abuse Services certification of residential treatment for adults (substance use disorder)
- Children and youth: Residential child care facility providing residential treatment
- Agency: Oklahoma Department of Mental Health and Substance Abuse Services, Provider Certification (adult); Oklahoma Human Services, Child Care Services (youth)
- Rules: OAC 450:18 and 43A O.S. 3-415 (adult); 10 O.S. 401 et seq. and OAC 340:110 (youth)
- Source: Chapter 18, substance use disorder treatment services
Oregon
- Adults: Residential Treatment Facility, Residential Treatment Home, and Secure Residential Treatment Facility (adult mental health); residential substance use disorders treatment and recovery services
- Children and youth: Child-Caring Agency licensed as a residential care agency
- Agency: Oregon Health Authority, Health Systems Division (adult); Oregon Department of Human Services, Children's Care Licensing Program (youth)
- Rules: OAR 309-035 and OAR 309-018 (adult); OAR 413-215 (youth)
- Source: Residential treatment licensing
Pennsylvania
- Adults: Inpatient nonhospital residential treatment and rehabilitation (substance use disorder); Long-Term Structured Residence (mental health, 18 and over)
- Children and youth: Child residential facility, under the Child Residential and Day Treatment Facilities rules
- Agency: Department of Drug and Alcohol Programs (SUD); Department of Human Services (Office of Mental Health and Substance Abuse Services for LTSRs; Office of Children, Youth and Families for youth)
- Rules: 28 Pa. Code ch. 709, subchapter E (SUD); 55 Pa. Code ch. 5320 (LTSRs); 55 Pa. Code ch. 3800 (youth)
- Source: 28 Pa. Code chapter 709
Rhode Island
- Adults: Behavioral Healthcare Organization license covering residential services, such as Behavioral Health Stabilization Units and Mental Health Psychiatric Rehabilitative Residences
- Children and youth: Group Home I (up to 8 children), Group Home II (up to 12), and Residential group care program (13 or more), under the Residential Child Care Regulations
- Agency: Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (adult); Department of Children, Youth and Families (youth)
- Rules: 212-RICR-10-10-1 (behavioral healthcare organizations); 214-RICR-40-00-4 (residential child care)
- Source: 214-RICR-40-00-4, Residential Child Care Regulations for Licensure
South Carolina
- Adults: Residential Treatment Program, under the standards for licensing facilities for chemically dependent or addicted persons
- Children and youth: Residential Treatment Facility for Children and Adolescents
- Agency: South Carolina Department of Public Health, Bureau of Health Facilities Licensing
- Rules: Regulations 61-93 (chemical dependency facilities) and 61-103 (youth residential treatment facilities), now hosted by the Department of Public Health as 60-93 and 60-103
- Source: Residential Treatment Facilities
South Dakota
- Adults: Accreditation rather than a license for substance use disorder programs, with residential classifications such as clinically-managed low-intensity residential program and medically-monitored intensive inpatient treatment program
- Children and youth: Residential Treatment Center; Intensive Residential Treatment Center
- Agency: Department of Social Services (Division of Behavioral Health; Office of Licensing and Accreditation)
- Rules: ARSD 67:61 (substance use disorder programs, under revision); ARSD 67:42:08 and 67:42:15 (youth)
- Source: ARSD 67:42:15, intensive residential treatment centers
Tennessee
- Adults: Mental Health Adult Residential Treatment Facility; Alcohol and Drug Residential Rehabilitation Treatment Facility
- Children and youth: Mental Health Residential Treatment Facility for Children and Youth; Alcohol and Drug Residential Treatment Facility for Children and Youth
- Agency: Tennessee Department of Mental Health and Substance Abuse Services
- Rules: Tenn. Comp. R. and Regs. 0940-05-17 and 0940-05-45 (adult); 0940-05-37 and 0940-05-46 (youth)
- Source: Chapter 0940-05, licensure rules
Texas
- Adults: Chemical Dependency Treatment Facility, including residential treatment; Crisis Stabilization Unit for mental health
- Children and youth: General Residential Operation (GRO) providing treatment services for children with emotional disorders, with optional certification as a Psychiatric Residential Youth Treatment Facility
- Agency: Health and Human Services Commission, Regulatory Services (Health Care Facilities Regulation for adult facilities; Child Care Regulation for GROs)
