Minnesota rebuilt major parts of the 245G rulebook across the 2024–2026 sessions. This update brings SUD program managers, counselors, treatment coordinators, recovery peers, and support staff current on both waves: the August 2025 changes (expanded comprehensive-assessment providers, the OTP 14-day treatment-plan deadline, guest-speaker documentation, schedule II–V medication counts, hard orientation deadlines, new treatment-coordinator qualifications, expanded temporary-permit duties, adolescent-training timelines, pre-contact naloxone training, and the extension of the §144.651 patient bill of rights to SUD clients) and the July 2026 service restructure (psychosocial treatment services — counseling and psychoeducation — treatment coordination, recovery support services, peer recovery, the supportive-services exclusion, 15-minute billing units, and psychosocial-hour requirements by ASAM level of care), plus what's ahead: business-day discharge summaries, the peer-supervision change, tobacco educational materials, RCO compliance training, the audio-only telehealth sunset, and the ASAM 4th Edition outlook. A 28-question bank (draw 10, 80% to pass) and a printable reference guide are included.
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