What is the Minnesota 245G business Legal Compliance Checklist?



Operating a 245G licensed substance use disorder (SUD) treatment program in Minnesota involves adhering to stringent regulations to ensure high-quality care and compliance with state laws. As the owner of Holt Law, I understand the complexities of navigating these regulations. This checklist will guide you through the key compliance requirements for maintaining a 245G licensed business.


Understanding 245G Regulations

245G regulations encompass a range of requirements, including provider qualifications, service delivery standards, and facility operations. The primary regulations are outlined in:

  • Minnesota Statutes, Chapter 245G: Governs the standards for SUD treatment programs.
  • Minnesota Rules, Chapter 9530: Provides detailed rules for SUD services, including licensing and operational requirements.


Compliance Checklist


  1. Licensing and Certification

Ensure your facility and staff are properly licensed and certified.

  • Obtain and maintain a 245G license from the Minnesota Department of Human Services (DHS).
  • Ensure all clinical staff have appropriate licenses and certifications.
  • Keep records of all licenses and certifications up-to-date and readily accessible.


  1. Provider Qualifications

Verify that all staff meet the required qualifications.

  • Ensure clinical staff have the necessary education, experience, and training as specified in Chapter 245G.
  • Conduct background checks on all employees.
  • Maintain detailed personnel files documenting qualifications and training.


  1. Service Delivery Standards

Adhere to the standards for delivering SUD treatment services.

  • Develop individualized treatment plans for each client.
  • Ensure treatment plans are reviewed and updated regularly.
  • Implement evidence-based practices and ensure staff are trained in these methods.


  1. Client Rights and Confidentiality

Protect client rights and maintain confidentiality.

  • Inform clients of their rights upon admission.
  • Implement policies and procedures to protect client privacy and comply with HIPAA regulations.
  • Obtain informed consent for treatment and the sharing of client information.


  1. Record Keeping

Maintain accurate and comprehensive records.

  • Keep detailed client records, including assessments, treatment plans, progress notes, and discharge summaries.
  • Ensure records are stored securely and retained for the required period.
  • Implement electronic health record (EHR) systems to streamline record keeping and ensure compliance.


  1. Facility Standards

Ensure your facility meets all operational standards.

  • Maintain a safe and clean environment.
  • Conduct regular facility inspections and address any deficiencies promptly.
  • Ensure the facility is accessible to individuals with disabilities.


  1. Medication Management

Comply with regulations regarding the administration and management of medication.

  • Develop policies for the safe storage, administration, and disposal of medications.
  • Train staff on medication management procedures.
  • Monitor and document all medication administration accurately.


  1. Quality Assurance and Improvement

Implement quality assurance and improvement programs.

  • Conduct regular audits of clinical and administrative practices.
  • Develop a continuous quality improvement (CQI) plan.
  • Collect and analyze data on treatment outcomes to inform practice improvements.


  1. Reporting and Documentation

Meet all reporting requirements.

  • Submit required reports to DHS and other regulatory bodies on time.
  • Document all incidents, including client grievances, adverse events, and critical incidents.
  • Maintain open communication with regulatory agencies and promptly address any compliance issues.


  1. Training and Development

Ensure ongoing staff training and professional development.

  • Provide regular training on 245G regulations, clinical best practices, and ethical standards.
  • Encourage staff to pursue continuing education and professional development opportunities.
  • Document all training activities and maintain records of staff participation.



Maintaining compliance with Minnesota’s 245G regulations is critical for the successful operation of your SUD treatment program. By following this checklist, you can ensure your facility meets all regulatory requirements, provides high-quality care, and avoids potential legal issues.

If you need assistance navigating 245G regulations or ensuring compliance, contact Holt Law. We are dedicated to helping healthcare providers maintain regulatory compliance and deliver exceptional services to their clients.


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