- Rules: Tex. Health and Safety Code ch. 464 and 26 TAC ch. 564 (chemical dependency facilities); 26 TAC ch. 510 (crisis stabilization units); 26 TAC ch. 748 (GROs)
- Source: Chemical Dependency Treatment Facilities
Utah
- Adults: Residential Treatment
- Children and youth: Residential Treatment and intermediate secure treatment, as congregate care programs under a separate youth rule
- Agency: Department of Health and Human Services, Division of Licensing and Background Checks
- Rules: Utah Code 26B-2-101; Utah Admin. Code R501-19 (adult) and R501-19A (youth congregate care)
- Source: Rule R501-19A, Residential Treatment, Congregate Care, now effective
Vermont
- Adults: Therapeutic Community Residence, a single license covering substance use, mental health, and related residential programs
- Children and youth: Residential Treatment Program
- Agency: Department of Disabilities, Aging and Independent Living, Division of Licensing and Protection (adult); Department for Children and Families, Residential Licensing Unit (youth)
- Rules: Licensing Regulations for Residential Treatment Programs in Vermont (youth)
- Source: Licensing Regulations for Residential Treatment Programs
Virginia
- Adults: DBHDS service licenses, including residential crisis stabilization and clinically managed residential substance use disorder services
- Children and youth: Children's Residential Facility, licensed by DBHDS for behavioral health treatment, and separately by the Department of Social Services, including qualified residential treatment programs
- Agency: Department of Behavioral Health and Developmental Services, Office of Licensing; Department of Social Services
- Rules: 12VAC35-105 (DBHDS provider licensing); 12VAC35-46 (children's residential facilities); 22VAC40-151 (VDSS children's residential facilities)
- Source: 12VAC35-46, Regulations for Children's Residential Facilities
Washington
- Adults: Residential Treatment Facility license, together with a Behavioral Health Agency license certified for residential services
- Children and youth: Residential Treatment Facility with Behavioral Health Agency certification for youth residential services; Group Care Facility for child welfare group care
- Agency: Department of Health; Department of Children, Youth, and Families (group care)
- Rules: Ch. 71.12 RCW; ch. 246-337 WAC (residential treatment facilities); ch. 246-341 WAC (behavioral health agencies); ch. 110-145 WAC (group care facilities)
- Source: Residential Treatment Facilities
West Virginia
- Adults: Behavioral Health Center license
- Children and youth: Residential Child Care and Treatment Facility
- Agency: Office of Health Facility Licensure and Certification (behavioral health centers); state child welfare licensing (youth facilities)
- Rules: 64CSR11 (behavioral health centers); 78CSR3 (residential child care and treatment facilities)
- Source: 78CSR3, Minimum Licensing Requirements for Residential Child Care and Treatment Facilities
Wisconsin
- Adults: Substance use disorder services including transitional residential treatment and medically monitored residential treatment
- Children and youth: Residential Care Center for Children and Youth
- Agency: Department of Health Services, Division of Quality Assurance (adult); Department of Children and Families, Child Welfare Facility Licensing (youth)
- Rules: Wis. Admin. Code ch. DHS 75 (substance use disorder services); ch. DCF 52 and Wis. Stat. 48.60 (youth)
- Source: Wis. Admin. Code ch. DCF 52
Wyoming
- Adults: Behavioral Health Service Provider Certification; no separate adult residential license was confirmed
- Children and youth: Residential Treatment Center, certified as a child caring facility
- Agency: Department of Health, Behavioral Health Division (adult); Department of Family Services (youth)
- Rules: W.S. 14-4-101 to 14-4-116 (child caring facilities)
- Source: Child care licensing rules
Using this list
- Start with the agency that licenses your population. Programs that serve both adults and youth often need two licenses, or a license with separate youth requirements.
- Read the rules, not only the license name. Treatment plan deadlines, staffing, drills, and record retention all differ by state; see the Arizona guide for what a full rule set covers.
- If you bill Medicaid, the state Medicaid agency and its health plans add their own requirements on top of the license.
Dacnus is available to residential programs in every state. Treatment plans, shift notes, staff credentials, authorizations, and claims sit on one record, whichever license your program holds. Book a demo with your own state's rules in mind.