For the current methadone licensure application, please e-mail LicCert@mha.ohio.gov.
Intent to Locate a Methadone Program Application
Ohio mental health services providers certified by the Ohio Department of Mental Health and Addiction Services (OhioMHAS) seeking to become health homes are required to fully complete and submit the above application documents as directed. Please mail your complete health home service certification supplemental application and business associate agreements to:
Complete the following if you are a free-standing forensic center and not part of a larger agency. Only complete Attachments 1, 2, and 3. If you have questions about the application process, contact your surveyor in the Office of Licensure and Certification.
Application and Attachments 1-6
Forensic Application Checklist